Att G - QA with State Response Med RFP.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- DDB Medical ConsultationBid Documents
- Solicitation number
- RFP 26-87343
- Issued by
- Marion County, Indiana
About this file
This is a Questions and Answers document for RFP 26-87343 issued by the Indiana Family and Social Services Administration's Disability Determination Bureau (DDB) for medical consultation services. The RFP seeks proposals from fully licensed MDs/DOs to conduct digital and paper claim reviews for Social Security Disability Insurance (SSDI) and Supplemental Security Income Disability (SSID) claims. The projected annual case volume is 80,000 to 100,000 cases, with significant variation in case complexity, page counts (frequently exceeding 500 pages), and review time requirements ranging from minutes to multiple hours per case. Written questions were due August 5, 2026 at 3:00 PM Eastern Time, with state responses posted by August 12, 2026. Proposals are due August 26, 2026 at 3:00 PM Eastern Time, with a pre-proposal conference scheduled for July 30, 2026. The anticipated contract start date is July 1, 2027, with an initial term of four years and two optional one-year renewal periods available at the state's discretion. Multiple awards are likely, though the state has not predetermined the distribution methodology for case assignments among awarded vendors.
Compensation is firm and fixed for the contract life with per-case rates stratified by consultant experience level (0-2 years, 3-4 years, 5+ years) at baseline hourly rates of $56, $66, and $76 respectively, with training compensated at double the per-case rate. All case types receive equal compensation regardless of complexity or whether they involve adult or pediatric patients. Currently, 13 independent contractors and one employee provide medical consultation services, with approximately 10 percent of current cases involving child disability reviews. Consultants must maintain 95% accuracy as measured by federal and internal data with quarterly evaluations, and approximately 10-15 percent of cases require rework due to DDB feedback. Newly added physicians must complete the same onboarding and vetting process as current consultants, with initial training requiring 3-6 months to achieve semi-independence and 1-3 years for full training across all case types. Active Indiana medical licensure is required by contract start date, and consultants must commit to a minimum of three separate days per week with at least four hours per day, with approximately 100 percent of current contractors working remotely subject to SSA and DDB approval.
View the file
Other files
Show all 24
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Q&A
| Attachment B | ||||
| Questions and Answers Template | ||||
| RFP 26-87343 | ||||
| Please submit your questions in the blue shaded areas by the date and time established in the RFI. | ||||
| # | DOC NAME (RFI or Attachment) | PAGE # AND/OR SECTION # | RESPONDENTS QUESTION | STATE'S RESPONSE |
| 1 | RFP Main Document | N/A | What is the projected annual case volume for the new contract? | Dependent on receipts which are not controllable but averaging 80-100k |
| 2 | Scope of Work | A. #7 | What is the average number of pages per medical case? | Each case varies too widely, we frequently have cases 500+ pages |
| 3 | Scope of Work | A. #7 | Can the State provide a page-count distribution (1-50, 51-100, 101-150, 151+)? | Not possible |
| 4 | Scope of Work | A. #7 | What is the average time required to complete a medical review? | Varies widely, each case is unique. Anywhere from a couple of minutes to multiple hours |
| 5 | Scope of Work | A. #7 | What is the average number of cases completed per consultant per day? | Depends too much on inidivudal consultant availability, many aim for 20 a day |
| 6 | Scope of Work | C. General Providions, #4 | What percentage of cases are Adult versus Child disability reviews? | This also varies widely based on receipts, currently were at about 10% Child |
| 7 | Scope of Work | C. General Provisions, #4 | In order to be awarded a bid, must you be able to do adult and child? | No |
| 8 | Scope of Work | A. #7 | What percentage of cases require rework due to DDB feedback? | 10-15% |
| 9 | Scope of Work | A. #8 | What percentage of cases receive SSA Disability Quality Branch (DQB) review? | Random sample based on their own formula, some can be up to 50% |
| 10 | Scope of Work | A. #8 | What has been the historical DQB error rate over the past three years? | 3% average decisional error rate |
| 11 | Scope of Work | C. General Provisions, #1 | Approximately what percentage of cases are reassigned before completion? | 1% and usually due only to consultant outtages |
| 12 | RFP Main Document | C. General Provisions, #1 and #2 | Approximately what percentage of assigned cases ultimately receive no payment because they are transferred, closed, or otherwise removed from review, | 1% this too is rare |
| 13 | General question | N/A | Who is the incumbent contractor(s)? | Multiple independent contractors |
| 14 | General question | N/A | How many physicians currently provide medical consultation services? | 14 |
| 15 | General question | N/A | Are all current consultants independent contractors or employees? | 13 consultants, 1 employee with additional duties |
| 16 | RFP Main Document | 3.1 | Will multiple awards be made? | Unknown but likely |
| 17 | RFP Main Document | 3.1 | If multiple awards are made, how will case assignments be distributed? | Not answerable, too dependent on context of awards and agency workload |
