Pharmacy Benefits Manager RFP Procurement Library

1. MCO Manual
2. MCO Model Contract
3. Batch Pharmacy Encounter System Companion Guide
4. MCO Quality Companion Guide
5. MCO System Companion Guide
6. Financial Reporting Guide
7. Marketing and Member Education Guide
8. Medicaid 834 Benefit and Enrollment Transaction Set Companion Guide
9. State Fair Hearing Companion Guide
10. Rx054-PBM Report
11. Rx055-Pharmacy Report
12. Rx162-Drug Utilization Review Report
13. Rx165-Lock-In Report
14. Rx175-Hep C Report
15. Rx178—BH and SUD
16. MCO Historical Table
17. Q&A Submission Template
18. Hudson and Veterans Initiative Response Template
19. Criminal History Records Check of Applicants and Employees
20. CMS Interoperability and Patient Access Rule
21. PDL
22. Diagnosis Code Chart
23. State plan reimbursement pages
24. Medicaid Managed Care Transparency Report
25. Drug Utilization Review Program Health Plan Advisory
26. LDH Medicaid POS User Guide
27. MCO Data
28. OTS Enterprise Architecture and System Development Requirements