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MURIELBOWSERMAYOR
May 15,2025
Honorable PhilMendelson
Chairman
Councilofthe Districtof Columbia
John A. Wilson Building
1350 PennsylvaniaAvenue, NW, Suite504
Washington,DC 20004
Dear Chairman Mendelson:
Pursuanttosection451oftheDistrictofColumbiaHomeRuleAct(D.C.OfficialCode§ 1-
204,51)andsection202oftheProcurementPracticesReformActof2010(D.C.OfficialCode§2-352.02),enclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiaisproposedModificationNo.M0010toContractNo.CW97894withPrimeTherapeuticsStateGovernmentSolutions,LLC(Prime)toexerciseoptionyearthreeintheamountof$6,500,502.24TheperiodofperformanceisfromJuly20,2025,throughJuly19,2026.
Undertheproposedmodification,Primewillcontinuetooperate,monitor,andadministerthe
PharmacyBenefitManagerSystemandPharmacySupportServicesforeligibleDistrictbeneficiaries.
My administrationisavailabletodiscussanyquestionsyoumayhaveregardingtheproposedcontractmodification.Inordertofacilitatearesponsetoanyquestionsyoumayhave,pleasehaveyourstaffcontactMareScott,ChiefOperatingOfficer,OfficeofContractingandProcurement,at(202)724-8759,
I lookforwardtotheCouncil'sfavorableconsiderationof thiscontractmodification.
Sincerely,
MyrielBRwser
1
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c-3), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Option Year Contract)
(A) Contract Number: CW97894
Modification No. M0010
Proposed Contractor: Prime Therapeutics State Government Solutions, LLC (Prime)
Contract Amount: $6,500,502.24
(Option Period Three)
Term of Contract: July 20, 2025, through July 19, 2026
Type of Contract: Firm Fixed Price
(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:
Base Year Amount: $5,532,229.92
(July 20, 2022, through July 19, 2023)
Council Approval CA24-0648
Option Period One Amount: $5,781,180.24
(July 20, 2023, through July 19, 2024)
Council Approval CA25-0239
Option Period Two Amount: $5,954,615.04
(July 20, 2024, through July 19, 2025)
Council Approval CA25-0752
Option Period Three Amount: $6,500,502.24
(July 20, 2025, through July 19, 2026)
Option Period Four Amount: $6,695,517.24
(July 20, 2026, through July 19, 2027)
(C) A statement that the Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
or (2) a certification that the contractor will be current with its District taxes after the District
recovers any outstanding debt as provided under D.C. Official Code § 2-353.01(b):
The Citywide Clean Hands database certified that Prime is current with its District taxes.
(D) A statement that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02:
The Department of Health Care Finance Agency Fiscal Officer certified that funding in the amount
of $6,500,502.24 is available to support the contract.
*
*
* GovernmentoftheDistrictofColumbia
MEE (OfficeoftheChiefFinancialOfficer 11014%Street,SW— Ee Washington,DC20024
DateofNotice:April8,2025 NoticeNumber:0014024200 =
PRIME THERAPUTICS STATE GOVERNMENT SOLUTIONS FEIN: **-***9793
2900 AMES CROSSING RD Case ID: 18541775
EAGAN MN 55121-2498
CERTIFICATE OF CLEAN HANDS
AsreportedintheCleanHandssystem,theabovereferencedindividual/entityhasnooutstandingliabilitywiththeDistrictofColumbiaOfficeofTaxandRevenueortheDepartmentofEmploymentServices.Asofthedateabove,theindividual/entityhascompliedwithDCCode§47-2862,thereforethisCertificateofCleanHandsisissued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II.CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE § 47-2862 (2006)
§47-2862PROHIBITIONAGAINST ISSUANCE OF LICENSEOR PERMIT
AuthorizedBy Melinda Jenkins
Branch Chief,Collectionand Enforcement Administration
Tovalidatethiscertificate,pleasevisitMyTax.DC.gov.OntheMyTaxDC homepage,clickthe“Validate a Certificateof Clean Hands” hyperlink under the Clean Hands section.
11014thStreetSW,SuiteW270,Washington,DC20024/Phone:(202)724-S048/MyTax.DCgov
GOVERNMENT OFTHE DISTRICTOFCOLUMBIA
DepartmentofHealthCareFinance
wk
asOfficeoftheChietFinancialOfficer —
MEMORANDL
TO: ‘NancyHapemanChiefProcurementOfficerOfficeofContractingandProcurement
THRU: DeliciaV.MooreDeliciaV. — B&ta¥‘soow”AssociateChief FinggcialOfficerDate:20250408fhananSoppSAMGRAer Buscar
Faom: Pom Siete DarrinA Shafferpietnitstoatactsono"‘AgencyFisealOfficer
DepartmentofHealthCareFinance
DATE: April8,2025
SUBJECT: PharmacyBenefitManager(PBM)—PrimeTherapeuticsStateGovernmentSolutions,LLC
(formerlyMagellanMedicaidAdministrationInc.)
