Out+of+State+Nurse+Case+Mgmt+updated.docx

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Attached to
Out of State Nurse Case Management Services
Solicitation number
485.NCM.2025
Issued by
North Dakota

About this file

This is a Notice of Intent to Make a Limited Competitive Purchase issued by the State of North Dakota's Workforce Safety & Insurance (WSI) agency for out-of-state nurse case management services. The procurement seeks to contract with vendors capable of providing national-level on-site nurse case management services for injured employees receiving treatment outside of North Dakota. The contract term is July 1, 2025 - June 30, 2027, with two potential two-year renewals extending potentially through June 30, 2031. Vendors must provide registered nurses licensed in the jurisdiction where case management services are delivered, with responsibilities including contacting involved parties within two business days, conducting claim evaluations, completing action planning, attending medical appointments, coordinating care, and assisting with management of complex workers' compensation claims.

The solicitation identifies three intended sources: Corvel Healthcare Corporation, Genex Services, and Paradigm Complex Care Solutions. The pricing is set at $95.00 - $105.00 per billable hour, payable in increments of at least 6 minutes. The procurement is being conducted through a limited competitive process, with WSI asserting these three organizations are the only vendors capable of providing national-level nurse case management services. Interested vendors must submit electronic responses through the State Procurement Office Online system by April 9, 2025, at 5:00 PM CT, with specific upload requirements including a maximum of five clearly labeled documents and detailed response specifications covering company information, contact details, service specifications, value-added features, and cost information.

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STATE OF NORTH DAKOTA

Workforce Safety & Insurance 1600 E Century Ave Suite 1 Bismarck, ND 58503-0644

NOTICE OF INTENT TO MAKE A

LIMITED COMPETITIVE PURCHASE

April 2, 2025

The State of North Dakota intends to make a purchase for which we believe there is limited competition. The purpose of this notice is to determine if other sources are available and whether the procurement method is appropriate.

Vendors are permitted to submit bids or proposals for equivalent commodities or services in response to this notice. A party interested in providing these commodities or services is instructed to submit a written response to the Procurement Officer by the response deadline.

PURCHASING AGENCY: Workforce Safety & Insurance

PURCHASE DESCRIPTION: The State intends to conduct a limited competitive purchase. The competition is being limited to those vendors that can provide on-site services on a national level.

Out-of-state on-site nurse case management services to be provided to injured employees who receive treatment outside of the state of North Dakota. Out-of-state nurse case managers (OOS NCM) must be registered nurses licensed in the jurisdiction where the case management services are provided. All out-of-state case management referrals will be assigned to a Workforce Safety & Insurance nurse case manager (WSI NCM) initially. The WSI NCM will manage the claim telephonically and request full or limited assignments through the vendor, as appropriate. The vendor shall communicate with injured employees, medical providers, employers, Workforce Safety & Insurance staff, and others regarding medical treatment planning, functional capabilities, and related issues. Additionally, the vendor shall coordinate care to assist in optimal recovery that returns injured employees safely to employment in a timely manner. The duties of the OOS NCM will include contacting the parties within two business days, conducting an initial evaluation of the claim, completing action planning, attending medical appointments, providing all medical documentation to the purchasing agency, coordinating home care or nursing home care, as appropriate, coordinating transitional work with the employer of injury, and assisting the purchasing agency with management of catastrophic or complex workers’ compensation claims.

The term of the contract will be July 1, 2025 – June 30,2027 with two – two year renewals ending June 30, 2031.

INTENDED SOURCES:

Corvel Healthcare Corporation 3001 NE Broadway St Ste 600 Minneapolis, MN 55413

Genex Services 440 East Swedesford Road Ste 1000 Wayne, PA 19087

Paradigm Complex Care Solutions 4009 W 49th St Ste 101 Sioux Falls, SD 57106

PRICE: $95.00 - $105.00 per billable hour payable at no less than 6-minute increments.

JUSTIFICATION: It is in the best interest of The State to solicit these services from organizations that can provide the services on a national level. To The State’s knowledge, the intended sources are the only organizations with the capability to provide nurse case management services nationally.

