USA(Texas)
MEDI-0066

RFP Description

The vendor is required to provide medical cost containment services for the crime victims’ compensation (CVC) program.
- CVC administers victim claims by utilizing a web-based claim and billing management system – IBM case management system that is referred to as the crime victim’s management system (CVMS).
- Service providers for victims and claimants submit billing documents to CVC, which are imaged and stored in CVMS.
 - Computer and systems support for CVC is currently provided by the information technology support division of the attorney.
- The automated system provides data interchange by SSH (secure shell) file transfer protocol (or secure file transfer protocol) (sftp) between the current medical cost containment vendor and the attorney system(s).
 - There are multiple separate electronic data interchanges (EDIS) utilizing secure sftp between attorney and CVC and the current cost containment vendor as follows:
• Billing data: attorney and CVC receives from the cost containment vendor, on a daily basis, completed billing data on cost-contained bills.
• Explanation of benefits - attorney and CVC receives from the cost containment vendor, on a daily basis, an electronic copy of all the explanation of benefits (“EOB”) for each day’s transmissions.
 - CVC will accept bills from medical providers up to three years after the date services were rendered, unless good cause exists to accept the bills after that time.
- The date of service determines which medical fee guidelines schedule is used to cost contain the bill.
- The CVC program will attempt to avoid sending bills to the contractor if it can identify those collateral resources have not been utilized by the victim.
- CVC participated in a prescription drug program issued through the cost containment vendor to streamline the prescription coverage process.
- Contract Period/Term: 2 years
- Questions/Inquires Deadline: April 30, 2025

Timeline

RFP Posted Date: Thursday, 24 Apr, 2025
Proposal Meeting/
Conference Date:
NA
NA
Deadline for
Questions/inquiries:
Wednesday, 30 Apr, 2025
Proposal Due Date: Friday, 23 May, 2025
Authority: Government
Acceptable: Only for USA Organization
Work of Performance: Offsite
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