RFQ - Medical Fee Schedule Consulting Services FY 23.pdf

Illinois Workers’ Compensation Commission 69 W. Washington St., Suite 900 Chicago, IL 60602 312-814-6500

JB Pritzker, Governor Michael J. Brennan, Chairman

REQUEST FOR QUOTE

MEDICAL FEE SCHEDULE CONSULTING SERVICES

Summary

The IWCC is requesting quotes for consulting services to manage and update the medical fee schedule pursuant to Section 8.2 of the Illinois Workers’ Compensation Act. The 2005 amendments to the Illinois Workers’ Compensation Act required the IWCC to adopt a medical fee schedule setting forth the maximum allowable payment for procedures, treatments, or services covered under the Act. The medical fee schedule is published on the Internet at no charge to users via a link from the IWCC's website at www.iwcc.il.gov.

Scope of Work

The vendor shall perform the following services:

1. Oversee all medical fee schedule updates on the IWCC’s website, work to create, maintain, and ensure the accuracy of the medical fee schedule, and maintain and update examples in the Illinois Workers’ Compensation Commission Medical Fee Schedule Instructions and Guidelines;

2. Resolve disputes and technical questions related to the medical fee schedule through a standardized process;

3. Assist with administrative rules and rulemaking that addresses the medical fee schedule;

4. Consult with arbitrators and commissioners regarding the hearing process for the medical fee schedule;

5. Provide technical assistance to the Workers' Compensation Medical Fee Advisory Board;

6. Conduct research for reports and projects related to the medical fee schedule;

7. Provide guidance and analysis and prepare reports as necessary regarding oversight and investigation of payers, health care providers, and others for noncompliance with workers’ compensation medical insurance statutes;

8. Conduct reviews of Injured Workers’ Benefit Fund and Self-Insurers Security Fund claims for compliance with the medical fee schedule and any State of Illinois PPO arrangements and provide summaries of such reviews that include an explanation of the treatment, treatment code, bill charge, and reduction; and www.iwcc.il.gov

9. Provide such other services and support relating to the medical fee schedule as requested and approved by the IWCC.

Vendors shall possess a minimum of three (3) years continuous active participation in the applicable industry, providing equipment/services comparable in size and complexity to those specified herein.

Instructions

Please submit quotes using an hourly rate via BidBuy prior to the bid opening date listed in the BidBuy solicitation. Any quotes received after this time will not be considered.

Please direct any questions or clarifications concerning the scope of work to cole.garrett@illinois.gov.

All quoted prices must remain valid for 90 days from the bid opening date. No price increases will be accepted. The agency reserves the right to reject all offers or reject individual offers for failure to meet any requirement. Vendor may attach separate documentation describing its services. The winning vendor will be chosen on the lowest quote. Finally, all applicable procurement laws and regulations of the State of Illinois shall apply to this solicitation and any resulting agreement, contract, or purchase order.

Thank you for your consideration