Nevada Medicaid PBM Solution Partnership for Affordable Health Care
Nevada is seeking a contemporary Pharmacy Benefits Management (PBM) solution to ensure quality and affordable health care for its residents. The new vendor will handle all aspects of pharmacy benefit administration, with a timeline set for implementation by July 2020.
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Presentation Transcript
Steve Sisolak Governor Suzanne Bierman, JD, MPH Administrator Division of Health Care Financing and Policy Pharmacy Benefits Management Nevada Medicaid
Background Nevada seeks to procure a contemporary Pharmacy Benefits Management (PBM) solution that is built on MITA 3.0 compliant architecture The State views this as a partnership to support the Governor s plan to ensure quality and affordable health care to Nevadans Transparency Oversight 2 Division of Health Care Financing and Policy
Request For Proposal (RFP) Scope and Requirements The new PBM solution will replace the current solution with updated technology capable of higher service levels It will be flexible and extensible to support additional State programs, if needed The vendor will be responsible for all components of the day-to-day clinical and operational administration of Nevada s pharmacy benefit 3 Division of Health Care Financing and Policy
Proposed Timeline January April 2019: PBM RFP Development May July 2019: RFP Publish on Purchasing Website to the Public September October 2019: Establish Vendor Selection July 2020: PBM Vendor Go-Live 4 Division of Health Care Financing and Policy
Contact Information Beth Slamowitz, PharmD bslamowitz@dhcfp.nv.gov (775)684-7967 Holly M. Long, MS hlong@dhcfp.nv.gov (775)684-3150 5 Division of Health Care Financing and Policy
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