Iowa Bids > Bid Detail

Out of State (Non-Iowa) Medicaid Collections and Provider Enrollment Services

Back Print
Agency: University of Iowa
Level of Government: State & Local
Category:
  • Q - Medical Services
  • S - Utilities and Training Services
Opps ID: NBD18081592522114964
Posted Date: Sep 29, 2023
Due Date:
Solicitation No: 18084 Addendum 1

Bid Information

Type Request for Proposal - Sealed
Status Awarded
Number 18084 Addendum 1 (Out of State (Non-Iowa) Medicaid Collections and Provider Enrollment Services)
Issue Date & Time 5/11/2023 08:42:52 AM (CT)
Close Date & Time 6/1/2023 03:00:00 PM (CT)
Duration 21 days 6 hours 17 minutes 7 seconds
Notes
The University of Iowa (hereafter, The University / University) located in Iowa City, Iowa, desires to obtain written proposals from qualified suppliers for out of state (non-Iowa) Medicaid collections and provider enrollment services.
Please be aware that this is an extensive bid. All suppliers are cautioned to allow ample time for the submittal of RFP responses well before the due date time requirement. Bids must be submitted via the eBid system.
Contact Information
Name Andy Lane
Address 202 PCO
Iowa City, IA 52242-2500 USA
Phone (319) 335-1207
Fax (319) 335-2443
Email andy-lane@uiowa.edu
Awarded Suppliers
Supplier Name Award Line Count Award Amount
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Bid Documents
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Bid Invitation Acrobat / PDF
Public Question & Answer Acrobat / PDF
Bid Attachments
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Standard Terms and Conditions Updated.pdf University of Iowa Standard Terms and Conditions 210 KB
OOS MD RFP Enrollment Data.pdf OOS MD Provider Enrollments FY22 (By State) 408 KB
OOS MD RFP Follow Up Data.pdf Medicaid Out of State Detailed Information As of 4/26/23 228 KB
Businesss Associate Agreement Template (2022-05-16) UIHC -v3.docx University of Iowa BAA (for reference) 36 KB
Bid Questions
Question What types of physician groups will be billed under the OOS contract (i.e. ED, Ortho, urgent care, etc.).
Answer



Multi specialties/provider types.
Submitted 5/22/2023 02:46:07 PM (CT)
Question Are the physicians that will be billed under the OOS contract hospital employed or independent?
Answer



UI Physicians Group under the UI College of Medicine.
Submitted 5/22/2023 02:45:11 PM (CT)
Question The volume numbers provided break out Illinois as a separate line item. Is Illinois going to be part of this contract, or withheld from this contract?
Answer



Illinois is included in this contract.
Submitted 5/21/2023 03:51:53 PM (CT)
Question Are the balances in the account volumes and average balance calculations gross or net?
Answer



The current balance at the time the snapshot was taken. Some accounts may have just been billed or denied in full while others may have already had partial payment/adjustments taken and were requiring additional follow up. We do not net-down balances prior to payor processing.
Submitted 5/21/2023 03:43:25 PM (CT)
Question Will the University provide a copy of the BAA that the awarded vendor must agree to?
Answer A copy of the BAA can be found under Attachments.
Submitted 5/18/2023 07:51:07 AM (CT)
Question The RFP mentions the need for onsite staff. Why the provision for onsite and what is the expectation of this onsite support?
Answer



There is a remote chance that we would ever need Supplier staff to come onsite, and would work with Supplier if needed.
Submitted 5/18/2023 07:49:29 AM (CT)
Question Please define the pre-billing activities mentioned in Attribute #53 that states: Supplier preferably has experience with Cirius Group Inc tools used to manage pre-billing activities for hospital and professional services.
Answer



Payor specific claim edits related to billing requirements per state/payor. We will send 837 files via Cirius from Epic but we have limited edits in place for the out of state payors and rely on our vendor to scrub claims per payor requirements and submit claims, preferably electronically for payors that are EDI capable.
Submitted 5/18/2023 07:48:02 AM (CT)

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