Medical Fee Schedule Management Services FY26 Small Purchase with Sole Source Conditions

The Illinois Workers' Compensation Commission (IWCC) is conducting a small purchase procurement with sole source conditions for medical fee schedule management services for Fiscal Year 2026, covering the period from July 1, 2025, through June 30, 2026. The procurement is specifically seeking comprehensive medical fee schedule management services, though precise technical details about the exact scope of services are not fully elaborated in the available documentation. The contract opportunity was posted on June 9, 2025, with a response deadline of June 13, 2025, indicating a very tight submission window of approximately four days. Potential vendors must complete and submit the Standard Illinois Certifications form, which requires thorough compliance attestations across 33 specific legal, ethical, and operational standards. Vendors will need to demonstrate comprehensive understanding of medical fee schedule management and be prepared to meet stringent state procurement requirements as outlined in the standard terms and conditions document.

The procurement appears to be open to qualified vendors without explicit set-aside designations for disadvantaged enterprises, though the Standard Illinois Certifications form indicates a commitment to non-discriminatory procurement practices. Vendors must comply with extensive insurance requirements, including maintaining $1,000,000 per occurrence and $2,000,000 annual aggregate commercial liability insurance, along with auto liability and worker's compensation coverage. While specific budget ranges are not explicitly stated, the contract is for a full fiscal year of medical fee schedule management services. Potential respondents must carefully review the attached standard terms and conditions, which outline comprehensive contractual guidelines, payment conditions, and vendor performance expectations. The procurement process requires strict adherence to state procurement regulations, with potential vendors needing to demonstrate legal compliance, financial stability, and technical capabilities in medical fee schedule management.