120174 O3_List_of_Respondents.pdf

This document is a Solicitation List of Respondents for the Nebraska Department of Correctional Services, specifically for solicitation number 120174 O3, seeking a third-party administrator to process healthcare claims and invoices 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 requires comprehensive claims processing services for an estimated 5,872 inmates, including electronic claims management, provider network administration, monthly reporting, and an electronic analytics dashboard.

The contract will have an initial four-year term with two optional two-year renewal periods, with pricing remaining fixed for the first four years and subsequent increases limited to 5% per period. Bidders must submit two pricing options: a monthly flat rate and a per-incarcerated individual rate, with the state reserving the right to select the most advantageous option. The contractor will be required to maintain various insurance coverages and potentially post a $500,000 performance bond. The procurement involves processing approximately 24,704 medical claims totaling $15.6 million and 250 dental claims totaling $51,454 annually, with network coverage required in specific Nebraska cities including Omaha, Lincoln, York, Tecumseh, and McCook. The incumbent's administrative fee term has been extended through September 30, 2025, and the evaluation will use a 100-point scoring system with additional points possible through oral interviews.