Fee Schedule Consultant RFP

The Oklahoma Office of Management and Enterprise Services (OMES), Central Purchasing Division, is soliciting responses on behalf of the Oklahoma Health Care Authority (OHCA) to establish a contract for providing specialized consulting services. The primary objective is to review the current health and dental reimbursement methodologies employed by the Employees Group Insurance Division (EGID) of OHCA. The selected consultant will analyze existing reimbursement practices, identify opportunities for alignment with industry standards, and prioritize recommendations to optimize these methodologies. Additionally, the consultant will play a key role in educating and informing provider groups, members, and other stakeholders about their findings and suggested improvements, ensuring transparency and understanding of potential changes. The contract, titled "Fee Schedule Consultant RFP," is set to be awarded through a competitive solicitation process with a response deadline of April 18, 2025. The project size is estimated to range between $500,000 and $2,000,000, reflecting its scope and importance. Interested suppliers are required to submit comprehensive bid packages, including various certification forms such as the OMES Form CP076, which verifies bidder eligibility, and the OMES Form CP004, certifying non-collusion and compliance with state bidding laws. The primary point of contact for this solicitation is Samantha Fox, reachable via email. The contract aims to enhance the efficiency and fairness of reimbursement practices within OHCA’s Employee Group Insurance Division, ultimately supporting better healthcare cost management and provider relations across Oklahoma.