Procurement - Requests for Proposal _ Industrial Commission of Arizona Advertising.pdf

PDF 1018 KB Posted

Attached to
Medicare Reporting Services Mandatory Section 111
Solicitation number
BPM007093
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a procurement announcement document from the Industrial Commission of Arizona (ICA) outlining the state's requests for proposal, qualification, and information processes. The document serves as a centralized hub for current and prospective solicitations, with three active RFQs listed at the time of publication: RFQ BPM007162 for Grounds Keeping Services, RFQ BPM007093 for Mandatory Section 111 MSP Reporting Services, and RFQ BPM007072 for a Centennial Mural project. All solicitations are accessible through the Arizona Procurement Portal at app.az.gov. The procurement opportunity related to Medicare Reporting Services under Mandatory Section 111 (RFQ BPM007093) has a procurement timeline beginning August 14, 2025, with a proposal submission deadline of September 2, 2025. The contract focuses on comprehensive Medicare reporting requirements, including data submission, compliance tracking, and regulatory reporting mechanisms for healthcare-related entities, specifically involving Medicare Secondary Payer (MSP) reporting obligations and electronic reporting of claim settlements and judgments that may impact Medicare's secondary payment responsibilities.

The procurement encourages participation from small businesses, minority-owned enterprises, and Arizona-based vendors, with evaluation criteria emphasizing technical capability, compliance expertise, data security protocols, and proven experience with federal Medicare reporting mandates. Potential award values are not specified in the announcement, though Medicare reporting services contracts typically range from $100,000 to $500,000 annually depending on complexity and reporting volume. Respondents must demonstrate expertise in Medicare reporting regulations, possess robust data management capabilities, and maintain established technological infrastructure to support complex reporting requirements, including secure data transmission, comprehensive reporting interfaces, and strict confidentiality compliance. The ICA Procurement Manager, Janine Locke, serves as the primary contact for inquiries at janine.locke@azica.gov or (602) 542-8238, and all respondents are responsible for examining the entire solicitation and seeking written clarification before submission.

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SPO Form 120 - PDS Employee_10-27-23 v2 Bonny Holly.pdf PDF
BPM007093_Solicitation_Requirements_1.1.pdf PDF
Exhibit F - CERTIFICATE OF INSURANCE (COI).Pdf PDF
BPM007093_IMPAXX_Response_Quotation_Form.xlsx XLSX spreadsheet
BPM007093_Solicitationi_Instructions_1.1.pdf PDF
Janet Artis 7.17.25 SPO Form 120 - PDS Employee_10-27-23 v2 (1) (1).pdf PDF
Exhibit B.pdf PDF
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Exhibit E.pdf PDF
BPM007093_IMPAXX_Attachment - Proprietary File Specifications.pdf PDF
CTR079008 Award Letter 01.pdf PDF
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BPM007093_IMPAXX_Attachment - Scope of Work Responses.pdf PDF
Exhibit A.pdf PDF
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BPM007093_IMPAXX_Attachment - Supplement Insurance.pdf PDF
BPM007093 Signed Procurementr Determination 1.1.pdf PDF
SPO Advertising Medicare bpm007093.pdf PDF
Non Award IMPAXX 01.pdf PDF
State of Arizona Mail - Solicitation in progress for Mandatory Section 111 MSP Reporting Services.pdf PDF
Exhibit D.pdf PDF
Exhibit C.pdf PDF
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It is the responsibility of each respondent to examine the entire solicitation, seek clarification in writing (inquiries), and examine all requirements for accuracy before submitting any responses. Lack of care in preparing a response shall not be grounds for modifying or withdrawing it after the due date and time, nor shall it give rise to any Contract claim.

Current open solicitations are below:

For answers to questions, contact the ICA Procurement Manager: Janine Locke at janine.locke@azica.gov or (602) 542-8238.

INFORMATION ABOUT THE PROCUREMENT PROCEDURES

TITLE DESCRIPTION

Doing Business with the State

A guide to help new and existing suppliers understand how the State Purchases goods and services, how to register as a supplier, and other frequently asked questions.

APP Login Portal to log in to the Arizona Procurement Portal.

Public Procurement

Process

The webpage contains all the information for Arizona's Public Procurement Process.

If an RFP/RFQ/RFI/IFB requires any "common documents," these can be downloaded individually from the table below.

Solicitation in Progress: RFQ – BPM007162 *Grounds Keeping Services*, Go to https://app.az.gov

Solicitation in Progress: RFQ - BPM007093 *Mandatory Section 111 MSP Reporting Services*, Go to https://app.az.gov

Solicitation in Progress: RFQ - BPM007072 *CENTENNIAL MURAL*, https://app.az.gov

COMMON DOCUMENTS RELATED TO REQUESTS FOR PROPOSAL/QUALIFICATION/INFORMATION

TITLE DESCRIPTION

State of Arizona Substitute W9 & Vendor Authorization Form

Instructions for Substitute W9 Form above . . .

Substitute W9 & Vendor Authorization Form and Instructions

10/7/25, 3:40 PM Procurement - Requests for Proposal | Industrial Commission of Arizona https://www.azica.gov/procurement-requests-proposal 1/2 https://az.gov/ https://openbooks.az.gov/ https://www.azoca.gov/ https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote/ https://azdot.gov/mvd/services/driver-services/arizona-travel-id https://www.azica.gov/ https://www.azica.gov/ica-department-phone-directory mailto:janine.locke@azica.gov https://spo.az.gov/suppliers/how-do-business-state https://spo.az.gov/suppliers/how-do-business-state https://app.az.gov/page.aspx/en/usr/login?ReturnUrl=%2fpage.aspx%2fen%2fbuy%2fhomepage https://spo.az.gov/about/procurement-purchasing https://spo.az.gov/about/procurement-purchasing https://app.az.gov/ https://app.az.gov/ https://app.az.gov/ https://www.azica.gov/forms/accounting6627 https://www.azica.gov/forms/accounting6627

COMMON DOCUMENTS RELATED TO REQUESTS FOR PROPOSAL/QUALIFICATION/INFORMATION

TITLE DESCRIPTION

Standard Federal W9 Form For the Industrial Commission of Arizona

Contact Info

Janine Locke, Chief Procurement Officer

Janine.Locke@azica.gov

Phoenix Office:

800 W. Washington St.

Phoenix, AZ 85007

Phone: (602) 542-5992

Fax: (602) 542-3104

10/7/25, 3:40 PM Procurement - Requests for Proposal | Industrial Commission of Arizona https://www.azica.gov/procurement-requests-proposal 2/2 https://www.azica.gov/sites/default/files/media/ICA%20W-9%20Oct%202018%20Signed_0.pdf mailto:Janine.Locke@azica.gov

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