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U.S. Department Of Health And Human Services·Arizona

Utilization Review Software

Closes 9/17/2026$200k – $500kRequest for Quotation
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Description

The Indian Health Service (IHS) is seeking a small‑business‑set‑aside vendor to provide a site‑hosted, evidence‑based clinical utilization review software and accompanying license for Gallup Indian Medical Center. The software must support evaluation of observation services, inpatient admissions, continued stays, discharge planning, ambulatory surgical services, transitions of care to rehab, sub‑acute, skilled nursing, substance‑use disorder pathways, durable medical equipment needs, and retrospective risk‑management/quality assessments. The contract includes a base period of one year (10/01/2026‑09/30/2027) with up to four one‑year option periods, each replicating the same scope. Quotes are due by 12:00 pm MT on 09/17/2026 and must be emailed to the contracting officer. This is a small‑business set‑aside RFQ; the award will be to a vendor capable of delivering, maintaining, and supporting the software throughout the performance period. • Site‑hosted utilization‑review software with clinical criteria engine. • Licensing for up to four optional one‑year extensions. • Must meet IHS/Section 508 accessibility requirements. • Small‑business set‑aside; NAICS 511210 (Software Publishers) preferred. • Deadline: 09/17/2026 12:00 pm MT (email submission).

Attached files

Contact

Felecia Chavez(Contract Specialist)

[email protected]

(505) 339-7810

Key dates

Opened
9/15/2026
Closes
9/17/2026
Duration
1 year

Last updated

Details

Type
Request for Quotation
Industry
Information Technology and Software Development
NAICS
513210
Solicitation №
75H71026Q00297_Amendment_01

Budget estimate

$200,000 – $500,000

No contract value is disclosed. Based on typical pricing for enterprise‑grade clinical utilization‑review platforms (including licensing, hosting, support, and optional annual renewals) and the small‑business set‑aside status, a reasonable estimate is between $200,000 and $500,000 for the base year, with each option year potentially adding a similar amount. Factors influencing the final amount include the number of user licenses, integration complexity with existing EHR systems, and any required custom reporting.

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