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12 8500 Medical Case Management SWIF

Active
6100066211State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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The Commonwealth of Pennsylvania, Department of Labor and Industry, on behalf of the State Workers' Insurance Fund, is soliciting bids for professional, on-demand Field Based Medical Case Management Services. These services, provided by qualified Registered Nurses, involve coordinating medical care for injured workers, assessing rehabilitation needs, and facilitating return-to-work efforts in accordance with the Pennsylvania Workers' Compensation Act and HIPAA regulations. The contract is structured as an Invitation for Bids, with awards granted to all responsive and responsible suppliers. The initial term is not to exceed three years, with the Commonwealth holding the option for two successive one-year renewals. Qualified contractors must possess URAC accreditation in Medical Case Management and the bidding legal entity must demonstrate at least five years of experience in Field Based Medical Management Services. Bidders must be able to service selected territories in their entirety, with estimated annual requirements of 4,000 hours for Territory B and 8,000 hours for Territory C. To be considered responsive, bidders must provide Workers' Compensation Medicare Set-Aside services and submit pricing exclusively via the Attachment A Price Rate Sheet. Performance is subject to strict compliance with Pennsylvania state labor laws, the Prevailing Wage Act, and the Davis-Bacon Act.

General Info

Pennsylvania seeks bids for professional, on-demand field-based medical case management services.

Documents

11

IFB-6100066211 Addendum 1 - Medical Case Management SWIF

PDF, High priority: read this firstamendment
High

IFB-6100066211 Addendum #2 - Medical Case Management SWIF

PDF, High priority: read this firstamendment
High

IFB 6100066211 Attachment A Cost Submittal Price Sheet

PDF, High priority: read this firstrfb
High

IFB 6100066211 Attachment A Cost Submittal Rate Sheet

PDF, High priority: read this first2 pages · ifb
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IFB 6100066211 - Medical Case Management Services SOW

PDF, High priority: read this first5 pages · sow
High

BOP-2201 Worker Protection and Investment Certification Form

PDF, Low priority1 page · certification-form
Low

Commonwealth of Pennsylvania Business Associate Addendum (HIPAA)

PDF, Low priority6 pages · addendum
Low

IFB 6100066211 Terms and Conditions

PDF, Low priority22 pages · contract-document
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Iran Free Procurement Certification Form - Pennsylvania

PDF, Low priority1 page · certification-form
Low

Locating and Responding to a Solicitation Guide Version 5

PDF, Low priority7 pages · other
Low

Addendum 3 for IFB- 6100066211 - 12 8500 Medical Case Management SWIF.pdf

PDF

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Timeline

2 updates
PhaseSolicitation
Posted

Solicitation

Notice updated

Response deadline changed from Sep 22, 2026 to Oct 30, 2026. The notice description changed.

Notice updated

Response deadline changed from Oct 30, 2026 to Nov 30, 2026. The notice description changed.

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyPennsylvania → Department of Labor and Industry
Contacts1 person available
OfficeN/A
Office AddressN/A
Contacts
Christine NewtonPoint of Contact

