Provide MA/MA-PD PPO services with respect to such group insurance coverages, plans and programs as listed in this RFP. The following services are the minimum services requested to be performed by the Offeror(s): # Member Services # Claims Adjudication # Data Reporting # Member Enrollment and Eligibility Maintenance # CMS Star Ratings Maximization # Medical Management # Network Access and Network Management # Formulary and Clinical Program Management # Provider Advocacy and Assistance with Claims Issues # Medicare Advantage and Part D Administrative Assistance # Effective Member Communications # Patient and Family/Caretaker Education and Assistance # Coordination with a third-party PBM administering the Part D benefit, if applicable
