RFP 2024-17 Statewide Utilization Management Program

Through this Request for Proposals (“RFP”), the New York State (“NYS” or “State”) Department of Corrections and Community Supervision (“DOCCS”) is seeking competitive proposals from qualified Bidders to provide a Statewide Utilization Management Program for inpatient and outpatient specialty care provided to DOCCS’ general confinement incarcerated individuals as further detailed in Section 4.0 - Scope of Work. It is the Department’s intent to award one (1) contract from this procurement.

The Statewide Utilization Management Program will enable DOCCS to meet the following objectives:

Provide timely access to specialty care for all incarcerated individuals.

• Ensure medical care provided is consistent with community standard of care.
• Provide for continuity and consistency of care across the state.
• Ensure services will be provided in the appropriate setting by the appropriate provider.

The New York State Department of Corrections and Community Supervision (DOCCS) is responsible for the confinement and rehabilitation of approximately 31,220 individuals under custody currently held at 42 state correctional facilities located throughout NYS (see Exhibit A – DOCCS Geographical Map). DOCCS is responsible for the delivery of medical care to incarcerated individuals confined to its correctional facilities. DOCCS is responsible for providing health care for incarcerated individuals within the correctional facilities 24 hours a day, 7 days a week. The Department employs physicians, nurses, nurse practitioners, physician assistants, dentists, pharmacists, and ancillary staff to provide on-site primary care. Secondary care and tertiary care are obtained from community-based providers.

DOCCS seeks to ensure medical care is effective, efficient, and in line with evidence-based standards of care, and to ensure patients receive medically necessary healthcare delivered in the most appropriate setting by qualified providers.

Please refer to the RFP and associated documents for more information.