Inpatient and outpatient hospital medical services

The New Hampshire Department of Corrections (NHDOC) is seeking a contractor to provide comprehensive Inpatient and Outpatient Hospital Medical Services for correctional facilities in the Concord and Southern area, including the NH State Prison for Men, Secure Psychiatric Unit, NH Correctional Facility for Women, and multiple transitional housing units. The Request for Proposal (RFP 2025-16) covers a contract period from July 1, 2025, through June 30, 2028, with a potential one-time two-year extension. The procurement targets a contractor capable of delivering medical services to an average resident population of 1,404, with estimated 256 emergency room visits and 109 inpatient stays projected for State Fiscal Year 2024. Required services include inpatient hospital care, emergency and urgent care, outpatient services, physician services, and rehabilitation services. The contractor must adhere to specific reimbursement methodologies, including Diagnosis Related Group (DRG) rates not exceeding 110% of Medicare rates, percentage discounts for emergency services, and percentage multipliers of the current NH Medicare Fee Schedule for outpatient services. Key submission details include a proposal due date of April 23, 2025, with extensive requirements for monthly invoicing, performance reporting, and compliance with HIPAA, PREA, and New Hampshire medical service regulations.

The RFP does not explicitly specify set-aside designations or restrictions for disadvantaged enterprises. The proposed contract appears to be open to qualified healthcare service providers with demonstrated capability to manage comprehensive medical services in a correctional environment. While no incumbent vendor is directly mentioned, the contract suggests a sophisticated healthcare delivery infrastructure is required, with potential integration needs across multiple correctional facilities. The total contract value is not explicitly stated, but the scope suggests a significant financial commitment based on the projected service volume of 1,404 residents, 256 emergency room visits, and 109 inpatient stays annually. Potential bidders should have extensive experience in correctional healthcare, strong medical network capabilities, and the ability to provide cost-effective, high-quality medical services across inpatient, outpatient, emergency, and specialized rehabilitation settings. Successful contractors will need to demonstrate robust medical management skills, compliance expertise, and the capacity to deliver comprehensive healthcare services within the constraints of a correctional environment.