RFO No. 454-25-0101-31688-EM Network Adequacy Software

The Texas Department of Insurance (TDI), an agency of the State of Texas, has issued a Request for Offers (RFO) to solicit pricing from qualified vendors for network adequacy software services. The objective is to obtain software or an application capable of generating data analytics to analyze network adequacy for health plans in Texas. Key requirements include the ability to measure compliance with specific time and distance standards, provide data analytics reporting, ensure system availability and security, and provide training. The initial contract term is from contract execution to August 31, 2026, with three one-year renewal options or one three-year term. Proposals are due by October 17, 2024 at 3:00 pm Central time and will be evaluated based on cost, qualifications, compliance with specifications, past performance, and proposal format.

The RFO allows respondents to propose exceptions to certain terms and conditions, which TDI will review. TDI will leverage the State of Texas DIR contract DIR-CPO-4699 for this procurement, and pricing adjustments may be required for any legislative changes impacting the scope of work. The RFO prohibits subcontracting without prior TDI approval and outlines the process for reporting and responding to security incidents. TDI estimates evaluating 70 companies using the system, with a potential volume increase of approximately 130-140 provider list uploads every April.