NIGP 94843: Health Information Services

NIGP 94843 Health Information Services is an Item code under which state and local governments procure data-management, auditing, and clinical-decision-support services that operate at the intersection of health care operations, compliance, and reimbursement. Recent activity shows health authorities, county agencies, school districts, transit systems, and regional aging services providers soliciting services including pharmacy reimbursement-program administration, Medicaid claims recovery and third-party liability auditing, dependent-eligibility verification, hospital and professional coding audits, clinical decision-support tools, employee assistance programs, and electronic health record systems for low-income and specialized populations. The Nevada Health Authority has posted two high-profile opportunities under this code in the past month: an RFP for development and operation of a pharmacy average acquisition cost benchmark program (41NHA-S3922, proposals due August 24, 2026) and an RFP for Medicaid third-party liability, recovery audit contracting, and estate recovery services (41NHA-S3818, proposals due August 10, 2026), both offering single-award, multi-year initial terms with performance-penalty structures tied to data accuracy, timeliness, and compliance. Issuing bodies span a wide range of jurisdictions: state health authorities and Medicaid agencies (Nevada Health Authority, Texas HHSC, Washington State HCA), county health systems and human services divisions (Collier County, San Mateo County, Pinellas County, Monroe County), school districts (Austin ISD, Hillsborough County Public Schools, Maricopa County Community College District), transit authorities (MARTA), specialized public health entities (Clackamas County Health Centers, CareOregon, Atlanta Regional Commission), and state child welfare agencies (Illinois DCFS).

Geographic activity concentrates in the West and South, with Nevada, Texas, Washington, Florida, Oregon, and Georgia showing recent procurement volume; activity also appears in Illinois, Colorado, and Arizona. Representative recent solicitations illustrate the scope diversity: the Nevada Health Authority's RFP 41NHA-S3922 seeks a contractor to build and operate a pharmacy reimbursement benchmark program including quarterly surveying of drug acquisition costs, weekly price transmission, and a provider appeals portal, with technical evaluation weighted at 55 points, cost at 30 points, and vendor presentation (September 14, 2026) at 90 points; the Texas Health and Human Services Commission RFP HHS0014738 is pursuing a Software as a Service aging and disability data-management solution (SAIDMS) requiring TX-RAMP Level 2 certification and integration with state disease surveillance and Medicaid systems, with pre-proposal conference in December 2024 and contract award anticipated June 13, 2025; Clackamas County Health Centers issued RFQ 2026-18 for a clinical decision-support tool serving primary care, dental, and behavioral health providers across 17,686 patient accounts, with an estimated budget of $150,000 and quotes due June 18, 2026; and CareOregon (an Oregon Medicaid health plan) posted RFP 2026-03 for a second-pass claims-editing system integrating with QNXT and supporting Medicare and Medicaid timeliness standards, proposals due April 9, 2026. Insurance requirements across these opportunities are consistently demanding—typically $1 million to $2 million general liability, professional liability $1 million per claim, and cyber or technology errors-and-omissions coverage where PHI or sensitive data is involved. Performance penalties appear standard, ranging from daily holdback fees for late deliverables to percentage-of-contract caps for operational failures.