Title
Long Term Disability Program Clinical Consulting Services - RFP PS 24-0311 - Request for Award (Ordinance S-51830) - Citywide
Description
Request to authorize the City Manager, or his designee, to enter into a contract with Managed Medical Review Organization, Inc. to provide long term disability (LTD) program clinical consulting services. Further request the City Controller to disburse all funds related to this item. The total value of the contract will not exceed $250,000.
Report
Summary
The contract provides clinical consulting services to assist in determining medical and/or psychological eligibility for newly submitted and ongoing LTD claims. Initial and ongoing LTD eligibility is determined through regular certification from the employee's medical and/or mental health provider specialized in the diagnosis and treatment of the injury or the illness. The nature of these contracted services is to provide a clinical opinion of the submitted documentation, when needed. A credentialed clinical, vocational, and/or behavioral health independent expert may conduct an in-person examination and would review medical documents and records, reach out to treating physicians on a peer-to-peer basis, and provide clinical insight about an employee's ability to continue working, to return to work, or to perform other types of work.
This item has been reviewed and approved by the Information Technology Services Department.
Procurement Information
A Request for Proposal was processed in accordance with City of Phoenix Administrative Regulation 3.10.
One vendor submitted a proposal and it was deemed responsive and responsible. An evaluation committee of City staff evaluated the offer based on the following criteria with a maximum possible point total of 1,000:
- Qualifications, Experience and References (0 - 500 points)
- Method of Approach (0 - 300 points)
- Price (0- 200 points)
After reaching consensus, the evaluation committee recommends award to the following vendor:
- Managed Medical Review Organization, Inc. 819 points
Contract Term
The contract will begin on or about October 1, 2025, for a five-year term with no options to extend.
Financial Impact
The aggregate contract value will not exceed $250,000. Funding is available through the City's self-insurance trust.
Department
Responsible Department
This item is submitted by Assistant City Manager Lori Bays and the Human Resources Department.