DAS Behavioral Health Third-Party Administrator RFP

The State of Ohio, through the Department of Administrative Services (DAS), seeks a single Third‑Party Administrator (TPA) to manage the State’s Behavioral‑Health (BH) Benefit Plan for approximately 43,800 employees (104,600 covered lives). The contract will begin July 1 2027 and run through June 30 2030, with optional extensions. The TPA must provide full plan administration, claims processing, member services, network management, data integration, reporting, and compliance with MHPAEA and NCQA accreditation, while meeting extensive service‑level agreements (SLAs) and performance‑credit (fees‑at‑risk) provisions. The solicitation requires execution of a nondisclosure agreement, a Business Associate Agreement, and adherence to state IT policies, OAKS file‑transfer standards, and stringent security requirements. • Administer behavioral‑health benefits, process weekly claims, and provide 24‑hour member support. • Maintain and grow provider networks, meet geographic access standards, and deliver detailed quarterly and annual reports. • Integrate data daily with medical, pharmacy, and other state TPAs via secure SFTP (OAKS) and support a custom web portal with ≥ 99.9 % uptime. • Deliver implementation, training, and transition assistance, and maintain required insurance (≥ $10 M professional & cyber liability).