Contractor to establish the Workers' Compensation Court's medical services fee schedule

The Nebraska Workers' Compensation Court (NWCC) is seeking a qualified contractor to establish its medical services fee schedule through Request for Proposal #WCC0009. The primary deliverable is a comprehensive data file containing 2026 Current Procedural Terminology (CPT) codes, Medicare Resource-Based Relative Value Scale (RBRVS) values specifically adjusted for Nebraska, gap-filled codes and values, follow-up days, physician/technical component splits, and conversion factors for various medical service categories. The proposed contract has options for both one-year and five-year terms, with the final data set to be published on the NWCC website by January 1, 2026. Proposals are due on June 13, 2025, at 5 PM Central Daylight Time, and the selected vendor must provide secure data management, maintain detailed records for five years, and ensure business continuity with backup systems. The NWCC will provide internet connectivity and necessary cooperation to support the contractor's work.

The procurement does not specify explicit set-aside designations or restrictions on respondent types, but vendors must comply with Nebraska state laws, including work eligibility verification, civil rights regulations, and non-discrimination policies. Extensive insurance requirements are mandated, including commercial general liability, workers' compensation, commercial automobile liability, and cyber liability coverage with specific minimum coverage amounts. While precise contract value is not disclosed, payment is expected to be negotiable with a preference for an annual payment schedule invoiced after service delivery. The contractor will be responsible for delivering a robust, accurate medical fee schedule that can be utilized by the Workers' Compensation Court for the 2026 calendar year. The NWCC seeks a vendor with demonstrated expertise in medical coding, fee schedule development, and data management capabilities to successfully execute this critical administrative function.