New Mexico Medicaid RFP for Maintenance and Operations
New Mexico Health Care Authority | State of New MexicoState · Santa Fe, NM- Posted
- Oct 1, 2024
The 30-second brief
This document outlines the ongoing support activities for the current NM Medicaid system and the new modular system that will leverage this application to support claims operations. It details the scope of work for maintenance and operations across various deliverables, including system support, claims processing, pharmacy benefits management, and disaster avoidance.
OmniCaid - Ongoing Operation and Maintenance, Pharmacy Benefits Management System (PBMS) – Ongoing Operation and Maintenance, Plan of Care Management System (POCMS) - Ongoing Operation and Maintenance, Drug Rebate System - Ongoing Operation and Maintenance, Automated Voice Response System (AVRS) - Ongoing Operation and Maintenance, Electronic Document Management System (EDMS) - Ongoing Operation and Maintenance, Ongoing Disaster Avoidance and Recovery, Ongoing Network Support, Ongoing Help Desk Services, Ongoing HIPAA Translation Services, Ongoing HIPAA Compliance, Ongoing Member Management Services, Configure, Test and Implement Pharmacy Benefit Management (PBM) Solution
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Summary
This document outlines the ongoing support activities for the current NM Medicaid system and the new modular system that will leverage this application to support claims operations.
It details the scope of work for maintenance and operations across various deliverables, including system support, claims processing, pharmacy benefits management, and disaster avoidance.
REQUIRED DELIVERABLES
OmniCaid - Ongoing Operation and Maintenance, Pharmacy Benefits Management System (PBMS) – Ongoing Operation and Maintenance, Plan of Care Management System (POCMS) - Ongoing Operation and Maintenance, Drug Rebate System - Ongoing Operation and Maintenance, Automated Voice Response System (AVRS) - Ongoing Operation and Maintenance, Electronic Document Management System (EDMS) - Ongoing Operation and Maintenance, Ongoing Disaster Avoidance and Recovery, Ongoing Network Support, Ongoing Help Desk Services, Ongoing HIPAA Translation Services, Ongoing HIPAA Compliance, Ongoing Member Management Services, Configure, Test and Implement Pharmacy Benefit Management (PBM) Solution
- Scope location
- New Mexico
- Reported agency
- New Mexico
Questions about this RFP
How do I respond to this RFP from New Mexico Health Care Authority | State of New Mexico?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The solicitation specifies required deliverables that must be addressed in your response.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including New Mexico Health Care Authority | State of New Mexico in NM, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
What are the key deliverables?
The solicitation specifies the following deliverables: OmniCaid - Ongoing Operation and Maintenance, Pharmacy Benefits Management System (PBMS) – Ongoing Operation and Maintenance, Plan of Care Management System (POCMS) - Ongoing Operation and Maintenance, Drug Rebate System - Ongoing Operation and Maintenance, Automated Voice Response System (AVRS) - O. Proposals should clearly address how each deliverable will be met.
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Where can I find more RFPs from New Mexico Health Care Authority | State of New Mexico?
All active and historical solicitations from New Mexico Health Care Authority | State of New Mexico are tracked and searchable. As a state agency, New Mexico Health Care Authority | State of New Mexico regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. Review the full document from New Mexico Health Care Authority | State of New Mexico for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: New Mexico. Review the full solicitation for detailed scope requirements.