Polk County seeks a TPA to manage offsite inmate medical and pharmacy services for the jail system. Proposals must be submitted by September 16, 2026, by 2:00 p. m. Qualifications include specific Florida state certifications, insurance licenses, URAC accreditation, and minimum experience. Services involve claims adjudication, PBM, and network management. The cost will be negotiated during Elevation Level 4.
Proposers must submit their proposal prior to 2:00 p. m. on the receiving date, which is September 16, 2026. proposers must submit their proposal prior to 2: 00 p. m. on the receiving date.
The TPA is obligated to adjudicate inpatient claims, and payments are reimbursed by the county. the tpa will adjudicate and pay all offsite provider claims, and those payments are reimbursed by the county.
Proposals will be evaluated based on Surveys of Past Performance (10 points), Experience and Expertise (50 points), and Approach and Methodology (40 points). selection of a final proposal will be based upon the following steps and factors:
Mandatory qualifications include a Florida Department of State certificate of status, insurance administrator license, PBM registration, and URAC accreditation. the tpa, or their subcontractor engaged to perform tparelated functions under thisagreement, must possess and maintain all qualifications as noted below.
Failure to follow instructions could result in disqualification. the failure of a responding proposer a proposer to follow theseinstructions could result in proposer disqualification from consideration for a contract to beawarded pursuant to this rfp.
Protest must be filed within three working days of the notice of recommended award mailing date. The written protest must be inthe possession of the procurement division within three 3 working days of the noticeof recommended award mailing date.
Failure to follow instructions, or communication with certain county officials outside designated channels, can lead to disqualification. any such communication initiated by a proposer or prospective proposer shall be grounds for disqualifying the offender from consideration for a contract to be awarded pursuant to this rfp.
