Government Contract | Virginia
Medicare Eligibility Determination and Related Services

Bid Information

Bid Alert No: 00000605423

Bid Title: Medicare Eligibility Determination and Related Services

Agency Bid No. Title: OHB 17-01

Received Date: 06/21/2016

Close Date: 09/19/2016

Purchase Type: February 1, 2017 through January 31, 2020

Delivery Point:

Delivery Date: Not Stated

Special Notices: Pre-Bid Conference Optional 07/19/2016 10:00 AM


Specifications include, but are not limited to:The purpose of this Request for Proposals (RFP) is to secure services which would result in identification of Medicare entitlement or potential eligibility for Commonwealth of Virginia Health Benefits Program participants, The Local Choice (TLC) program participants, and participants in any new health benefits programs that are implemented by the Department of Human Resource Management (the Department) during the period of this contract. This information will be used to comply with the requirements of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 to provide disclosure of creditable drug coverage to Medicare Part D Eligible Individuals by entitles that provide prescription drug coverage to Medicare beneficiaries and to facilitate identification of participants in any of the Departments health benefits programs who should have Medicare as their primary health plan coverage based on Medicare Secondary Payer guidance. This would include:Retirees, long-term disability participants, survivors, and their covered family members who are no longer covered under the program based on current employment;Active employees and their covered family members who are eligible for Medicare (and, therefore, eligible for Medicare Part D), including those eligible due to End Stage Renal Disease who have exhausted their coordination period;Extended Coverage/COBRA qualified beneficiaries who are entitled to Medicare prior to their Extended Coverage election or become entitled after their COBRA election.The cost containment and avoidance objective of obtaining these services is to ensure that the Departments health benefits programs do not make primary payment for any health plan claims that should be paid by Medicare. In turn, this will ensure appropriate primary payment in order to avoid or resolve any Medicare Secondary Payer demands and associated interest liabilities, all to the benefit of the Programs and their participants.

Bid Related Documents

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Product Code: 91867

Agency Information

Issuing Agency: Commonwealth of Virginia Department of Human Resource Management

State: Virginia

Agency Type: State and Local

Contact: Dan Hinderliter, Human Resource Management 101 North 14th Street, James Monroe Building, 13th Floor, Richmond, Virginia, 23219

Fax: 804-225-2790




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