Regional Medical and Statewide Medical Third-Party Administrator Services IFP

State Health Benefit Plan Releases Invitations for Proposals for Two Medical Procurements on October 23, 2026

The Georgia Department of Community Health (DCH) announces that its State Health Benefit Plan (SHBP) has issued Invitations for Proposals (IFPs) on October 23, 2026, for Regional Medical and Statewide Medical Third-Party Administrator (TPA) services. Interested parties are invited to submit proposals in response to these procurements.

SHBP is responsible for administration of the health insurance coverage for state employees, teachers, public school system employees and retirees who elected coverage (including annuitants and former employees on extended coverage), and covered dependents.

Regional Medical Procurement

This IFP includes a separate opportunity to administer the fully- insured. Regional Medical, Pharmacy and Wellness services for the Board of Regents of the University System of Georgia (USG). 

USG is responsible for 25 public colleges and universities across the state of Georgia, including four research universities, four comprehensive universities, eight state universities and nine state colleges. It also includes the Georgia Public Library Service and the Georgia Archives. USG manages the administration of healthcare plans on behalf of eligible employees and their families.

SHBP and USG are seeking highly qualified Regional Medical organization(s) that will partner on a multi-year agreement to manage the fully-insured Active and Pre-65 Medical, Pharmacy and Wellness plan options, claims processing and oversight, member services, maintenance of a robust provider and facility network within a defined 32 county service area, supporting clinical and medical management programs, and maintaining compliance with any State and Federal rules and regulations.

Statewide Medical Third-Party Administrator Procurement

This IFP includes a separate opportunity to administer the self-insured, Statewide Medical TPA services for the Board of Regents of the University System of Georgia (USG). 

SHBP and USG are seeking highly qualified Statewide Medical TPA organization(s) that will partner on a multi-year agreement to manage the self-insured Active and Pre-65 Medical plan options, claims processing and oversight, member services, maintenance of a robust provider and facility network, supporting clinical and medical management programs, and maintaining compliance with any State and Federal rules and regulations.

Important Next Steps and Deadlines for Organizations Interested in these Bidding Opportunities:

  1. Send an email to [email protected] to register for official communications regarding this procurement, if you have not already done so.
  2. Plan to join the Virtual Offerors Conference on October 28, 2026, which is optional and open only to those organizations who have registered (see step 1 above).
  3. Submit a formal Letter of Intent to bid no later than October 30, 2026, in order to gain access to the official Regional Medical and/or Statewide Medical TPA IFP.

The anticipated due date for IFP responses is December 2, 2026 @ 5 p.m. ET.

 

The Public Notices are available for download:

 

About the Georgia Department of Community Health 

DCH serves as the lead agency for Medicaid and PeachCare for Kids®, which, combined, cover more than two million Georgians annually. The agency also oversees the State Health Benefit Plan, Healthcare Facility Regulation Division, and the State Office of Rural Health, among other divisions, accounting for an annual budget of more than $20 billion. Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to some of the state’s most vulnerable and underserved populations. To learn more about DCH and its commitment to Shaping the Future of a Healthy Georgia, visit the Georgia Department of Community Health website.