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This is a Request for Proposal (RFP) for clinical review services to ensure Inland Empire Health Plan (IEHP) meets regulatory turnaround times for physician-level review of prior authorizations, grievances, and potential quality incidents. The submission deadline is June 10, 2026, at 2:00 PM PDT. Questions are due by May 1, 2026, at 5:00 PM PDT. Required documents include a certification of non-debarment, contractor certificate regarding workers comp, data sharing assessment, exhibit A and B terms and conditions, IEHP master PSA template, IEHP security risk assessment template, local preference affidavit, noncollusion declaration, nonnegotiable contract terms, principal certification page, and vendor security documents checklist. Additional required information includes company W9 form, evidence of insurability, business licenses, proof of registration, company hierarchy and organizational chart, credentials/certifications/licenses, account management narrative, list of three past contracts of similar value, policy and procedures document detailing background checking, pricing narrative, redacted pricing narrative, financial statements, annual report, bidder's standard agreement template or detailed proposal, workflow of credentialing process, credentialing documentation of physicians, bidder's DUNS number, and certification that the bidder or its subcontractors do not appear on state and federal exclusionary lists. Several questionnaires and bidtables need to be completed and submitted. Addendum 1 is available.
The bid notice states that the close date for submissions is June 10, 2026, at 2:00 PM PDT.
The bid notice requires bidders to submit proof of registration with the California Secretary of State or Franchise Tax Board, company hierarchy and organizational chart, credentials/certifications/licenses, account management narrative, a list of three contracts of similar value awarded in the past three years, a policy and procedures document detailing background checking procedures, pricing narrative, redacted pricing narrative, financial statements, annual report, bidder's standard agreement template or detailed proposal, workflow of credentialing process, credentialing documentation of physicians, bidder's DUNS number, and certification that the bidder or its subcontractors do not appear on state and federal exclusionary lists.
The bid notice states that the questions due date is May 1st, 2026, at 5:00 PM PDT.
Bidders must certify that it or any of its subcontractors do not appear on state and federal exclusionary lists.