Specifications include, but are not limited to: The purpose of this procurement is to secure an experienced, responsible, and financially soundpharmacy benefit management (PBM) contractor to manage several program populations with uniqueprogramming parameters and reimbursement methodologies. The current programs andreimbursement methodologies include but are not limited to:1.1Acute Care:The Acute Care pharmacy benefit serves the AHCCCS Fee-For-Service (FFS) MedicaidTitle XIX population. A person enrolled in FFS Acute Care may also be eligible for benefits underthe T/RBHA Behavioral Health Plan. Acute Care members are identified on the 834 eligibility fileand require a specific drug list for this population.1.2Long Term Care: The Long-Term Care pharmacy benefit serves AHCCCS FFS members. A person enrolled in the FFS Long Term Care program receives both physical health care and behavioralhealth care medications under this plan. Long Term Care members are identified on the 834eligibility file and the PBM plan set up utilizes a specific drug list for this population
