State of New Hampshire RFP for Medicare Advantage Benefit Administration - RFP #485-26 (2026)
New Hampshire Department of Administrative Services | State of New HampshireState · Concord, NH- Due
- Apr 24, 2026
- Deadline passed
- Posted
- Mar 13, 2026
- Contract term
- 3 years
- Primary contact
- Ryan Fuller
- (603) 271-2201
The 30-second brief
The State of New Hampshire Department of Administrative Services, Division of Risk and Benefits is soliciting proposals for a fully insured, national Medicare Advantage and Prescription Drug (MAPD) passive PPO plan or a separate Medicare Advantage (MA) medical plan and Prescription Drug Plan (PDP) for approximately 11,000 Medicare-eligible retirees and dependents. The contract term is from January 1, 2027, through December 31, 2029, with three optional one-year extensions. Scope includes member services, claims adjudication, data reporting, CMS star ratings maximization, medical management, case management, network access and management, and pharmacy formulary and clinical program management. Proposals are due by April 8, 2026, at 2:00 PM ET via ProposalTech, with a financial proposal confirmation period between April 14 and 17, 2026. Bidders must be duly registered and licensed to provide fully insured MAPD services, meet CMS network adequacy rules, and have at least five years of MAPD group experience.
Technical Score (Network Match and Access, Performance Guarantees, Administrative Member and Claim Paying Services, Data Reporting and Star Rating Maximization, Enrollment Implementation and Communication, Medical Management and Member Case Management, Rx Formulary and Clinical Program Management), Total Projected Costs, Price Proposal Commitment
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Summary
The State of New Hampshire Department of Administrative Services, Division of Risk and Benefits is soliciting proposals for a fully insured, national Medicare Advantage and Prescription Drug (MAPD) passive PPO plan or a separate Medicare Advantage (MA) medical plan and Prescription Drug Plan (PDP) for approximately 11,000 Medicare-eligible retirees and dependents.
The contract term is from January 1, 2027, through December 31, 2029, with three optional one-year extensions. Scope includes member services, claims adjudication, data reporting, CMS star ratings maximization, medical management, case management, network access and management, and pharmacy formulary and clinical program management. Proposals are due by April 8, 2026, at 2:00 PM ET via ProposalTech, with a financial proposal confirmation period between April 14 and 17, 2026. Bidders must be duly registered and licensed to provide fully insured MAPD services, meet CMS network adequacy rules, and have at least five years of MAPD group experience.
EVALUATION CRITERIA
Technical Score (Network Match and Access, Performance Guarantees, Administrative Member and Claim Paying Services, Data Reporting and Star Rating Maximization, Enrollment Implementation and Communication, Medical Management and Member Case Management, Rx Formulary and Clinical Program Management), Total Projected Costs, Price Proposal Commitment
REQUIRED ATTACHMENTS
6- Transmittal Letter
- Participating Bidder Agreement
- Non-Disclosure Agreement
- Requested Plan Designs Form
- Price Proposal
- Client References
REQUIRED STAFFING
9- Submit to
- http://www.proposaltech.com/home/app.php/register
- Duration
- 36 months
- Scope location
- Concord, NH
- Reported agency
- DEPT OF ADMINISTRATIVE SERVICES-NH
Questions about this RFP
How do I respond to this RFP from New Hampshire Department of Administrative Services | State of New Hampshire?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is April 24, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: http://www.proposaltech.com/home/app.php/register. For questions, contact Ryan Fuller.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including New Hampshire Department of Administrative Services | State of New Hampshire in NH, 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.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Ryan Fuller at (603) 271-2201. Questions and answers are typically shared with all prospective bidders.
What staffing is required for this project?
This solicitation outlines specific staffing requirements. The required roles include: Account Executive, Account Manager, Actuary, Medical Clinical Account Manager, Pharmacy Clinical Account Manager, Operations Manager, Implementation Manager, Customer Services Manager, Case Management Director. Proposers should demonstrate relevant qualifications and experience for each required role.
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What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Technical Score (Network Match and Access, Performance Guarantees, Administrative Member and Claim Paying Services, Data Reporting and Star Rating Maximization, Enrollment Implementation and Communica..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from New Hampshire Department of Administrative Services | State of New Hampshire?
All active and historical solicitations from New Hampshire Department of Administrative Services | State of New Hampshire are tracked and searchable. As a state agency, New Hampshire Department of Administrative Services | State of New Hampshire regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 3 years. Contract terms may include renewal options.
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. This solicitation specifically requires the following attachments: Transmittal Letter, Participating Bidder Agreement, Non-Disclosure Agreement, Requested Plan Designs Form, Price Proposal, Client References. Additionally, proposals should address staffing requirements as outlined in the solicitation. Review the full document from New Hampshire Department of Administrative Services | State of New Hampshire for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Concord, NH. Review the full solicitation for detailed scope requirements.