| 18 | Scope of Work | A. #7 | Will there be minimum or maximum case allocations by vendor? | Likely but also heavily dependent on context of award, vendor performance and workload |
| 19 | Scope of Work | A. | Is there a minimum staffing commitment expected from each awarded vendor? | Unknown in regards to staffing but there is minimum availability required |
| 20 | RFP Main Document | 2.6.3 | Are vendors permitted to add physicians after contract award without State approval? | No |
| 21 | Scope of Work | A | Is there a maximum number of physicians a vendor may propose? | No but each individual contractor/subcontractor must be vetted and approved by both DDB and SSA |
| 22 | RFP Main Document | 3.1 | Does the State anticipate awarding by specialty or by overall capacity? | Neither |
| 23 | RFP Main Document | 2.6.3 | Are 1099 clinicians considered subcontractors for purposes of this procurement | Likely but unknown without context |
| 24 | RFP Main Document | 2.6.3 | Is work assigned directly to individual consultants or through the awarded vendor organization? | Directly, vendor organization would not be able to have access due to SSA rules |
| 25 | Scope of Work | A. #2 | Must physicians possess an active Indiana license prior to proposal submission, or may licensure be obtained before contract start? | Active license required by contract start date |
| 26 | RFP Main Document | A. #2 | Will the State accept physicians who hold Indiana licensure through the Interstate Medical Licensure Compact? | Based on our understanding the compact just expedites their ability to get an IN license, a valid Indiana license is required |
| 27 | Scope of Work | C. General Provisions, #4 | Are any subspecialties preferred for specific body system reviews? | No |
| 28 | Scope of Work | A. #3, #10, #11 | What is the expected duration of initial training? | Dependent on consultant experience and availability, typically 3-6 months to become semi-independent and 1-3 years to be considered fully trained, especially for all case types |
| 29 | Scope of Work | A. #3, #10, #11 | Is training conducted virtually, onsite, or both? | Both, initial sessions must be onsite |
| 30 | Scope of Work | A. #3, #10, #11 | Is refresher training required annually? | Yes but for specific topics |
| 31 | Scope of Work | A. #3, #10, #11 | Approximately how many hours of mandatory training are expected each year? | Unknown, this varies based on workloads and areas needing improvement or if new policies come out. Would estimate at least 5-10 per consultant, usually done in class setting |
| 32 | Scope of Work | A. #3, #10, #11 | How soon after award is initial training anticipated? | Could not occur until contract start date |
| 33 | Scope of Work | A. #3, #10, #11 | Will newly added physicians complete the same onboarding process? | Yes |
| 34 | Scope of Work | A. #3, #10, #11 | Is mentoring provided for new consultants? | Yes |
| 35 | Scope of Work | A. #3, #10, #11 | Can one consultant from a vendor be trained and subsequently train additional consultants within the vendor organization? | No |
| 36 | Scope of Work | A. #4 | Approximately what percentage of consultants currently work remotely? | 100% for contractors |
| 37 | Scope of Work | A. #4 | Under what circumstances would remote work approval be revoked? | For any reason as dictated by SSA and DDB |
| 38 | Scope of Work | A. #4 | How frequently are consultants expected to report onsite? | Averages quarterly for trainings/meetings but more could be needed based on training needs |
| 39 | Scope of Work | A. #4, B. #3 | Does the State provide dual monitors, docking stations, keyboards, and other peripherals? | Only one monitor, but yes peripherals are provided |
| 40 | Scope of Work | A. #4, B. #3 | Are vendors permitted to provide additional peripherals to be utilized with state-issued laptops? | No, many are banned by SSA rules |
| 41 | Scope of Work | A. #4, B. #3 | If DDS provides laptops to consultants, is equipment also provided to vendor management personnel responsible for oversight? | No, they would not be allowed oversight |
| 42 | Scope of Work | A. #8 | How is the 95% accuracy score calculated? | Federal and internal data |
| 43 | Scope of Work | A. #8 | Over what measurement period is accuracy evaluated? | Constant evaluation, with particular check ins quartery and for fiscal year |
| 44 | Scope of Work | A. #13, I. #1 | How frequently are quality reports provided to contractors? | Aim for quarterly but more frequently if issues |
| 45 | Scope of Work | A. #8 | What corrective action process applies if accuracy falls below 95%? | In person refresher, case reviews/verifications prior to signature, reduction in work, loss of remote work, contract termination if failure to improve |
| 46 | Scope of Work | A. #8 | Are vendors permitted to review disputed DQB findings? | Yes |
| 47 | Scope of Work | A. #13 | Is there an appeal process for quality determinations? | Yes |
| 48 | Scope of Work | C. General Provisions, #3 | Are all case types compensated at the same rate? | Yes |
| 49 | Scope of Work | C. General Providions, #4 | Are pediatric and adult cases paid equally? | Yes |
| 50 | RFP Main Document | C. General Provisions, #3 | Are complex cases compensated differently? | No |
| 51 | RFP Main Document | 2.3.14 | Is payment made only after final acceptance? | Only when case is closed |
| 52 | Scope of Work | A. #11 | Are training hours invoiced separately from case reviews? | No |
| 53 | RFP Main Document | 1.24 Summary of Milestones | What is the anticipated contract start date? | 7/1/27 |
| 54 | RFP Main Document | 1.24 Summary of Milestones | What is the anticipated date for production work to begin? | 7/1/27 |
File details come from the government source that posted it. Updated .