Medicare Advantage Benefit Administration Service

Overview

Healthcare Services, Wellness & Biotech

New Hampshire, United StatesPosted about 2 months agoDeadline: April 8th, 2026

Fit Score

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SUMMARY

Seeking a vendor to administer Medicare Advantage benefits for retirees in New Hampshire, ensuring quality, cost-effective services and comprehensive administrative support.

KEY REQUIREMENTS

BUDGET

Estimate

$200,000,000 – $400,000,000

CONTRACT DURATION

36 months

TIMELINE

RFP Released: March 13th, 2026

Deadline for Bidder Inquiries and/or Requests for Clarification: March 24th, 2026

Proposal Submission Deadline: April 8th, 2026

Bidders Notified of Proposal Compliancy: April 13th, 2026

Financial Proposal Confirmation Period: April 14th-17th, 2026

Confirmed Financial Proposal Submission Deadline: April 17th, 2026

Contract Effective Date: No earlier than June 1st, 2026 (upon Governor & Executive Council approval)

Contract Implementation Period: From G&C Approval through December 31st, 2026

MAPD Effective Date: January 1st, 2027

QUESTION DEADLINE

March 24th, 2026

Issuing Agency

State of New Hampshire

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DESCRIPTION

A government authority in New Hampshire is seeking a vendor to provide Medicare Advantage benefit administration services for its Medicare-eligible retirees and their families. The goal is to deliver high-quality, cost-effective benefits while ensuring comprehensive administrative support.

Required services include data reporting and sharing, maintaining member enrollment and eligibility, maximizing CMS Star Ratings, and facilitating medical and case management. The vendor must also manage network access, Rx formulary and clinical programs, and offer provider advocacy with claims assistance. Other key responsibilities include administrative assistance for Medicare Advantage, member communications, and patient and family or caretaker education. The contract will be for one year.

All questions related to this RFP must be submitted no later than March 24, 2026.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.