Independent Medical Review (IMR) RFP # 24CSMC-041C

The California Department of Insurance (CDI) has issued a Request for Proposal (RFP) for Independent Medical Review (IMR) services. The CDI seeks to award a three-year contract, with up to two one-year extension options, for a firm to conduct IMRs related to determinations made by insurance companies under the California Insurance Code. Proposers must demonstrate at least five years of experience providing IMR, standard of care assessments, or similar health care decision-making analysis services. The RFP outlines detailed requirements for staffing, case management, quality assurance, and other operational aspects of the IMR program. The contract is a zero-dollar agreement, with services to be paid directly by insurance companies requesting IMR reviews. The total estimated value of the contract over the five-year term is $825,000. Proposals are due by October 11, 2024, and the award is anticipated on July 1, 2025.

The RFP includes preference programs for small businesses and disabled veteran-owned businesses. There is no information provided on any existing incumbents or contractors. The RFP does specify that all calculations in the Cost Proposal/Budget Form must be rounded to the nearest second decimal place.