BPM007093_Solicitation_Requirements_1.1 (3).pdf

This document is a Request for Quotation (RFQ) issued by the Industrial Commission of Arizona's Procurement Office for Mandatory Section 111 Medicare, Medicaid, and SCHIP (MMSEA) Reporting Services. The solicitation number is BPM007093 and is specifically targeted at establishing a single-agency contract for the Industrial Commission of Arizona's Special Fund Division. The solicitation is for a state contract within Arizona, governed by Arizona Revised Statutes and Administrative Codes.

The contract seeks a vendor to provide Section 111 Mandatory Reporting Services, which involves reporting Medicare covered items and services to help the Center for Medicare and Medicaid Services (CMS) determine primary versus secondary payer responsibility. The contract will have a twelve-month initial term with the potential for permissible extensions, not to exceed a maximum aggregate term of five years. The total contract value is limited to $100,000 across all awarded contractors. Pricing will be fixed, and invoicing will occur quarterly. The vendor must have experience in Section 111 MSP Reporting, be capable of interfacing with agency systems through data exchange, and ensure reporting accuracy and compliance with CMS requirements. Small businesses and those meeting specific exemption criteria are encouraged to bid.