Workers' Compensation Cost Containment and Pharmacy Benefit Management Services

The Arizona Department of Administration is seeking statewide workers' compensation cost-containment and pharmacy benefit management services, including nurse triage, utilization review, bill review, PPO networks, and pharmacy claims administration.

Arizona > Department of Administration > State Procurement Office


General
Open
BPM007467
Nov 05, 2026 09:00 PM
Oct 06, 2026 11:38 AM
1 year base + 1 × 1 month option
Request for Proposal (RFP)
State
Ask AI about this solicitation
Contact
simon.alvarez@azdoa.gov
+16025428911
Submission Instructions
Online
Submit the proposal online in the State's eProcurement System, Arizona Procurement Portal, by the Bid/Offer Due Date.
Description

The Arizona Department of Administration, Risk Management Division, on behalf of the State of Arizona and the Industrial Commission of Arizona Special Fund Division, is soliciting proposals for one or more mandatory statewide contracts covering workers' compensation cost-containment and pharmacy benefit management services. The scope includes 24/7 nurse triage, utilization review, medical bill review, preferred provider networks, pharmacy claims adjudication, retail and mail-order pharmacy services, eligibility and rebate management, reporting, analytics, implementation, and transition support. Nurse triage applies only to the State of Arizona, while the other services also support the Special Fund Division. The contracts will be used on an as-needed basis with no guaranteed spending, and the State may award the full scope or separate segments to one or multiple contractors. Contractors must support the State's risk-management systems, HIPAA and information-security requirements, statewide provider access, data exchange, reporting, and required GovRAMP security milestones. The contract term is 12 months, with discretionary extensions in one- or more-month increments up to a maximum aggregate term of five years.

Classification Codes
NAICS524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
PSCAN46HEALTH SERVICES - MANAGEMENT AND SUPPORT
Smart Codes
workers compensation claims administrationpharmacy benefit managementmedical bill review
Specifications
Service Only
Timeline
Oct 05, 2026 07:41 PM-Open Date
Oct 14, 2026 06:00 PM-Optional Pre-Offer Conference (optional)
Phone: +1 218-301-2717; PIN: 327 301 866#
Nov 05, 2026 09:00 PM-Close Date
Requirements
Required
  • Commercial General Liability — $1,000,000.00
  • Business Automobile Liability — $1,000,000.00
  • Workers' Compensation
  • Employers' Liability — $1,000,000.00
  • Professional Liability (Errors and Omissions Liability) — $2,000,000.00
  • Technology Errors & Omissions Insurance — $4,000,000.00
  • Network Security (Cyber) and Privacy Liability — $2,000,000.00
Scored
Documents
TitleDate Posted
rfp100626tOct 06, 2026 11:38 AM
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