PURPOSE The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is seeking proposals from qualified contractors to provide a 340B split billing software that will determine 340B eligible prescriptions from non-eligible prescriptions based on qualifying event. From eligible prescriptions, this software will provide medications to be ordered at 340B pricing. Software should also provide 340B audit preparation and protectionBACKGROUNDCentral Pharmacy Inpatient (CPI) at Ohio Pharmacy Services (OPS) fill prescriptions for the Department of Rehabilitation and Corrections (DRC), Department of Youth Services and several county jails. Only prescriptions filled for DRC may be eligible for 340B pricing. CPI needs a software to electronically differentiate 340B eligible form non-eligible prescriptions so that CPI can maintain a single inventory. Based on daily 340B qualified prescriptions, this software shall determine medications that may be ordered at 340B pricing.SCOPE OF WORK AND DELIVERABLESOPS is looking for a supplier to provide 340B spilt billing software that will establish a connection between Athneahealth Electronic Health Record (EHR) and Fusion Correctional Institution Pharmacy System (CIPS) that meets all regulatory requirements for the 340B program. Conduct technical requirements review and outline the next steps for delivering required data extracts. Conduct a product review with applicable stakeholders to discuss product functionality. Establish connections between Athenahealth EHR and Fusion CIPS Pharmacy software for data file transfers. Guide the configuration of the connection and file delivery methodology. Ensure that triggering events are accounted for in the Athenahealth EHR system and are flowing into the Fusion CIPS Pharmacy software system to classify and identify eligible patients. Deliverables: Comprehensive review of data and technical requirements. Detailed review of provider information requirements. Creation and review of the project plan and schedule. Provision of required training and product demonstrations as requested. Establish and configure the connection between Athenahealth EHR and CIPS Pharmacy software. Validate and load data files. MINIMUM QUALIFICATIONS OF CONTRACTORSoftware vendor must have successfully implemented their 340B solution to interface with Athenahealth EHR and properly function with correctional pharmacy software CIPS by Fusion. Software must meet all regulatory requirements for the 340B program.Contractor shall not be subject to an unresolved finding for recovery under Section 9.24 of Ohio Revised Code.
Background
The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is seeking proposals from qualified contractors to provide a 340B split billing software. This software will determine which prescriptions are eligible for 340B pricing based on qualifying events. The goal is to ensure that only eligible prescriptions are filled at the 340B price, thereby maintaining a single inventory for the Central Pharmacy Inpatient (CPI) at Ohio Pharmacy Services (OPS), which serves various state departments and county jails.
Work Details
The contractor will provide 340B split billing software that connects Athenahealth Electronic Health Record (EHR) with Fusion Correctional Institution Pharmacy System (CIPS). The scope of work includes:
- Conducting a technical requirements review
- Establishing connections for data file transfers
- Guiding configuration methodologies
- Ensuring triggering events are accounted for in both systems
- Validating data files.
Deliverables include a comprehensive review of data and technical requirements, detailed provider information requirements, project plan creation, training provisions, and configuration of the connection between Athenahealth EHR and CIPS Pharmacy software.
Period of Performance
The contract will be performed during State Fiscal Year 2026, specifically from July 1, 2025 through June 30, 2026.
Place of Performance
The services will be performed at locations associated with the Ohio Department of Mental Health and Addiction Services and may involve remote work as necessary.
Bidder Requirements
The contractor must have successfully implemented a 340B solution interfacing with Athenahealth EHR and Fusion CIPS. They must meet all regulatory requirements for the 340B program and not have any unresolved findings under Section 9.24 of the Ohio Revised Code.
