Elderly Pharmaceutical Insurance Coverage and American Indian Health Programs Services

Issuance of Request for Proposals: April 14th, 2026

Deadline for Submission of Written Questions: April 28th, 2026

Responses to Written Questions Posted by DOH: May 12th, 2026

Deadline for Submission of Proposals: May 26th, 2026

Anticipated Contract Start Date: June 1st, 2027

Anticipated Go Live Date: December 1st, 2027

The government authority in Albany, New York seeks a vendor to provide comprehensive elderly pharmaceutical insurance coverage and services supporting American Indian health programs. Responsibilities include managing application and enrollment processing, producing identification cards, participant and provider relations, premium payments, pharmacy enrollment, mailings, auditing, and processing and reimbursement of pharmacy claims, including coordination of benefits for prescription drugs. Vendors must also develop and administer a prospective drug monitoring program, conduct outreach, reporting, and develop or enhance relevant systems and software.

The successful bidder will be responsible for hiring and training all necessary staff, implementing strategies to monitor project milestones, and addressing barriers to implementation. Key operational requirements include establishing a member and pharmacy provider call center, available Monday to Friday during specified hours. The contract will span seven years, requiring robust management and continuous system upgrades.

Systems development is essential for supporting all services, necessitating enhancement, modification, upgrade, or acquisition of software and files as appropriate. Effective evaluation, tracking, and monitoring are vital to ensure timely milestone achievement throughout the contract period.