120174 O3_List_of_Respondents.pdf

This document is a Solicitation List of Respondents for the Nebraska Department of Correctional Services (NDCS), 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, seeks comprehensive claims processing services including electronic claims management, provider network administration, monthly reporting, and an electronic analytics dashboard. The contract will serve an estimated daily population of 5,872 inmates, processing approximately 24,704 medical claims totaling $15.6 million and 250 dental claims totaling $51,454 annually. The procurement timeline includes electronic bid submissions due on January 22, 2025, at 2:00 PM Central Time, with an evaluation period from January 24 to February 19, 2025.

Five companies submitted responses to the solicitation: 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, with pricing remaining fixed for the first four years and subsequent increases limited to 5% per period. Bidders must provide network coverage in specific Nebraska cities and submit two pricing options: a monthly flat rate and a per-incarcerated individual rate. The contractor will be required to maintain various insurance coverages and may need to post a $500,000 performance bond. The incumbent's administrative fee term has been extended through September 30, 2025, and claims will be processed according to Nebraska Medicaid/Medicare rates or negotiated PPO rates.