Inpatient and Outpatient Hospital Medical Services

The New Hampshire Department of Corrections (NHDOC) has issued Request for Proposal (RFP) #NHDOC 2025-09 for inpatient and outpatient hospital medical services targeting the Concord and Southern area correctional facilities. The procurement seeks a comprehensive medical services provider for multiple correctional institutions, including the NH State Prison for Men, Secure Psychiatric Unit/Residential Treatment Unit, NH Correctional Facility for Women, and transitional housing units. The contracted services will serve an average resident population of 1,404, with approximately 256 annual emergency room visits and 109 inpatient stays. Evaluation criteria are structured with 200 technical points and 800 cost points, encompassing assessments of inpatient services, emergency/urgent care, outpatient services, rate adjustments, claims processing, physician services, and other discounted services. The RFP requires vendors to provide detailed claims processing capabilities, reporting requirements, and quality measures. The proposal is due on February 25, 2025, at 2:00 PM EST, with an anticipated contract term from July 1, 2025, through June 30, 2028, and the potential for one optional two-year renewal period contingent upon satisfactory performance and approvals.

The RFP does not explicitly mention set-aside designations or restrictions for disadvantaged enterprises. Reimbursement will be structured using Diagnosis Related Group (DRG) methodology, with rates not exceeding 110% of Medicare allowable rates as mandated by RSA 623-C:2. Emergency, urgent care, and outpatient services will be reimbursed as a percentage of NH Medicare fee schedules or through discounted billed charges. While specific budget ranges are not detailed, the scope suggests a significant medical services contract covering multiple correctional facilities. The NHDOC will make direct claims payments based on Medicare Fee Schedules, with Medicaid services paid directly by the State of New Hampshire Medicaid. The contract includes provisions for rate adjustments based on the Boston-Cambridge-Newton Consumer Price Index and requires monthly itemized invoicing. Proposals will be accepted electronically, with no hard copy submission required, and the contract is subject to Commissioner approval, continued funding, and Governor and Executive Council approval.