MedImpact Healthcare Systems, Inc.
Portfolio: Medicaid Enterprise Systems - Pharmacy Benefits Services
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Buying from a NASPO ValuePoint Contract? Learn How
How to Buy from a NASPO ValuePoint Contract
If you’ve identified a portfolio or supplier on the NASPO ValuePoint website and are ready to make a purchase:
The first step is to check whether your state has a Participating Addendum (PA) for that contract. Each PA outlines which entities within the state (such as agencies, counties, cities, public universities, or school districts) are authorized to purchase from the agreement.
If your organization is covered by a PA:
The next step is to follow your state’s or your organization’s established procurement procedures to complete the purchase. NASPO ValuePoint does not issue purchase orders or manage individual transactions, as each state or local entity retains its own procurement authority. These processes can vary widely, some state agencies may be required to use a central procurement platform (for example, an ERP (SAP, Workday, JD Edwards, etc.) or eProcurement System (Ivalua, SOVRA, CGI Advantage, etc.)), while local entities such as public universities or municipalities may have their own systems and approval thresholds.
Because these rules differ from state to state and even between organizations within the same state, NASPO ValuePoint cannot prescribe a single buying process, but encourages purchasers to work within their local procurement guidelines when utilizing NASPO ValuePoint contracts.
Contract Information
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Description
MedImpact Healthcare Systems, Inc. has been providing Medicaid PBM/PBA services for more than 30 years. We are the largest privately-held PBM/PBA in the nation and are focused on providing our customers innovation, flexible solutions, savings, and concierge customer support.
We serve more than 20 million lives, including more than five million Medicaid fee-for-service (FFS) members, across 29 state programs. Our independence from vertical integration ensures that no drug manufacturer, distributor, or pharmacy organization influences our ownership, management, or governance. We provide a conflict-free, transparent business model with no conflicting agenda or competing priorities.
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MedImpact delivers full-service pharmacy benefit administration services to state Medicaid programs through a comprehensive suite of modular services, which can be implemented fully or partially to meet program needs. Our PBM/PBA solution delivers a claims processing solution on a single, integrated platform offering robust flexibility and configurability. Our claims adjudication engine is supported by an ecosystem of specialized applications including, but not limited to, a web-based portal that provides real-time visibility into claims, eligibility, and member information; reporting and analytics platform with MedImpact-built interface layered over enterprise analytics engines; prior authorization (PA) management system that streamlines workflows and automates decisions; electronic PA; centralized single-sign-on (SSO) providing role based access, Prospective and Retrospective drug utilization review (DUR) services, formulary and Preferred Drug List (PDL) management, as well as a consumer portal and mobile application. Furthermore, MedImpact also has a highly efficient, automated, fully compliant rebate solution to support and manage federal and supplemental drug rebates.
Master Agreement
MA #99999-DCH0000136-004
Download and review this supplier's contract and any amendments.
Products & Services Scope
- Category 1 - Pharmacy Fraud, Waste and Abuse Audit Services (PFWA)
- Category 2 â Pharmacy Benefit Administrator Services (PBA)
- Category 3 â Pharmacy Clinical Management Services (PCM)
Pricing
Products and pricing are subject to change.
Price Lists
Additional Documents
NASPO ValuePoint makes every effort to maintain the accuracy and completeness of the documents on this website. However, all official records are maintained by the Lead State (or Participating Entity, in the case of participating addenda). In the event of any conflict between the documents on this site and an entity’s official records, the official records govern.
Questions, concerns, and feedback on this website’s content may be sent to [email protected].
What is a Participating Addendum?
A Participating Addendum (PA) is generally used by a state Chief Procurement Official (CPO) to establish a state contract tied to a specific NASPO ValuePoint master agreement. The PA identifies unique terms and conditions specific to a state and identifies state agencies and other eligible entities in the state that are authorized to participate in the agreement. A state CPO may issue PAs that allow participation as follows:
- Statewide provides for participation by all state and local government agencies and other eligible entities within the state
- State only provides for participation only by state agencies.
- Non State entities only provides for participation by local government agencies and other eligible entities, but prohibits participation by state agencies.
Review your state’s Participating Addendum (PA) to determine eligibility. If a PA is not currently in place, contact the state CPO to discuss whether participation may be considered.
For questions related to participation in NASPO ValuePoint master agreements, please contact the Cooperative Contract Coordination team at [email protected].
Please click here to review the Participating Addendum for eligibility details.