12 8500 Medical Case Management SWIF

The Commonwealth of Pennsylvania, Department of Labor and Industry, on behalf of the State Workers' Insurance Fund (SWIF), issues this Invitation for Bids (IFB) to procure professional, on-demand Field Based Medical Case Management Services. Field Based Medical Case Management Services refer to the coordination and management of medical care for injured workers receiving workers' compensation benefits. Services are provided by qualified Registered Nurses (RNs) who assess medical and rehabilitation needs, coordinate treatment, communicate with medical providers and SWIF claim staff, facilitate return-to-work efforts when appropriate, and provide ongoing case management in accordance with the Pennsylvania Workers' Compensation Act, applicable regulations, and Pennsylvania case law. This IFB seeks qualified independent contractors to provide safe, reliable, and professional Field Based Medical Case Management Services throughout the Commonwealth of Pennsylvania. Contractors shall provide labor, materials, services, skills, supervision, and necessary equipment to perform Field Based Medical Case Management Services for workers' compensation claims. Contractors must meet all agency requirements and comply with all local, state, and federal laws and regulations, including the Pennsylvania Workers' Compensation Act, Title 34 Pa. Code Sections 123.201–123.302, confidentiality requirements, and the protection of individually identifiable health information in accordance with HIPAA and applicable privacy regulations. The Commonwealth will award contracts to all responsive and responsible suppliers. The Commonwealth will issue contracts for an initial term not to exceed three (3) years, with two (2) successive one-year renewal options at its sole discretion. A contract award does not guarantee work, and no services may be performed without a Notice to Proceed issued by SWIF. BID SUBMISSION AND PRICING Only the cost information submitted on Attachment A – Price Rate Sheet will be considered for purposes of award. Prices, rates, or other cost information submitted anywhere other than Attachment A – Price Rate Sheet will not be considered for award. Bidders shall complete and submit the entire Attachment A – Price Rate Sheet as part of their bid response. Failure to submit a complete Attachment A – Price Rate Sheet may result in the bid being deemed non-responsive. The submission of a separate proposal is not required and will not be considered for purposes of award. Bidders should not submit a separate technical or cost proposal in lieu of the required bid documents. Any pricing contained in a proposal, narrative, cover letter, correspondence, or any other document other than Attachment A – Price Rate Sheet will not be considered for award. Bidders are requested to complete and sign the signature acknowledgment included in the Statement of Work (SOW) as part of their response to the solicitation. The signature acknowledgment confirms the bidder's acknowledgment and acceptance of the SOW requirements. If a bid response is submitted without the signature acknowledgment on the SOW, but contains all other required bid documents, including a complete Attachment A – Price Rate Sheet, the response may nevertheless be considered for award, provided the bidder otherwise meets all requirements for responsiveness and responsibility and the Commonwealth determines that the omission does not affect the responsiveness of the bid. The Commonwealth will evaluate and consider only the pricing submitted on the completed Attachment A – Price Rate Sheet. No other pricing submitted by a bidder will be considered or used in determining the award. Estimated Quantities: It shall be understood and agreed that any quantities listed in the Contract are estimated only and may be increased or decreased in accordance with the actual requirements of the Commonwealth and that the Commonwealth in accepting any bid or portion thereof, contracts only and agrees to purchase only the materials and services in such quantities as represent the actual requirements of the Commonwealth. The Commonwealth reserves the right to purchase materials and services covered under the Contract through a separate competitive procurement procedure, whenever Commonwealth deems it to be in its best interest. This IFB consists of the following documents. Items marked with an asterisk (*) must be completed as required, signed, and submitted with the bid response. Documents 01 Statement of Work (SOW) 02 Terms and Conditions 03 Locating and Responding to a Solicitation 04 Business Associate Addendum HIPAA Bid Forms 05 Attachment A - Price Rate Sheet* 06 Worker Protection and Investment Certification Form* 07 Iran Free Procurement Certification Form* Instructions on how to respond to this solicitation are included in the Notes and Attachments section of this IFB under "Locating and Responding to a Solicitation." Bidders are responsible for reviewing all documents associated with this IFB in their entirety to ensure full understanding of the requirements. Failure to thoroughly review all IFB materials does not relieve the bidder of the responsibility to comply with all terms, conditions, and submission requirements. Any questions regarding this IFB must be submitted individually and in writing via email by 4:00 PM ET on Monday, September 14, 2026, to the L & I Central Procurement resource account at RA-li-OIT-BAS-Procur@pa.gov, with "IFB 6100066211 – 12 8500 Medical Case Management SWIF" in the subject line. All questions and responses will be considered an addendum to and part of this IFB. The Issuing Office is not bound by verbal information or by written information not contained within the IFB or formally issued by the Issuing Office. Submission of questions is not considered a protest of the solicitation. Only questions submitted via the L & I Central Resource Account will receive a response. Questions submitted directly to the issuing officer, or by any method other than the L&I Central Resource Account, including email or telephone, will NOT receive a response. Qualified suppliers interested in the DGS Small Business Program should use the following link to verify their status as a DGS Small Business: https://www.dgs.pa.gov/bdisbo/Pages/Verification.aspx Suppliers who become DGS Certified Small Businesses shall upload their Small Business Certificate with their bid.

• MEDICAL CASE MANAGEMENT SWIF STATEMENT OF WORK IFB 6100066211.pdf

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• Terms and Conditions IFB 6100066211.pdf

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• Locating and Responding to a Solicitation.pdf

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• DLI Business Associate Addendum HIPAA 11.24.2014.pdf

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• Attachment A – Price Rate Sheet IFB 6100066211.pdf

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• Worker Protection and Investment Certification Form (BOP 2201).pdf

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• IranFreeProcurementCertificationForm.pdf

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• Christine Newton
  chrnewton@pa.gov717-346-7667