MCHCP PBM Claim Audit 2027 RFP
Posted
Nov 4, 2026
Dec 4, 2026
Audit claims from Missouri Consolidated Health Care Plan’s contracted Pharmacy Benefit Manager, Express Scripts.
Track open bid opportunities, contracts, public meetings, and key contacts for Missouri Consolidated Health Care Plan.
Active opportunities open for bidding
Posted
Nov 4, 2026
Dec 4, 2026
Audit claims from Missouri Consolidated Health Care Plan’s contracted Pharmacy Benefit Manager, Express Scripts.
Key metrics and characteristics
City
The city where this buyer is located.
Jefferson City
Address
Physical address of this buyer.
832 Weathered Rock Ct
Phone Number
Contact phone number for this buyer.
(573) 751-0771
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Latest Budget Year
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Board meetings and strategic plans from Missouri Consolidated Health Care Plan
The board meeting included the Executive Director's report, which covered topics such as new board room signage, the pharmacy benefit manager request for proposal, a study on GLP-1 medications, and the Public Entity manager position. An update on paid claims data was provided by Anthem. Delta Dental provided an update regarding their network provider status, discussed paid claims processing times for in-network and out-of-network providers, and addressed the practice of out-of-network providers requesting payment from members at the time of service. A financial update was also presented, reviewing February results and comparisons for the previous two calendar years.
The agenda includes an executive director report, a financial update, and consideration of several contract renewals. The contract renewals cover services from Anthem, UnitedHealthcare, National Vision Administrators, SSDC Services Corp, RxSS, Marathon Health, and Segal. The meeting also includes a public comment period and an executive session to discuss confidential communications, competitive bidding, sealed bids, and audit-related matters.
Public-sector contacts connected to Missouri Consolidated Health Care Plan.
The board meeting included an Executive Director's report with an update on a meeting with Marathon Health. The board approved an update to the Capital Markets Investment Policy with Central Bank. Discussions were held regarding out-of-network provider payment issues with Delta Dental, which will be added to a future agenda. The Chief Financial Officer provided a financial summary comparing key indicators from the 2024 and 2025 calendar years. Additionally, a presentation regarding the Public Entity business plan was delivered.
Extracted from official board minutes, strategic plans, and video transcripts.
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