NIGP 91878: Medical Consulting

NIGP 91878 Medical Consulting is an Item code that encompasses professional advisory, analytical, and specialized services state and local governments procure to support healthcare operations, clinical governance, and health systems policy. Recent state and local solicitations show state and local buyers purchasing physician direction and oversight for emergency medical services and fire departments, occupational health and medical surveillance programs, specialized medical evaluations for disability determinations and independent medical reviews, medical research and policy analysis, specialized physician consulting (maternal-fetal medicine, trauma systems), staffing for medically complex student populations, and telehealth platform implementation support—work that typically requires board-certified physicians, advanced practice providers, or specialized consulting firms with demonstrable healthcare sector expertise.

Issuing bodies soliciting under this code span school districts (Hillsborough County Public Schools, Schertz-Cibolo-Universal City ISD), county health systems and departments (Sarasota County Fire Department, Hillsborough County Fire Rescue, Mississippi State Department of Health, Illinois Department of Public Health), municipal fire and emergency services (Cities of Milton and Santa Monica), state agencies and transit authorities (Washington State Ferries, Nevada Health Authority, Illinois Secretary of State), county boards and human services departments (Bernalillo County, Sedgwick County), and specialty health plans and authorities (Inland Empire Health Plan in California, Washington State Health Care Authority). Recent activity shows concentrated procurement in Florida, Illinois, Mississippi, Kansas, Georgia, California, Nevada, Washington, and Texas. Representative opportunities include Hillsborough County Public Schools' Notice of Intent to Purchase sole-source supplemental nursing staffing for medically fragile students (posted October 19, 2026, response window closed November 27, 2025), Sarasota County's RFP for a Medical Director for Fire Department Emergency Medical Services with a five-year term (due October 19, 2026), the Illinois Department of Public Health's emergency extension contract with Massachusetts General Hospital for the Illinois Patient Access and Care Optimization Study covering health systems policy analysis and research (due October 29, 2026, estimated value $1.248 million), the Nevada Health Authority's RFP for a Rural Value Acceleration Network vendor to facilitate value-based care development (due November 30, 2026), and the Washington State Health Care Authority's RFP for fully-insured health plans with clinical and administrative requirements (due January 14, 2027). The code shows consistent activity across direct clinical governance roles (medical directors, physician advisors, consulting physicians) and healthcare systems consulting and implementation work.