Project Information

Bid Title

INTEGRATED ADMINSTRATIVE SERVICES FOR A DIRECT-TO-EMPLOYER (DTE) HEALTH NETWORK

Issuing Agency

University of Missouri System

Location

Missouri

Published Date

Dec 17, 2025

Closing Date

Jan 28, 2026

Government Level

State & Local

Status

Closed

Original Source

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Bid Inquiries

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Bid Documents

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Project Description

RFP 31209

Description: INTEGRATED ADMINSTRATIVE SERVICES FOR A DIRECT-TO-EMPLOYER (DTE) HEALTH NETWORK

Closing Date/Time: Wednesday, January 28, 2026

Buyer:

Marcy Maddox

maddoxml@health.missouri.edu

573-882-8916

Documents

RFP_31209_MUHC_DTE_TPA_PBM.pdf

The Curators of the University of Missouri on behalf of MU Health Care (“MUHC”) is seeking proposals from qualified organizations to provide administrative and pharmacy benefit services in support of MUHC’s Direct-to-Employer (DTE) Health Network. The objective of this RFP is to identify a contractor with the operational capability, compliance posture, and technical infrastructure to support medical claims administration, pharmacy benefit administration, data exchange, and employer/member services required for a competitive, market-ready DTE product.

MUHC seeks a partner that can deliver a transparent, integrated, and clinically aligned model, capable of supporting an accelerated implementation timeline with a targeted go-live of June 2026. The selected Respondent must meet all mandatory requirements and demonstrate value through desirable criteria including integration with MUHC’s clinical ecosystem, cost management strategies, reporting, analytics, and employer and member experience

Reviewed 2025-12-17

Attachment Preview

REQUEST FOR PROPOSALS

FOR

INTEGRATED ADMINSTRATIVE SERVICES FOR A DIRECT-TO-EMPLOYER (DTE) HEALTH NETWORK MEDICAL

CLAIMS ADMINISTRATION, PHARMACY BENEFIT ADMINISTRATION (PBA), AND RELATED SERVICES

FOR

THE CURATORS OF THE UNIVERSITY OF MISSOURI ON BEHALF OF MU HEALTH CARE

RFP # 31209

DUE DATE: Wednesday, January 28, 2026

TIME: 3:00 P.M. CT

THE CURATORS OF THE UNIVERSITY OF MISSOURI

Prepared by:

Marcy Maddox

Director, Sourcing & Contracting

MU Health Care Supply Chain

2401 LeMone Industrial Blvd.

Columbia, MO 65201

Date Issued: Wednesday, December 17, 2025

RFP # 31209

INTEGRATED ADMINSTRATIVE SERVICES FOR A DIRECT-TO-EMPLOYER (DTE) HEALTH NETWORK MEDICAL

CLAIMS ADMINISTRATION, PHARMACY BENEFIT ADMINISTRATION (PBA), AND RELATED SERVICES

INDEX

CONTENTS

Notice to Respondents____________________________________________________Page 3

General Terms and Conditions ______________________________________________Page 4

Instructions to Respondents ________________________________________________Page 10

Detailed Specifications____________________________________________________ Page 15

Proposal Form__________________________________________________________ Page 27

Attachment A MBE/WBE/SDVE Participation Form_______________________________Page 28

Attachment B Physician Self-Referral Questionnaire____________________________ Page 29

Appendix A IT Security Requirements __________________________________________ Page 30

NOTICE TO RESPONDENTS

The University of Missouri requests for Proposals of INTEGRATED ADMINSTRATIVE SERVICES FOR

A DIRECT-TO-EMPLOYER (DTE) HEALTH NETWORK MEDICAL CLAIMS ADMINISTRATION,

PHARMACY BENEFIT ADMINISTRATION (PBA), AND RELATED SERVICES RFP# 31209 which will be

received by the undersigned at MU Health Care Supply Chain, until Wednesday, January 31, 2026

at 3:00 p.m. CT. The University assumes no responsibility for any vendor’s on-time receipt at the

designated location for proposal opening. Faxed responses will not be considered.