Full Description

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The Commonwealth of Pennsylvania, Department of Labor and Industry, on behalf of the State Workers' Insurance Fund (SWIF), issues this Invitation for Bids (IFB) to procure professional, on-demand Field Based Medical Case Management Services.Field Based Medical Case Management Services refer to the coordination and management of medical care for injured workers receiving workers' compensation benefits. Services are provided by qualified Registered Nurses (RNs) who assess medical and rehabilitation needs, coordinate treatment, communicate with medical providers and SWIF claim staff, facilitate return-to-work efforts when appropriate, and provide ongoing case management in accordance with the Pennsylvania Workers' Compensation Act, applicable regulations, and Pennsylvania case law.This IFB seeks qualified independent contractors to provide safe, reliable, and professional Field Based Medical Case Management Services throughout the Commonwealth of Pennsylvania. Contractors shall provide labor, materials, services, skills, supervision, and necessary equipment to perform Field Based Medical Case Management Services for workers' compensation claims. Contractors must meet all agency requirements and comply with all local, state, and federal laws and regulations, including the Pennsylvania Workers' Compensation Act, Title 34 Pa. Code Sections 123.201–123.302, confidentiality requirements, and the protection of individually identifiable health information in accordance with HIPAA and applicable privacy regulations.The Commonwealth will award contracts to all responsive and responsible suppliers.The Commonwealth will issue contracts for an initial term not to exceed three (3) years, with two (2) successive one-year renewal options at its sole discretion.A contract award does not guarantee work, and no services may be performed without a Notice to Proceed issued by SWIF.BID SUBMISSION AND PRICINGOnly the cost information submitted on Attachment A – Price Rate Sheet will be considered for purposes of award. Prices, rates, or other cost information submitted anywhere other than Attachment A – Price Rate Sheet will not be considered for award.Bidders shall complete and submit the entire Attachment A – Price Rate Sheet as part of their bid response. Failure to submit a complete Attachment A – Price Rate Sheet may result in the bid being deemed non-responsive.The submission of a separate proposal is not required and will not be considered for purposes of award. Bidders should not submit a separate technical or cost proposal in lieu of the required bid documents. Any pricing contained in a proposal, narrative, cover letter, correspondence, or any other document other than Attachment A – Price Rate Sheet will not be considered for award.Bidders are requested to complete and sign the signature acknowledgment included in the Statement of Work (SOW) as part of their response to the solicitation. The signature acknowledgment confirms the bidder's acknowledgment and acceptance of the SOW requirements.If a bid response is submitted without the signature acknowledgment on the SOW, but contains all other required bid documents, including a complete Attachment A – Price Rate Sheet, the response may nevertheless be considered for award, provided the bidder otherwise meets all requirements for responsiveness and responsibility and the Commonwealth determines that the omission does not affect the responsiveness of the bid.The Commonwealth will evaluate and consider only the pricing submitted on the completed Attachment A – Price Rate Sheet. No other pricing submitted by a bidder will be considered or used in determining the award.Estimated Quantities: It shall be understood and agreed that any quantities listed in the Contract are estimated only and may be increased or decreased in accordance with the actual requirements of the Commonwealth and that the Commonwealth in accepting any bid or portion thereof, contracts only and agrees to purchase only the materials and services in such quantities as represent the actual requirements of the Commonwealth. The Commonwealth reserves the right to purchase materials and services covered under the Contract through a separate competitive procurement procedure, whenever Commonwealth deems it to be in its best interest.This IFB consists of the following documents. Items marked with an asterisk (*) must be completed as required, signed, and submitted with the bid response.Documents01 Statement of Work (SOW)02 Terms and Conditions03 Locating and Responding to a Solicitation04 Business Associate Addendum HIPAABid Forms05 Attachment A - Price Rate Sheet*06 Worker Protection and Investment Certification Form*07 Iran Free Procurement Certification Form*Instructions on how to respond to this solicitation are included in the Notes and Attachments section of this IFB under "Locating and Responding to a Solicitation." Bidders are responsible for reviewing all documents associated with this IFB in their entirety to ensure full understanding of the requirements. Failure to thoroughly review all IFB materials does not relieve the bidder of the responsibility to comply with all terms, conditions, and submission requirements.Any questions regarding this IFB must be submitted individually and in writing via email by 4:00 PM ET on Friday, November 20, 2026, to the L & I Central Procurement resource account at contact@example.gov, with "IFB 6100066211 – 12 8500 Medical Case Management SWIF" in the subject line. All questions and responses will be considered an addendum to and part of this IFB. The Issuing Office is not bound by verbal information or by written information not contained within the IFB or formally issued by the Issuing Office. Submission of questions is not considered a protest of the solicitation.Only questions submitted via the L & I Central Resource Account will receive a response. Questions submitted directly to the issuing officer, or by any method other than the L&I Central Resource Account, including email or telephone, will NOT receive a response.Qualified suppliers interested in the DGS Small Business Program should use the following link to verify their status as a DGS Small Business: https://www.dgs.pa.gov/bdisbo/Pages/Verification.aspxSuppliers who become DGS Certified Small Businesses shall upload their Small Business Certificate with their bid.9-17-2026 Attached Addendum 1 for Q&A. - CNN9-22-2026 Attached Addendum 2 to extend the question submission and bid due dates. - CNN10-26-2026 Attached Addendum 3 to extend the question submission and bid due dates. - CNN

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