CSP022430_Contract_REV.pdf
PDF 86 KB Posted
- Attached to
- Competitive Selection OH|CSP022430
- Contract number
- CSP022430
- Issued by
- Ohio
About this file
The document is a Mandatory Use Contract issued by the Ohio Department of Administrative Services (DAS), General Services Division, for Independent Informal Dispute Resolution (IIDR) Services. The contract is awarded to iMPROve Health, located in Grand Rapids, Michigan, through Request for Proposal (RFP) No. SRC0000002641. The contract is specifically available to the Ohio Department of Health and was initially effective from 05/16/22 to 06/30/23, with renewals extending through 06/30/27.
The contract provides pricing for IIDR services, including a flat fee of $120.00 for each IIDR recommendation and report, and hourly rates for professional reviews by various healthcare professionals. Hourly rates are set at $120.00 for most professionals (Licensed Social Worker, Life Safety Code Professional, Nursing Professional, Pharmacist, Registered Dietician) with a higher rate of $200.00 for Physicians. The contract terms include Net 30 payment terms, and the state will not reimburse additional expenses such as travel. The contract has been renewed through mutual agreement, with amendments updating contract details, contact information, and extending the contract period in July 2023 and July 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| CSP022430_Amendment_3.pdf |
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Text version
Index No.: DOH117 Eff. Date: 07/01/25
STATE OF OHIO
DEPARTMENT OF ADMINISTRATIVE SERVICES
GENERAL SERVICES DIVISION
OFFICE OF PROCUREMENT SERVICES
4200 SURFACE ROAD, COLUMBUS, OH 43228-1395
MANDATORY USE CONTRACT FOR: INDEPENDENT INFORMAL DISPUTE RESOLUTION (IIDR) SERVICES
CONTRACT NUMBER: CSP022430 EFFECTIVE DATES: 05/16/22 TO 06/30/23
* Renewal through 06/30/27
The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.
SRC0000002641 that opened on 04/08/22. The evaluation of the Proposal responses has been completed. The Offeror listed herein has been determined to be the highest ranking Offeror and has been awarded a Contract for the services listed. The respective Proposal response including, Contract Terms & Conditions, any Proposal amendment, special Contract Terms & Conditions, specifications, pricing schedules and any attachments incorporated by reference and accepted by DAS become a part of this Services Contract.
This Requirements Contract is effective beginning and ending on the dates noted above unless, prior to the expiration date, the Contract is renewed, terminated, or cancelled in accordance with the Contract Terms and Conditions.
This Requirements Contract is available to the Ohio Department of Health as applicable.
The agency is eligible to make purchases of the contracted services in any amount and at any time as determined by the agency. The State makes no representation or guarantee that department will purchase the volume of services as advertised in the Request for Proposal.
This Requirements Contract and any Amendments thereto are available from the DAS Web site at the following address:
www.ohio.gov/procure
*Indicates a twenty-four (24) month renewal, effective July 1, 2025 through June 30, 2027
COST SUMMARY FORM
Independent Informal Dispute Resolution (IIDR) Services
CSP022430
UNSPSC CATEGORY CODE: 80120000
DESCRIPTION
UNIT OF
MEASURE
COST PER UNIT
(Contract Inception through *6/30/27)
Flat fee for each IIDR recommendation and report.
Each $120.00
Hourly fee for review of a deficiency by a:
Licensed Social Worker
Hourly $120.00
Life Safety Code Professional
Nursing Professional
Pharmacist
Physician
Hourly $200.00
Registered Dietician
All costs must be in U.S. Dollars.
The State will not be responsible for any costs not identified.
There will be no additional reimbursement for travel or other related expenses.
*Indicates update to cost end date
CONTRACTOR INDEX
CONTRACTOR AND TERMS: BID CONTRACT NO.: CSP022430
0000307957 iMPROve Health TERMS: Net 30 625 Kenmoor Ave., Suite 350
PMB 47995
Grand Rapids, MI 49546
CONTRACTOR’S CONTACT:
*Bailey Brokmeyer *Office: (248) 465-1035 *E-mail: bbrokmeyer@improve.health
*Indicates change to contact person and contact information mailto:bbrokmeyer@improve.health
SUMMARY OF AMENDMENTS
Amendment
Number Effective
Date Description
*3 07/01/25
This amendment is issued to notify that as a result of mutual agreement between the State of Ohio and the Contractor, this contract is renewed for an additional twenty-four
(24) months, effective 07/01/25 through 06/30/27. Additionally, this amendment is issued to update the cost end date, revise Contractor’s contact person and contact information as well as updating the Summary of Amendments page. All other prices, terms and conditions remain unchanged.
2 07/01/24
This amendment is issued to notify of an assignment from Michigan Peer Review Organization to Improve Health, effective 7/1/24. Additionally, this amendment is issued to update the Contract Number to CSP022430, revise Contractor’s business name, address, contact information as well as the Contractor’s OAKS ID number and to update the Summary of Amendments page. All other prices, terms and conditions remain unchanged.
1 07/01/23
This amendment is issued to notify that as a result of mutual agreement between the State of Ohio and the Contractor, this contract is renewed for an additional twenty-four
(24) months, effective 07/01/23 through 06/30/25. Additionally, this amendment is issued to add the Summary of Amendments.
*Indicates update to the Summary of Amendments page
| CONTRACT FOR: INDEPENDENT INFORMAL DISPUTE RESOLUTION (IIDR) SERVICES |
| SUMMARY OF AMENDMENTS |
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