NIGP 91878: Medical Consulting

NIGP 91878 Medical Consulting, an Item code, encompasses third-party administrator services for self-funded health plans, emergency medical direction for fire-rescue operations, occupational health and fitness-for-duty evaluations, inmate medical services, clinical review and quality assurance, infectious disease consulting, pharmacy benefit management consultation, and regional EMS system development. State and local governments are actively soliciting medical consulting across diverse operational contexts — from employee health programs to correctional healthcare to emergency services oversight — with issuing bodies spanning municipalities (City of Houston, City of Milton, City of Santa Monica), counties (Hillsborough County, Okaloosa County, Richmond County, Henry County), state health departments (Mississippi, Oregon, Texas, Illinois, South Dakota), school districts (Schertz-Cibolo-Universal City ISD, Cypress Fairbanks ISD), transit and healthcare authorities (Central Health, Maricopa County Community College District), and specialized agencies (Sacramento County Coroner's Office, Kentucky Cabinet for Health and Family Services). Recent opportunities reflect heavy concentration in the South and Southwest, particularly in Texas, Florida, Mississippi, Georgia, and California, with significant activity also in Oregon, Illinois, Colorado, and Arizona.

Representative recent opportunities illustrate the scope: the City of Houston (RFP 20260011, due August 27, 2026) seeks a third-party administrator and chronic disease management services vendor for its self-funded medical benefit plans across a five-year initial term with two one-year renewal options; the City of Milton, Georgia (RFP 26-FD02, due August 5, 2026) is procuring a full-time Emergency Physician medical director for its Fire Department EMS with 24/7 availability and Georgia licensure and emergency medicine board certification required; Hillsborough County, Florida (ITB 2600315, due July 21, 2026) is seeking comprehensive occupational wellness examinations for 1,300 fire rescue members with an estimated contract value of $2,480,940 over three years; Santa Monica (RFP 474, due July 24, 2026) is contracting for pre-booking medical clearances and Narcan program administration for arrestees at its jail facility; and the Mississippi State Department of Health (IFB 1301-26-R-IFBD-00068, due June 24, 2026) is procuring epidemiologists or biostatisticians for public health data analysis. Compensation structures vary widely — flat fees for administrative services, hourly rates for consulting, per-examination unit pricing for occupational health, and blended rates for clinical review services — with contract terms typically ranging from one to five years and many including renewal options. The code shows consistent activity across municipal, county, state, and special-district procurement, with no single issuing body dominating the recent opportunity set.