The County Medical Services Program (CMSP) Governing Board is pleased to announce the release of a Request for Proposals for a Third Party Administrator (TPA) to administer health care services for indigent adults served by CMSP and Path to Health.  Duties of the TPA will include enrollee eligibility verification, maintenance of provider network, claims processing and adjudication (including prospective coordination of benefits and third party liability recoveries), prior authorization, utilization management, cost containment programs, and accounting services.

Completed proposals are due to the Governing Board no later than April 30, 2020.  Selection of a TPA will be contingent upon a determination by the Governing Board that the firm has the requisite administrative, financial and clinical knowledge, skills and experience to administer CMSP and Path to Health in a cost effective manner and offers a pricing proposal that is competitive.

Request for Proposal Key Dates: 

February 18, 2020 – TPA RFP released on Governing Board’s website                                

March 15, 2020 – Questions due from potential bidders                                 

March 31, 2020 – Responses to questions posted on Governing Board’s website

April 30, 2020 – Proposals due to Governing Board

June 30, 2020 – Negotiations with best and final offerors, if any

September 1, 2020 – Effective date of contract 

September – November 2020 – Start-up

December 1, 2020 – Services and enrollment begin

Download the RFP (PDF)

Download Responses to Questions (PDF)

Inquiries and questions regarding the RFP should be directed to Ms. Alison Kellen via email to akellen@cmspcounties.org.