Active SLED Opportunity · CALIFORNIA · INLAND EMPIRE HEALTH PLAN
AI Summary
Inland Empire Health Plan seeks a vendor for Clinical Review Services to meet regulatory turnaround times for physician-level review of prior authorizations, grievances, and potential quality incidents. The opportunity includes physician credentialing and quality assurance review services. Deadline for submissions is May 27, 2026.
The primary objective of contracting with a vendor for Clinical Review Services is to ensure that IEHP meets regulatory turnaround times for physician level review of prior authorizations, grievances, and potential quality incidents (PQIs).
| Status | Event Name | Location | Description | Dates | Mandatory |
|---|---|---|---|---|---|
| Ongoing | Open Date | Online Portal | Posting date for the Opportunity | Apr 15th 2026, 4:30 PM PDT | N/A |
| Upcoming | Questions Due Date | Online Portal | Deadline to submit Questions | May 1st 2026, 5:00 PM PDT | N/A |
| Upcoming | Close Date | Online Portal | Deadline for Submissions | May 27th 2026, 2:00 PM PDT | N/A |
Note: Template files for the items below (BidTables, Questionnaires) are available in the Attachments section of this opportunity.
| Name | Type | # Files | Requirement | Instructions | Actions |
|---|---|---|---|---|---|
| Principal Certification Binding Bidder's Response (Must complete IEHP-provided document) | File Type: PDF (.pdf) | Multiple | Required | ||
| Certification of Non-Debarment (Must complete IEHP-provided document) | File Type: PDF (.pdf) | Multiple | Required | ||
| Non-Collusion Declaration (must submit IEHP-provided document) | File Type: PDF (.pdf) | Multiple | Required | ||
| Local Preference Affidavit (Must submit IEHP-provided document) | File Type: PDF (.pdf) | Multiple | Optional | ||
| Contractor's Certificate Regarding Workers Compensation | File Type: PDF (.pdf) | Multiple | Required | ||
| Acknowledgment of Non-Negotiable Contract Terms (IEHP-Provided form) | File Type: PDF (.pdf) | Multiple | Required | ||
| Company W-9 Form Listing Company's TIN | File Type: Any (.*) | Multiple | Required | ||
| Evidence of Insurability (ACORD Certificate of Insurance) | File Type: PDF (.pdf) | Multiple | Required | ||
| Business License(s) | File Type: PDF (.pdf) | Multiple | Required | ||
| Proof of Registration: Documentation verifying corporate registration with the California Secretary of State or if not a corporation, proof of tax registration with the California Franchise Tax Board. | File Type: PDF (.pdf) | Multiple | Required | ||
| Company Hierarchy (President, Vice President, Company Officers, etc.) and an organizational chart. The organizational chart shall clearly identify all staff members that will provide services under this contract. | File Type: Any (.*) | Multiple | Required | ||
| Credentials/Certifications/Licenses | File Type: PDF (.pdf) | Multiple | Required | ||
| Account Management Narrative | File Type: PDF (.pdf) | Multiple | Required | ||
| List of three (3) contracts of similar value awarded to your company in the past three (3) years. Include the year, type of services, dollar amounts, services provided, location, contracting company, contact name, and phone number. | File Type: Any (.*) | Multiple | Required | ||
| Policy and Procedures document detailing Bidder’s background checking procedures and the name of any external company utilized to perform this service. | File Type: PDF (.pdf) | Multiple | Required | ||
| Pricing Narrative | File Type: PDF (.pdf) | Multiple | Required | ||
| Redacted Pricing Narrative | File Type: PDF (.pdf) | Multiple | Required | ||
| Financial Statements | File Type: Any (.*) | Multiple | Required | ||
| IEHP Security Risk Assessment | File Type: Any (.*) | Multiple | Required | ||
| Data Sharing Assessment | File Type: Any (.*) | Multiple | Required | ||
| Bidder’s Security Documents | File Type: Any (.*) | Multiple | Required | ||
| Annual Report for publicly traded companies, or if privately held, details of financial stability. | File Type: PDF (.pdf) | Multiple | Required | ||
| Bidder’s Standard Agreement Template, including detailed pricing and Scope of Work (for consideration). If not available, include a detailed proposal on Bidder’s letterhead including detailed pricing and Scope of Work (for consideration). | File Type: Word (.doc, .docx) | Multiple | Required | ||
| Workflow of Credentialing Process | File Type: Any (.*) | Multiple | Required | ||
| Credentialing Documentation of Physicians providing services to IEHP | File Type: Any (.*) | Multiple | Required | ||
| Bidder Attachments | File Type: Any (.*) | Multiple | Optional | ||
| References (Q-25PZ) | Questionnaire: Excel (.xlsx) | 1 | Required | You will need to fill out the provided Response Template for this Questionnaire. | Download |
| Bidder Cost Proposal (BT-37LS) | BidTable: Excel (.xlsx) | 1 | Required | You will need to fill out the provided Response Template for this BidTable. | Download |
| Company Profile and Evaluation Criteria (Q-67OZ) | Questionnaire: Excel (.xlsx) | 1 | Required | You will need to fill out the provided Response Template for this Questionnaire. | Download |
| Bidder's DUNS Number | Data Type: Number | N/A | Required | ||
| IEHP is a public agency with a Board of Directors composed of elected officials and public members. The elected officials are restricted from voting on any action concerning a contract whose owners have made a campaign contribution of $250 or more in the previous 12 months. To assist them in their decision-making process, please indicate the owners of the company, and if any contributions were made to the Elected Officials. | Data Type: Text | N/A | Required | ||
| Bidders must certify that it or any of its subcontractors do not appear on State and Federal exclusionary lists | Data Type: True/False | N/A | Required | ||
| Scope of Services - Bidder Response Questions (Q-27FT) | Questionnaire: Excel (.xlsx) | 1 | Required | You will need to fill out the provided Response Template for this Questionnaire. | Download |
SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
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