26EHSKWTPLIIRFR: RFR for Third Party Liability Health Insurance Investigations and Recovery Claims

The Executive Office of Health and Human Services (EOHHS) intends to issue a Request for Responses (RFR) to solicit proposals from qualified vendors to perform third party liability health insurance investigations and to provide claims recovery services. The RFR is scheduled to be issued in January 2026. The scope of work includes third party health insurance investigations for cost avoidance purposes and to identify and recover MassHealth claims payments from the liable third party, as well as third party health insurance investigations and maintenance to ensure the cost effectiveness of the MassHealth Premium Assistance programs. • The RFR will be posted on COMMBUYS. • Prospective respondents are responsible for monitoring the site for amendments and the complete bid posting. • The procurement is covered by the World Trade Organization Government Procurement Agreement. • The EOHHS seeks to contract with one or more qualified vendors to perform one or both of the TPL activities.