Specifications and the conditions of Request for Proposals together with the printed form on which

Request for Proposals must be made may be obtained by accessing the following website:

http://www.umsystem.edu/ums/fa/procurement/bids or from the Strategic Sourcing Specialist

identified within this document.

In the event a Respondent chooses to use the Word version of the RFP to aid in the preparation of

its response, the Respondent should only complete the response information. Any modification

by the Respondent of the specifications provided will be ignored, and the original wording of the

RFP shall be the prevailing document.

If you have any questions regarding the RFP, please send them to:

Marcy Maddox

MU Health Care Supply Chain

2401 LeMone Industrial Blvd.

Columbia, Missouri 65201

EMAIL: maddoxml@health.missouri.edu

All questions regarding the RFP must be received no later than Wednesday, December 31, 2025 3:00

p.m. CST on TBD

The University reserves the right to waive any informality in Request for Proposals and to reject

any or all Request for Proposals.

THE CURATORS OF THE UNIVERSITY OF MISSOURI

Prepared by:

Marcy Maddox

Director, Sourcing & Contracting

MU Health Care Supply Chain

2401 LeMone Industrial Blvd.

Columbia, MO 65201

UNIVERSITY OF MISSOURI GENERAL

TERMS AND CONDITIONS

Except as otherwise specifically provided herein:

• “University” shall refer to The Curators of the University of Missouri.

• “Respondent” refers to the person or entity that is responding to this Solicitation.

• “Supplier” shall mean the successful Respondent(s) awarded a Contract as a result of this

Solicitation.

• “Solicitation” shall mean the Request for Quotation, Request for Qualification, Request for Bids,

Request for Proposal, or other competitive procurement process for which Respondent is

submitting a response.

• “Contract” shall mean the contract awarded pursuant to this Solicitation.

1. Governing Laws and Regulations: Any Contract issued as a result of this Solicitation shall be governed by

the laws of the State of Missouri without giving effect to the conflict of laws principles. Any action to

enforce the provisions of a Contract issued as a result of this Solicitation shall be brought in a court of

competent jurisdiction and proper venue in the State of Missouri. Additionally, the Supplier shall comply

with all local, state, and federal laws, ordinances and regulations related to the performance of the

Contract to the extent that the same may be applicable.

2. Taxes: The Supplier shall assume and pay all taxes and contributions including, but not limited to, State,

Federal and Municipal which are payable by virtue of the furnishing and delivery of items specified herein.

Materials and services furnished by the University are not subject to either Federal Excise Taxes or Missouri

Sales Tax.

3. Sovereign Immunity: The Curators of the University of Missouri, due to its status as a state entity and its

entitlement to sovereign immunity, is unable to accept contract provisions, which require The Curators to

indemnify another party (537.600, RSMo). Neither the issuance of this Solicitation, resulting Contract nor

any other conduct, action or inaction of any University representative relating to the Solicitation and any

resulting Contract is a waiver of sovereign immunity by the University. Any indemnity language in

proposed terms and conditions will be modified to conform to language acceptable to the University.

4. Preference for Missouri Firms: In accordance with University policy, preference shall be given to Missouri

products, materials, services, and firms when the goods or services to be provided are equally or better

suited for the intended purpose. In assessing overall value, consideration will be given to the extent to

which proximity or Missouri preference of the Respondent provides potential advantages or reduction of

risks. Firms are considered "Missouri firms" if they maintain a regular place of business in the State of

Missouri.

5. Appropriation: The Curators of the University of Missouri is a public corporation and, as such, cannot create

indebtedness in any one year (the fiscal year beginning July 1 to June 30) above what they can pay out of

the annual income of said year as set forth in 172.250, RSMo. Therefore, if the University determines it has

not received adequate appropriations, budget allocations or income to enable it to meet the terms of the

awarded Contract, the University reserves the right to cancel the Contract with 30 days’ notice.