QUESTIONS

A vendor may contact the Procurement Officer to discuss whether its proposed solution meets the requirements. Submit any questions or requests for clarification to the Procurement Officer as soon as possible and before the response deadline.

Ellen Thompson Procurement Officer E-mail: ellthompson@nd.gov Telephone: 701-328-5959 TTY Users call: 7-1-1

RESPONSE FORMAT:

Vendors interested in submitting a response to this notice must provide the following information for consideration:

· Company Information: Provide the name of the firm, address, and website, if available.

· Contact Information: Provide the name of a contact person, telephone number, and email address.

· Specifications: Vendors are instructed to examine the Purchase Description included in this notice. When preparing your response to this notice, provide a point-by-point response to each of the described requirements. Provide detailed specifications demonstrating that the offered solution meets or exceeds the requirements stated in this notice. Provide any available documents and links to information available on the vendor’s website.

· Value-Added: Vendors may provide information about value-added features, functionality, alternatives, and additionally available components or services that are not specifically identified in the purchase description within the notice.

· Cost: Provide detailed cost information, including any applicable shipping and handling. Responses may include pricing for any offered value-added options.

RESPONSE DEADLINE: April 9, 2025 at 5:00 PM CT.

RESPONSE INSTRUCTION:

ELECTRONIC SUBMISSION REQUIRED: An interested party must electronically submit their response through the State Procurement Office Online system (SPO Online) by the response deadline. This solicitation is posted on SPO Online: https://apps.nd.gov/csd/spo/services/bidder/main.htm. Upload instructions are provided below. Make sure to include your name and e-mail address when uploading responses to SPO Online.

DO NOT WAIT UNTIL THE “LAST MINUTE” TO SUBMIT A RESPONSE. We recommend uploading responses 24 hours prior to the response deadline.

Bidder must begin the electronic submission process well in advance of the response deadline to allow for transmission and resolution of any technical difficulties. Be advised that the STATE is not responsible for a vendors failure to timely submit a response due to any technical difficulties. If you experience any technical difficulties, contact the Procurement Officer listed in this notice or the State Procurement Office at infospo@nd.gov or 701.328.2740.

If documents are in the process of being uploaded when the response deadline occurs, the upload process will stop. The attempted submission will not be uploaded successfully and is ineligible for consideration. The STATE takes no responsibility for electronic submissions that are captured, blocked, filtered, quarantined, or otherwise prevented from uploading by any anti-virus software or other security software.

1. This solicitation is posted on SPO Online at: https://apps.nd.gov/csd/spo/services/bidder/main.htm

2. Select “Recent Solicitations” and find this solicitation. Solicitations are listed by close date.

3. Use “Upload Response” to upload a maximum of five (5), clearly labeled documents before the response deadline.

4. Offerors must upload their response as requested in the response instruction section of this notice.

5. The maximum file size allowed is 50mb per file.

6. There is a 50 character file name limitation for the document being uploaded.

7. There is 75 character limit in the TITLE field within SPO Online.

8. All SPO Online field entries must be alphanumeric. Dashes and underscores are allowed; however, the system does not accept other special characters such as apostrophes, & symbols, or quotation marks, etc.

9. DO NOT submit documents that are embedded (zip files), movies, wmp, encrypted, or mp3 files.

10.The vendor will receive an email confirmation from infospo@nd.gov that the upload response was received including the “File Description” for the uploaded files. Review this email to ensure all files were successfully uploaded. If the vendor does not receive an email confirmation, the upload was not successful, and you will need to upload the files again. If the vendor does not receive an email confirmation after the reattempt, contact the Procurement Officer listed in this notice or the State Procurement Office at infospo@nd.gov or 701.328.2740.

Visit https://www.omb.nd.gov/sites/www/files/documents/doing-business-with-the-state/procurement/spo-electronic-response-external-job-aid.pdf for the SPO Electronic Response Job Aid which describes how to submit an electronic response.

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