120174 O3_List_of_Respondents.pdf

This is a Solicitation List of Respondents document from the State of Nebraska for solicitation number 120174 O3, seeking a third-party administrator to process payments for claims and invoices related to healthcare services for incarcerated individuals. The solicitation, dated 01/22/2025, received responses from five companies: Blue Cross and Blue Shield of Nebraska, Inc., Correctional Health Partners, LLC, Falling Colors Corporation, Innovative Claims Strategies LLC, and UMR, Inc. The contract will have an initial four-year term with two optional two-year renewal periods, targeting an estimated average daily population of 5,872 inmates and processing approximately 24,704 medical claims totaling $15.6 million and 250 dental claims totaling $51,454 annually.

The procurement includes a 100-point evaluation scoring system (20 points for Corporate Overview, 60 points for Bidder Questionnaire/Technical Approach, and 20 points for Cost Proposal), with potential additional 10 points for oral interviews. Bidders must provide network coverage in specific Nebraska cities and process claims according to Nebraska Medicaid/Medicare rates or negotiated PPO rates. The incumbent's administrative fee term has been extended through September 30, 2025, and pricing must remain fixed for the first four years with subsequent increases limited to 5% per period. Bidders are required to submit two pricing options: a monthly flat rate and a per-incarcerated individual rate. The contractor must maintain various insurance coverages and may be required to post a $500,000 performance bond. Electronic bid submissions were due on January 22, 2025, at 2:00 PM Central Time, with an evaluation period scheduled from January 24 to February 19, 2025.