NIGP 94857: Medical Services, Surgical

NIGP 94857 Medical Services, Surgical (Item) encompasses jail and prison healthcare administration, pharmacy benefit management for county employee and retiree populations, virtual primary and urgent care services, peer support services for behavioral health workers, and fire department medical direction—a mix reflecting state and local governments' direct procurement of clinical services, administrative healthcare management, and specialized medical oversight. Issuing bodies span county corrections departments, county human resources and procurement divisions acting on behalf of employee health consortiums, county boards of commissioners, county behavioral health agencies, and municipal fire departments. The work involves both direct clinical delivery (inmate medical intake and chronic care, emergency services, virtual primary care via 24/7 telephonic and video platforms) and administrative healthcare management (pharmacy formulary development, claims processing, eligibility management, utilization reporting). Counties appear as the dominant issuing body, with corrections systems, HR consortiums managing employee health benefits, and municipal fire departments representing secondary but recurring buyers.

Recent opportunities span Georgia, Florida, and California. Columbus Consolidated Government's Finance Department issued RFP No. 26-0008 (due May 15, 2026) for comprehensive inmate medical and pharmacy services at Muscogee County Prison, a 576-inmate facility, requiring five years of comparable jail or prison healthcare experience and NCCHC accreditation, with a two-year initial term and three optional one-year renewals; current monthly spend is $95,537.71. Collier County Board of County Commissioners issued RFP 25-8414 (due April 9, 2026) for pharmacy benefit management services covering approximately 2,400 employees and 4,800 dependents, with historical annual pharmacy spending around $8.7 million, emphasizing transparent pricing, guaranteed rebates, and integration with existing medical management vendors. Monroe County, Florida Board of County Commissioners posted RFP 628 (due April 16, 2026) for virtual primary and urgent care services for 2,300 county members with all-inclusive per-employee-per-month pricing, bilingual support in English, Spanish, and Haitian Creole, and performance guarantees tied to utilization levels. Santa Monica Fire Department issued RFP 455 (due October 16, 2025) for an EMS medical director serving a department handling 18,000 annual calls, requiring Emergency Medicine board certification and LA County EMS Agency compliance. San Mateo County Health's Behavioral Health and Recovery Services issued RFP 2025-007 (due July 2, 2025) for peer support services targeting peer workers, funded at $580,000 over three years.