Proposed Contract No. CW97894 with Prime Therapeutics State Government Solutions, LLC

MURIELBOWSER‘MAYOR
June25,2026
HonorablePhilMendelson
Chairman
Councilof theDistrictofColumbia
John A. Wilson Building
1350PennsylvaniaAvenue,NW, Suite504
Washington,DC 20004
DearChairmanMendelson:
Pursuanttosection451oftheDistrictofColumbiaHomeRuleAct(D.C.OfficialCode§ 1-
204.51)andsection202oftheProcurementPracticesReformActof2010(D.C.OfficialCode§2-352.02),enclosedforconsiderationandapprovalbytheCounciloftheDistrictofColumbiaisproposedModificationNo,M0014toContractNo.CW97894withPrimeTherapeuticsState
GovernmentSolutions,LLC(Prime)toexerciseoptionyearfourintheamountof$6,695,517.24.TheperiodofperformanceisfromJuly20,2026,throughJuly19,2027.
Undertheproposedmodification,Primewillcontinuetooperate,monitor,andadministerthePharmacyBenefitManagerSystemandPharmacySupportServicesforeligibleDistrict
beneficiaries.
My administrationisavailabletodiscussanyquestionsyoumayhaveregardingtheproposedmodification.Inordertofacilitatearesponsetoanyquestionsyoumayhave,pleasehaveyourstaffcontactMareScott,ChiefOperatingOfficer,OfficeofContractingandProcurement,at(202)
724-8159,
1lookforwardtotheCouncil’sfavorableconsiderationofthismodification.
Sincerely,
‘MurielBawser
1

GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement

Pursuant to section 202(c) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c), the following contract summary is provided:

COUNCIL CONTRACT SUMMARY
(Option Year Contract)

(A) Contract Number: CW97894
Modification No. M0014

Proposed Contractor: Prime Therapeutics State Government Solutions, LLC
(Prime)

Contract Amount: $6,695,517.24

Term of Contract: July 20, 2026, through July 19, 2027
(Option Year Four)

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 Period Amount: $5,532,229.92
Council Approval: (CA24-0648)

Option Period One Amount: $5,781,180.24
Council Approval: (CA25-0239)

Option Period Two Amount: $5,954,615.04
Council Approval: (CA25-0752)

Option Period Three Amount: $6,500,502.24
Council Approval: (CA26-0181)

Option Period Four Amount: $6,695,517.24
Council Approval:

2

(C) A certification 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 indicates 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 Office of the Chief Financial Officer has certified that funding is consistent with the applicable
financial plan and budget.
1101 4th Street, SW
Washington, DC 20024
Date of Notice: April 14, 2026 L0016422268Notice Number:
FEIN: **-***9793
Case ID: 18944806

Government of the District of Columbia
Office of the Chief Financial Officer
Office of Tax and Revenue
PRIME THERAPUTICS STATE GOVERNMENT SOLUTIONS
2900 AMES CROSSING RD
EAGAN MN 55121-2498

Branch Chief, Collection and Enforcement Administration
Authorized By Melinda Jenkins
To validate this certificate, please visit MyTax.DC.gov. On the MyTax DC homepage, click the
“Validate a Certificate of Clean Hands” hyperlink under the Clean Hands section.
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code § 47-2862, therefore
this Certificate of Clean Hands is issued.
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)
§ 47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov

COPY
441 4th St. NW, Suite 900 South, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Department of Health Care Finance

Office of the Chief Financial Officer
MEMORANDUM
TO: Nancy Hapeman
Chief Procurement Officer
Office of Contracting and Procurement
Delicia V.
Digitally signed by
THRU: Delicia V. Moore
Associate Chief FinMancoiaol Orfeficer
Human Support Services Cluster
Delicia V. Moore
Date: 2026.05.03
17:58:20 -04'00'

FROM: Darrin Shaffer
Agency Fiscal Officer
Digitally signed by Darrin A Shaffer
Date: 2026.05.01 11:19:33 -04'00'
Department of Health Care Finance

DATE: May 1, 2026
SUBJECT: Certification of Funding for Pharmacy Benefit Manager (PBM)

The Office of the Chief Financial Officer hereby certifies that the sum of $6,695,517.24 is included in the District’s
Local Budget and Financial Plan for Fiscal Year 2026 to fund the costs associated with the Department of Health
Care Finance’s Pharmacy Benefit Manager contract. This certification supports PBM contract from 07/20/2026 to
07/19/2027. This request replaces the previously approved funding certification on December 11, 2025. The fund
allocation is as follows:
Vendor: Prime Therapeutics State Government Solutions, LLC. Contract Number: CW97894
Fiscal Year 2026 Funding: 07/20/26 - 09/30/26

Fiscal Year 2027 Funding: 10/01/26 – 07/19/27
Agency Fund Account Program Cost Center Project Sub Task Award Split (%/$) Amount
HT0 1010001 7132001 100203 70261 Blank Blank Blank 25% 1,340,903.32
HT0 4025002 7132001 100203 70261 200881 25.16 2003099 75% 4,022,709.95
FY27Contract Total 5,363,613.27
Darrin A Shaffer
Agency Fund Account Program Cost Center Project Sub Task Award Split (%/$) Amount
HT0 1010001 7132001 100203 70261 Blank Blank Blank 25% 317,683.03
HT0 4025002 7132001 100203 70261 200881 25.16 2002472 75% 953,049.10
HT0 1010001 7132001 100071 70280 Blank Blank Blank 25% 15,049.32
HT0 4025002 7132001 100071 70280 200881 25.25 2002472 75% 45,147.97
HT0 1010001 7132001 100071 70280 Blank Blank Blank 55% 536.00
HT0 4025002 7132001 100071 70280 200881 25.25 2002472 45% 438.55
FY26 Contract Total 1,331,903.97

441 4th St. NW, Suite 900 South, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373
Upon approval of the District’s Local Budget and Financial Plan by the Council and the Mayor and completion of
the thirty-day Congressional layover, funds will be sufficient to pay for fees and costs associated with the contract.
There is no fiscal impact associated with the contract.

Should you have any questions, please contact me at (202) 442-9079.
AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT
1. Contract Number Page of Pages
CW97894 1 1
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption

M0007 See Box 16C
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 Road, Suite 200
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 Y OUR 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.
X B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, appropriation 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:
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 where feasible.)

Contract No. CW97894 is hereby modified as follows:

Pursuant to Title 27 DCMR, Chapter 12, Section 1213.2, as amended on December 23, 2011, the parties recognize that the
Contractors name, formerly Magellan Medicaid Administration, Inc., is now Prime Therapeutics State Government
Solutions, LLC.
.
All Other Terms and Conditions remain unchanged
Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in full force and effect.
15A. Name and Title of Signer (Type or print)
William S. Thomas
VP, Account Management & Growth Office
16A. Name of Contracting Officer

Jarad Dorsey
15B. Name of Contractor

(Signature of person authorized to sign)
15C. Date Signed

1/29/25
16B. District of Columbia

(Signature of Contracting Officer)
16C. Date Signed

1/29/2025