2025 Nevada Workers Compensation Medical Fee Schedule Study

The State of Nevada, specifically the Division of Industrial Relations' Workers' Compensation Section, is seeking a vendor to conduct the 2025 Nevada Workers Compensation Medical Fee Schedule Study. The primary objective is to compile national data on medical treatment and service fees to comprehensively review and revise the Nevada Medical Fee Schedule (MFS), in compliance with NRS 616C.260. The selected vendor will perform a robust benchmarking analysis across multiple medical service categories including anesthesia, surgery, radiology, pathology, laboratory, and medicine services. Key deliverables include recommending updated conversion factors, relative value units (RVUs), and maximum allowable payments for various medical services and procedures, covering areas such as hospital care, dental services, ambulatory surgery centers, telemedicine, emergency services, ambulance services, pharmaceuticals, home health care, and specialized medical evaluations. The evaluation will utilize a weighted scoring system with technical factors accounting for 75% of the score and cost factors for 10%, with a 5% preference given to Nevada-based businesses. The solicitation was released on 09/12/2025, with questions due by 09/29/2025, and proposals due by 10/20/2025, with an estimated contract start date of 01/13/2026 and a one-year contract term.

Vendors must be registered on nevadaepro.com, hold a Nevada business license, and maintain an active Sam.gov registration. The state imposes specific requirements for data encryption and maintenance within the United States, with a focus on maintaining confidentiality and protecting proprietary information. Insurance requirements include Workers' Compensation, Employers' Liability, and Professional Liability coverage, with minimum limits specified and the State of Nevada to be named as an additional insured. Vendors must provide certificates of insurance from Nevada-licensed insurers with an A.M. Best rating of at least A-VII. While no specific incumbent vendor is mentioned, the contract includes provisions for potential subcontractors, requiring them to complete similar documentation. Although the exact budget is not explicitly stated, the cost schedule allows for billable travel expenses at current GSA rates, and the comprehensive nature of the study suggests a significant project scope. The contract is subject to Board of Examiners' approval and potential legislative appropriations, with the state reserving the right to terminate the contract with 30 days' notice or immediately if funding becomes unavailable.