When is the submission deadline?

This RFP closed on August 17, 2026 and is no longer accepting submissions.

What is the budget for this RFP?

Settle estimates the budget at $47,643. The issuer has not published an official figure.

It was issued by Texas Health And Human Services Commission. The work is located in Austin, Texas, United States.

Who is a good fit for this opportunity?

Healthcare technology company specializing in pharmacy claims switching and adjudication. Experience supporting Medicare Part D eligibility, mapping, and claims processing. Capability to provide high-volume per-claim and per-search transaction services. Experience with Average Wholesale Price resubmissions and prescriber authorization data.

Medicare Part D Claims Switching Services (Closed)

A vendor is sought to provide Medicare Part D claims switching, eligibility search, mapping, editing, resubmission, and prescriber authority services. Questions are due August 11, 2026, with proposals due August 17, 2026.

Must have at least five years of relevant experience
Personnel assigned to perform services must have at least five years of relevant experience
Must provide a minimum of three verifiable references for contracts of similar size and scope within the last five years
Must be able to perform services Monday through Friday between 8 a.m. and 5 p.m. Central Time
Must respond to service calls within four hours of request
Must provide 24-hour contact information for a minimum of two personnel
Must conduct statewide Texas Department of Public Safety criminal and sex offender background checks on all personnel
Must maintain required insurance coverage including Workers' Compensation, Commercial General Liability, Commercial Automobile Liability, Professional Liability, and Umbrella Liability
Must utilize the U.S. Department of Homeland Security's E-Verify system
Must submit a properly completed HUB Subcontracting Plan if subcontracting opportunities are identified
Must submit a Public Information Act Copy of the response if asserting any information is exempt from disclosure

IFB Date Posted: August 3rd, 2026

Questions or Clarifications Submission Deadline: August 6th, 2026

Responses to Questions or Clarifications - Addendum posted: August 11th, 2026

Response Deadline: August 17th, 2026, 10:30 AM

Anticipated Contract Start Date: September 1st, 2026

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

The vendor will provide Medicare Part D claims switching services, including switching services billed per claim and reclaim, pre- and post-editing services billed per claim.

Additional requirements include Commercial Card Finder Eligibility Searches, Medicare Part D Eligibility Searches, and Medicare Part D Mapping Services, each billed per search. The engagement also includes Average Wholesale Price resubmission and Prescriber Schedule Authority services, each charged as a monthly fee per enrolled location. Questions must be submitted by August 11, 2026, and proposals are due August 17, 2026.

Medicare Part D Claims Switching Services

Overview

Settle Signals

SUMMARY

KEY REQUIREMENTS

BUDGET

CONTRACT DURATION

TIMELINE

QUESTION DEADLINE

CONTACTS

Issuing Agency

DESCRIPTION

Similar RFPs

Frequently asked questions

RFP Hunter shows what is open. Settle shows what is forming.