6. Non-Discrimination: In connection with the furnishing of equipment, supplies, and/or services under the

Contract, the Supplier and all subcontractors shall not discriminate against any recipients of services, or

employees or applicants for employment on the basis of race, color, national origin, ancestry, religion, sex,

pregnancy, age, disability, protected veteran status, or any other status protected by applicable state or

federal law, and federal funds, if any, may not be used for programs that discriminate based on any such

protected status.

The University serves from time to time as a contractor for the United States government and/or State of

Missouri. Accordingly, the Supplier shall comply with all applicable state and federal laws, rules, regulations,

and executive orders applicable to subcontractors of government contractors or to contractors of grant

recipients, including those relating to non-discrimination, as each may be amended from time to time.

Contract clauses required by the United States government or State of Missouri in such circumstances are

incorporated herein by reference.

7. OSHA requirements: All items or services to be furnished hereunder shall meet all applicable State and

Federal requirements of the Occupational Safety and Health Standard. All alleged violations and deviations

from said State and Federal regulations or standards of the items of services to be furnished hereunder,

must be set forth at the time of submission of the response. Or if at any later date the items or services

contained herein shall not meet all applicable state and federal requirements after the Supplier is awarded

the Contract hereunder, the Supplier must notify UM Procurement immediately in writing.

8. Anti-Discrimination Against Israel Act: If the Contract resulting from this Solicitation involves the

acquisition or disposal of services, supplies, information technology, or construction and has a total

potential value of $100,000 or more, and if Supplier is a company with ten (10) or more employees, then

Supplier certifies that it, and any company affiliated with it, does not boycott Israel and will not boycott

Israel during the term of the Contract. In this paragraph, the terms “company” and “boycott Israel” shall

have the meanings described in Section 34.600 of the Missouri Revised Statutes.

9. Applicable Digital Accessibility Laws and Regulations: The University affords equal opportunity to

individuals with disabilities in its employment, services, programs and activities in accordance with federal

and state laws, including 28 C.F.R. Pt. 35, Section 508 of the Rehabilitation Act, and RSMo. 161.935. This

includes effective communication and access to electronic and information communication technology

resources, and the University expects that all products will, to the greatest extent possible, provide

equivalent ease of use for individuals with disabilities as for non-disabled individuals. The University of

Missouri has adopted the Web Content Accessibility Guidelines (WCAG) 2.2 A and AA as the minimum

standard.

Supplier shall: (1) deliver all applicable services and products in reasonable compliance with University

standards (Web Content Accessibility Guidelines 2.2, Level A and AA or above); (2) provide the University

with an Accessibility Conformance Report detailing the product’s current accessibility according to WCAG

standards using the latest version of the Voluntary Product Accessibility Template (VPAT); (3) if accessibility

issues exist, provide a “roadmap” plan for remedying those deficiencies on a reasonable timeline to be

approved by the University; (4) within 15 days of notice respond to assist the University with resolving any

accessibility complaints and requests for accommodation from users with disabilities resulting from

Supplier’s failure to meet WCAG 2.2 A and AA guidelines at no cost to the University; and (5) indemnify and

hold the University harmless in the event of any claims arising from inaccessibility. If supplier does not

currently comply with WCAG 2.2 A and AA, they must provide confirmation that they have a roadmap in

place to comply.

When installation, configuration, integration, updates, or maintenance are provided, the Supplier must

ensure these processes are completed in a way that does not reduce the original level of WCAG

conformance. If at any point after procurement it is determined that accessibility improvements need to

be made in order to comply with the WCAG 2.2 A and AA standards, the Supplier agrees to work with the

University to remedy the non-compliance by submitting a roadmap detailing a plan for improvement on a

4919-7894-5406, v. 1

Commodity Codes

• NAICS 541511Custom Computer Programming Services
• NAICS 541512Computer Systems Design Services
• NAICS 541519Other Computer Related Services
• NAICS 541611Administrative Management and General Management Consulting Services
• NAICS 541990All Other Professional, Scientific, and Technical Services

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