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This Solicitation opportunity from New York was posted on March 11, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Maternal Mortality and Utilization Review

Closed
2119880State & Local

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The New York State Department of Health has awarded a sole-source contract to Island Peer Review Organization Inc (IPRO) to provide Maternal Mortality and Utilization Review services from April 1, 2024, through June 30, 2025. This contract was established without a competitive procurement due to the unique capabilities of IPRO, which will perform medical record reviews, hospital service evaluations, and utilization reviews for Article 28 licensed hospitals and other Medicaid providers as mandated by the Department. The scope includes reviews of hospital admissions, continued stays, Diagnosis Related Group validations, and assessments of care quality. Additionally, IPRO will undertake quality improvement projects, such as validating cases reported to the statewide hospital incident tracking system, NYPORTS. The Department will not seek additional reviews or services related to utilization review under this contract, consolidating these functions under a single provider to streamline operations and reimbursements for services already rendered. The contract covers all counties in New York State and falls within a size range of five to ten million dollars. The notice emphasizes that this exemption from advertising is justified by the sole-source award to IPRO, with further inquiries directed to the designated contact person.

General Info

Place of Performance

NY, USA

Set-Aside

NONE

Documents

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Timeline

PhaseClosed
Posted

Solicitation

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Submission Closed

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Organization & Contact Information

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AgencyNew York → NYS Dept. of Health
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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The New York State Department of Health intends to contract with Island Peer Review Organization Inc (IPRO) for Maternal Mortality and Utilization Review (UR) for the term 4/1/2024 - 6/30/2025  A competitive procurement for this service was not feasible.  Through this contract, IPRO will conduct medical record reviews and evaluations of services provided by hospitals licensed under Article 28 of Public Health Law and other Medicaid providers as required by the Department. This includes UR, i.e., admission and continued stay reviews, together with Diagnosis Related Group (DRG) validations, and quality of care reviews. IPRO is required to conduct quality improvement projects as directed by the Department such as validation of cases reported to the Department’s New York Patient Occurrence Reporting & Tracking System (NYPORTS), a statewide hospital incident tracking system. The Department’s OHIP will not be re-procuring any other reviews and services currently performed under this contract related to UR.  This new single source will allow the Department to reimburse IPRO for past services rendered during this period. Reason for advertising exemption: Single Source Award recipient: Island Peer Review Organization Inc Any questions or comments regarding this notice of sole-source, single-source, or procurement otherwise exempt from advertising in the NYS Contract Reporter should be directed to the contact person listed for the contracting agency or public authority. Ad end date:03/18/2025 Contract term: 4/1/2024 - 6/30/2025 County(ies): All NYS counties

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