RFP-186-260000002170-2 | Workers Compensation Medical Bill Review Services

The State of Michigan, through the Department of Labor and Economic Opportunity, is soliciting proposals for Workers Compensation Medical Bill Review Services under RFP-186-260000002170-2. The contract is scheduled to begin on October 1, 2026, with an initial term ending September 30, 2029, and options for two one-year renewals. The scope of work includes medical bill review, utilization review, PPO services, and out-of-network negotiations for various funds, including the Christopher R. Slezak First Responder Presumed Coverage Fund, the Self Insurers Security Fund, and the Vocationally Handicap Provision. Performance is based in Michigan and requires strict adherence to HIPAA regulations, Michigan Health Care Services rules, and a service level agreement requiring reviews to be completed within seven business days. Award selection is based on a best-value trade-off methodology rather than the lowest price, with technical proposals requiring a minimum score of 80 points to be eligible. Evaluation is weighted across the Statement of Work and a Vendor Questions Worksheet. The successful contractor must maintain comprehensive insurance coverage, including Professional, Privacy and Security, and General Liability, and must comply with various federal provisions and anti-lobbying certifications. Key personnel must be approved by the State, and all work products are considered works made for hire. Proposals must be submitted electronically via the SIGMA VSS portal by July 17, 2026.