‘TheOfficeoftheChiefFinancialOfficerherebycertifiesthatthesumof$6,500,502.24isincludedintheDistriet’s
LocalBudgetandFinancialPlanforFiscalYear2025tofundthecostsassociatedwiththeDepartmentofHealth
CareFinance’s(DHCF)PBM contract-PrimeTherapeuticsStateGovernmentSolutions,LLC.Optionyear3,
beginning07/20/2025through07/19/2026inthetotalamountof$6,500,502.24.Thefundallocationisasfollows:
Vendor: Prime Therapeutics StateGovernment Solutions,LLC Contract? CW97894
FiscalYear 2025: Prime Therapeutics StateGovernment Solutions,LLC. 07/20/25 -09/30/25
Azensy|Fund|ContCentr|Progam|Account|Projet|avara| S82| atocaton[ Toul
Tare[torr|—Taner[os sano 3 | eRTeno{-angnny[tuner— [tans[T1301[SOOT[STURTSTE| esse—| Se.faro-[ioroeor[—Toas0[ooo[2001 Seg [SicaHeuser| tape —[tnoortrssorsomaoraer|asa [ss |SFIsTaalComa Taal|512931086
FiscalYear 2026:Prime TherapeuticsStateGovernment Solutions,LLC. 10/01/25-07/19/26
sub| atocato| aoaAgency)Fund| CostCenter| Program| Account|Project| Award| yy ;
HTO| 110001| 70261 100203_ [7132001 55% $2,732,524.25
HTO_|4025002 |__70261100203| 7132001| 200881| 2001984| 25.16 [45% $2,235,701.66
HTO| 1010001| __70280 100071_|7132001 25% $59,791.42
HTO_|4025002 [70280 100071[7132001| 200881| 2001984[25.25 [75% $179,374.25
FY26TotalContract Total| _$5,207391.58
4414®St.NW,Suite900South,Washington,D.C,20001(202)442-5988FAX(202)478-1373
UponapprovaloftheDistrict’sLocalBudgetandFinancialPlanbytheCouncilandtheMayorandcompletionof
thethirty-dayCongressionallayover,fundswillbesufficienttopayforfeesandcostsassociatedwiththecontract.
‘Thereisnofiscalimpactassociatedwiththecontract.
Shouldyouhaveanyquestions,pleasecontactmeat(202)442-9079.
al 4 St.NW,Suite900South,Washington,D.C.20001(202)442-5988FAX(202)478-1373,
AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT
1. Contract Number Page of Pages
CW97894 1 2
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption
M0010
July 20, 2025
Pharmacy Benefit Manager
System O&M
6. Issued by: Code 7. Administered by (If other than line 6)
Office of Contracting and Procurement
441 4th Street NW, Suite 330S
Washington, DC 20001
Department of HealthCare Finance
441 4th Street, NW Suite 900S
Washington, DC 20001
8. Name and Address of Contractor (No. street, city, county, state, and zip
code)
Prime Therapeutics State Government Solutions, LLC.
2900 Ames Crossing Rd.
Eagan, MN 55121
9A. Amendment of Solicitation No.
9B. Dated (See Item 11)
X
10A. Modification of Contract/Order No.
CW97894
Code
Facility
10B. Dated (See Item 13)
9/26/2022
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
(a) By completing Items 8 and 15 and returning __________ copies of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer
submitted; or (c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO
BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION
OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or
telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14
A. This change order is issued pursuant to (Specify Authority): 27 DCMR, Chapter 36, Contract Modifications
The changes set forth in Item 14 are made in the contract/order no. in item 10A.
B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, app ropriation data
etc.) set forth in item 14, pursuant to the authority of 27 DCMR, Chapter 36, Section 3601.2.
C. This supplemental agreement is entered into pursuant to authority of:
x
D. Other: Exercise of Option pursuant to authority of 27 DCMR § 2008
E. IMPORTANT: Contractor is not required is required to sign this document and return one (1) copy to the issuing office.
14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter wher e feasible.)
Contract No: CW97894 is hereby modified to incorporate the following:
1. Pursuant to Section F.2 of the contract, Option to Extend the Term of the Contract, the District hereby
exercises Option Period Three for the period of performance from July 20, 2025, through July 19, 2026,
in the amount of $6,500,502.24
2. Attachment A: Option Period Three Price Schedule
All other terms and conditions remains unchanged
Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in f ull force and effect.
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer
Jarad Dorsey
15B. Name of Contractor
(Signature of person authorized to sign)
15C. Date Signed 16B. District of Columbia
(Signature of Contracting Officer)
16C. Date Signed
2
ATTACHMENT A: OPTION PERIOD THREE PRICE SCHEDULE
B.3.4 Option Period Three : July 20, 2025, through July 19, 2026
CLIN Item Description Unit Quantity Unit Price Total Amount
3001 Administration and maintenance of the
District's PBMS with a POS component for
eligible District beneficiaries, and to provide
described programs and services in Section
C.5.
Month 12 $541,708.52 $6,500,502.24
OPTION YEAR OPERATIONS COST TOTAL: $6,500,502.24