Request For Proposals (RFP)
RFP Activos
RFP Cerrados
PSG 2018
Public Notice
RFP Document Package
Notice of Award
Contract
- Haga click aqui para acceder a los Contratos
ENROLLMENT COUNSELOR 2019
Public Notice
RFP Document Package
- 1. Enrollment Counselor RFP 2019 (14)
- 2. RFP EC-2019 First Amendment (1)
- 3. App. C-1 Conflict of Interest (1)
- 4. Appendix K RFP# EC-2019 VITAL Just Cause Management Procedure
- 5. App. M RFP #EC-2019- Questions and Answers Template
- 6. App. N RFP #EC-2019 Model Contract
- 7. App. O RFP#EC-2019 Cost Proposal Worksheet
Notice of Award & Cancellation
ENROLLMENT COUNSELOR 2020
Public Notice
RFP Document Package
- RFP Documents RFP #EC-2020
- RFP #EC-2020 First Amendment
- Amended Appendix E RFP#EC-2020
- Appendix F of the RFP- Disclosure of Lobbying Activity
- Appendix H-1 Tech Specs EC
- App H-2 RFP #EC-2020 IT Process Flowchart (Data Exchange)
- Ap. H-4 Systems Layouts Definitions RFP #EC-2020
- App. K RFP# EC-2020 Just Cause Management Procedure
- Appendix L Key Performance Metrics RFP #EC-2020
- App. M RFP #EC-2020- Questions and Answers Template
- App. N RFP #EC2020-Model Contract App
- App O#EC-2020 CPTemp-AMENDED
Notice of Cancellation
TELEMEDICINA 2021
Public Notice
RFP Document Package
- RFQ #GHP Telemedicine Pilot Program 2021
- Attachment 1 - Applicable Laws & Regulations
- Attachment 2 Conditions Governing this RFQ
- Attachment-3-BI-ASG-2021-03-RUP
Cancellation Notice
ACTUARIAL 2022
Public Notice
RFP Document Package
Notice of Award
Contract
PBM 2022
Public Notice
RFP Document Package
- 1. Appendix 1 - Amended Appendix J - Cost Proposal Template v2
- 2. Appendix 2 - Amended Attachment 4 - Key Service Level Metrics
- 3. Appendix 3 - Amended Attachment 7 - Reporting
- 4. RFP #Pharmacy 2022 Fifth Amendment
- 5. RFP #Pharmacy 2022 Sixth Amendment
- 6. RFP #Pharmacy 2022 Seventh Amendment
- 7. App. 1 to the Seventh Amendment - Amended Appendix J - Version 4
- 8. App. 1 to the Sixth Amendment - Amended Appendix J - Version 3
- 9. RFP #Pharmacy 2022 Fourth Amendment
- 10. RFP #Pharmacy 2022 Third Amendment
- 11. RFP #Pharmacy 2022 Second Amendment
- 12. RFP #Pharmacy 2022 First Amendment
- 13. Attachment 5-B Fcias Cadena Nacional
- 14. Attachment 5-A Fcias. Ind
- 15. Attachment 5-C Fcias Hosp CDT
- 16. PBM and RA Contract for RFP - Attachment 8 - Business Associate Agreement
- 17. PBM and RA Contract for RFP - Attachment 9 - FOMB Contractor Certification Requirement
- 18. PBM and RA Contract for RFP - Attachment 7 - Reporting
- 19. PBM and RA Contract for RFP - Attachment 6 - PFC
- 20. PBM and RA Contract for RFP - Attachment 5 - Drug Costs
- 21. PBM and RA Contract for RFP - Attachment 4 - Key Service Level Metrics
- 22. PBM and RA Contract for RFP - Attachment 3 - P&T Committee
- 23. PBM and RA Contract for RFP - Attachment 2 - Initial Deliverable Due Dates
- 24. PBM and RA Contract for RFP - Attachment 1 - Designated Laws
- 25. Amended Appendix J - Cost Proposal Template_Amend_Final
- 26. Amended Appendix A
- 27. Appendix J of the RFP- Cost Proposal Template
- 28. Appendix I of the RFP- Questions and Answers Template
- 29. Appendix G of the RFP – IT Process Flowchart
- 30. Appendix F of the RFP- Disclosure of Lobbying Activity
- 31. ASES PBM and RA RFP with Apps. A-E, H & I
- 32. PBM and RA Contract for RFP - Amended Attachment 7 - Reporting
- 33. ASES PBM RA Contract - App. K of the RFP
Notice of Award
Contract
- 1. 2023-048 ABARCA HEALTH, LLC.
