Utilization Management Review
Closed Pre-Solicitation Posted
- Solicitation number
- 75H70526Q00022
- Agency
-
Indian Health Service
Department of Health and Human Services
- Responses due
- Set-aside
- Buy Indian
Opportunity facts
- NAICS code
- 513210 Software Publishers
- Place of performance
- Bemidji, Minnesota 56601, United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Indian Health Service intends to solicit a utilization management review software platform for the Bemidji Area Service Units (Cass Lake IHS and Red Lake IHS) with a response deadline of August 14, 2026, under a Buy Indian set-aside restricted to Indian Economic Enterprises at 100 percent IEE certification.
Performance occurs at Cass Lake and Red Lake, Minnesota. The contractor shall provide a web-based, non-transferable software platform supporting prospective, concurrent, and retrospective utilization reviews with functions including admission criteria determination, length-of-stay standards, medical necessity documentation, readmission risk assessment, and discharge planning evaluation. The system must generate standard reports on variance days, medical necessity, observation status, admission and continued stay reviews, length-of-stay management, and age-specific drill-down reports. The platform must deliver secure web-based access available 24/7/365, initial onsite training with self-paced modules, and monthly system monitoring with minimum uptime standards. The contractor shall not access, manage, or control Protected Health Information or Personally Identifiable Information; diagnosis and procedure codes are the only required data inputs. The contract runs 12 months from August 1, 2026, with two optional 12-month renewal years on a firm-fixed-price basis. The contractor must provide a dedicated project manager and current evidence-based clinical criteria updates at no additional cost throughout the contract term.
Interested vendors must submit written responses including company name, point of contact, DUNS number or SAM Unique Entity Identifier, Tax ID, business category qualification, and a capability statement. All offerors must complete the IHS Indian Economic Enterprise Representation form and register in SAM with current certifications at offer submission.
Notice text
SOURCES SOUGHT FOR UTILIZATION MANAGEMENT REVIEW SOFTWARE PLATFORM FOR THE BEMIDJI AREA SERVICE UNITS OF RED LAKE IHS AND CASS LAKE IHS IAW THE ATTACHED PWS.
THIS IS 100% IEE
CERTIFICATION MUST BE SUBMITTED
Files
| File | Type | Posted |
|---|---|---|
| Sources Sought Utilization Management Review.pdf | ||
| IEE form Utilization Management Review.pdf | ||
| PWS_AREA_Utilization Management Review.docx | DOCX document |
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