T1683 Revised State Supplied Price Sheet 09.15.2026.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- T1683 - Independent Health Care Appeals Program: Independent Utilization Review Organization, DOBI
- Solicitation number
- 26DPP01227
- Issued by
- New Jersey
About this file
This is a state-supplied price sheet for Bid Solicitation #26DPP01227 issued by the New Jersey Department of Banking and Insurance (DOBI) for the T1683 Independent Health Care Appeals Program. The solicitation seeks an Independent Utilization Review Organization to deliver managed care utilization review services, with the contract covering three types of reviews: preliminary reviews (estimated 3,500 annually), full reviews (estimated 1,700 annually), and expedited reviews (estimated 1,700 annually). The contractor must maintain URAC external review accreditation and employ a licensed Medical Director and review agents consisting of registered nurses and board-certified physicians with a minimum of five years' managed care utilization review experience. The contract term is three years with the possibility of two additional one-year extensions by mutual written consent. An optional pre-quote conference was held July 23, 2026, with electronic questions due August 6, 2026, and quotes due September 24, 2026.
Bidders must submit all-inclusive firm fixed unit pricing for each review type across all three contract years through the state-supplied price sheet, with pricing recorded only in the designated yellow-highlighted cells for preliminary reviews, full reviews, and expedited reviews. The state intends to award a single contract. A subcontracting set-aside requirement mandates good faith efforts to solicit New Jersey Small Business Enterprises and/or Disabled Veterans' Businesses as subcontractors. The contractor receives payment directly from carriers at the time written decisions are rendered. Bidders must complete a comprehensive state security due diligence questionnaire addressing thirty control areas, including data security categorization, cloud hosting, and compliance with New Jersey's Statewide Information Security Manual, and must submit supporting documentation including security plans, privacy policies, SOC2 Type II audit reports, and required forms from the Standard Procurement Forms Packet. All submissions must be made exclusively through NJSTART.
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Text version
T1683 Price Sheet State-Supplied Price Sheet Bid Solicitation # 26DPP01227 T1683 – Independent Health Care Appeals Program: Independent Utilization Review Organization, DOBI
| Bidder Name | ||||||
| Instructions: Refer to Bid Solicitation Section 9.2, Definitions, for the definition of "Firm Fixed Price." Refer to Bid Solicitation Section 3.24, State-Supplied Price Sheet Instructions, for Bidder Instructions. The Bidder must record its pricing in the YELLOW highlighted cells only. | ||||||
| PRICE LINE | Description | Quantity | Unit of Measurement | Contract Year 1 | Contract Year 2 | Contract Year 3 |
| 1 | Firm Fixed Price for each Preliminary Review (Bid Solicitation Section 4.2.1, Preliminary Review of Appeals) | 1 | EACH | $0.00 | $0.00 | $0.00 | |||
| 2 | Firm Fixed Price for each Full Review | ||||||||
| (Bid Solicitation Section 4.2.2, Full Review of Appeals) | 1 | EACH | $0.00 | $0.00 | $0.00 | ||||
| 3 | Firm Fixed Price for each Expedited Review | ||||||||
| (Bid Solicitation Section 4.2.8.2, Expedited Reviews) | 1 | EACH | $0.00 | $0.00 | $0.00 |
File details come from the government source that posted it. Updated .