Medical Services

The State of New Hampshire, through the New Hampshire Veterans Home located in Tilton, is issuing a Request for Proposals (RFP) for medical services to provide primary care physician coverage and medical director services to residents of this long-term care facility. The procurement seeks a qualified vendor to deliver approximately 100 hours per month of primary care physician coverage and approximately 40 hours per month of medical director services under a five-year contract with an optional two-year extension. Key service requirements include in-person coverage five business days per week from 8:00 AM to 1:00 PM, 24/7 on-call availability through a credentialed nurse practitioner, physician assistant, or physician with a one-hour response time guarantee, monthly resident examinations with appropriate lab and radiology orders, attendance at monthly medical meetings and quarterly Quality Assurance Committee meetings, provision of annual physicals and physician consultations for all residents, and oversight of contracted healthcare providers. The vendor must establish medical policies, coordinate care, and ensure appropriateness of medical treatment. Evaluation will be conducted on a 100-point scale comprising technical capability (20 points), experience and qualifications (25 points), experience with previous on-site contracted services (25 points), and pricing (30 points). Critical deadlines include vendor inquiries due April 13, 2026 at 3:00 PM, final agency responses to inquiries by April 20, 2026 at 4:00 PM, and proposals due April 27, 2026 at 4:00 PM. The contractor must maintain professional liability insurance of not less than $1,000,000 per claim and $3,000,000 per incident, possess current DEA licensure and professional medical licensure, and comply with all federal and state regulations, HIPAA requirements, and facility policies.

The RFP documents do not specify set-asides or restrictions limiting responses to particular types of organizations or disadvantaged enterprises, suggesting this procurement is open to all qualified vendors. No incumbent vendors or current contractors are identified in the solicitation materials. The contract pricing structure is based on hourly rates for Medical Director and Physician services, with billing mechanisms varying according to residents' Department of Veterans Affairs service-connected disability status; prevailing-rate residents (70%-100% service-connected) result in direct billing to the New Hampshire Veterans Home at rates not to exceed the Medicare Fee Schedule, while other residents' care is billed to insurance first with balance billing to residents. The contractor is responsible for all professional liability insurance, license fees, taxes, and operating expenses. The contract will commence upon Governor and Executive Council approval or July 1, 2026, whichever is later, and is contingent upon continued appropriation of funding. Specific budget values or total award amounts are not disclosed in the available solicitation documents.