- 2. ATTACHMENT 1 Designated Laws
- 3. ATTACHMENT 2 Initial Deliverable Due Dates
- 4. ATTACHMENT 3 Policies and Procedures PRHIA Pharmacy and Therapeutics Committee (September 2020)
- 5. ATTACHMENT 5 Pharmacy Reimbursement - Ingredient Costs and Dispensing Fees
- 6. ATTACHMENT 6 Letter of Understanding and Confidenciality Agreement
- 7. ATTACHMENT 7 Minimum Reporting Requirements
- 8. ATTACHMENT 8 Business Associate Agreement (BAA)
- 9. ATTACHMENT 9 Contractor Certification Requirement
PSG 2022
Public Notice
RFP Document Package
- 1. Attachment 1 Applicable Gov laws & regs
- 2. Attachment 2 - PR Map (Urban and Non Urban)
- 3. Attachment 3 App O.docx
- 4. Attachment 4 - Directorio de Centros Clínicos y Farmacias Red de ADAP
- 5. Attachment 6 - RETAIL PHARMACY REIMBURSEMENT LEVELS
- 6. Attachment 7.Special Coverage.Rev.07.13.2022
- 7. Attachment 08 Cost Sharing_Policy - DRAFT
- 8. Attachment 9 Information Systems rev. 06072022
- 9. Attachment 10 GUIDELINES FOR CO-LOC
- 10. Attachment 12 Deliverables List
- 11. Attachment 12 Reporting Guide V.09 6-22-22
- 12. Attachment 13 Referenced NormLett update
- 13. Attachment 14 Program Integrity Guidelines GHP 2023-2026
- 14. Attachment 15 Evidence LackProv& RefContract
- 15. Attachment 16 List of Reports updated
- 16. Attachment 18 - BAA
- 17. Attachment 19 - Health Care Improvement Program Manual 2023-2025
- 18. Attachment 20 NetAdeqReq rev
- 19. Attachment 21 Guidelines Rev Co Loc 6.8.22
- 20. Attachment 22 Consent Sterilization EN
- 21. Attachment 22 Consent Sterilization SP
- 22. ATTACHMENT 23- RECOUPMENT POLICIES AND PROCEDURES
- 23. Attachment 24 CMS Interop&PatAccFR
- 24. Attachment 26 Encounter Data Requirements
- 25. Attachment 27 Policy For Medication Exception Requests
- 26. Attachment 30 TPA StandTemp v2
- 27. RFP #MCO 2022 1st Amendment
- 28. RFP #MCO 2022 2nd Amendment
- 29. 3rd Amendment to RFP #MCO 2022
- 30. Amended App. B
- 31. Amended Appendix M - Mand Req Certs
- 32. Year 1 Code Book I Health Care Improvement Program Manual_V2-FINAL
- 33. Year 1 HCIP ASES Diagnosis Codes_2022-FINAL
- 34. HRA_ASES.06.2022_ESPAÑOL
- 35. HRA_ASES.06.2022_ENGLISH
- 36. HCIP BENCHMARKS 2021_V2-FINAL
- 37. Copy of Year 1 Report 22 HCIP Template _2023-FINAL
- 38. Manual del Beneficiario rev_6.Oct.2022
- 39. Beneficiary Manual-English Version Rev_6.OCT.2022
- 40. RFP Document MCO 2022
- 41. Appendix F - Disclosure Lobbying Activity
- 42. Appendix I Q & A
- 43. Appendix J - Accounts Payable Aging
- 44. Appendix L - Model Contract
- 45. Appendix M - Mand Req Certs
- 46. LME-Excepciones
- 47. FMC-VIH-SIDA
- 48. FMC-Sub-Mental
- 49. FMC-Sub-Fisica
- 50. FMC-Salud-Mental
- 51. FMC-Salud-Fisica
- 52. FMC-Oncologia
- 53. FMC-OB-GYN
- 54. FMC-Nefrologia
- 55. FMC-FEI
- 56. FMC-Dental
