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REQUEST FOR PROPOSAL
(“RFP”)
(RFP-2026-010)
for
Laboratory Testing Services
Release Date: 01/13/2026
Proposals Due: 03/12/2026 at 12:00 P.M. Central Standard Time
Revised: 03/03/2026
* Proposals not received by deadline will be rejected and returned unopened.
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002 - TABLE OF CONTENTS
002 - TABLE OF CONTENTS................................................................................................................................................. 2
003 - BACKGROUND ............................................................................................................................................................. 3
004 - SCOPE OF SERVICES ................................................................................................................................................. 4
005 - ASSURANCES ............................................................................................................................................................ 10
006 - TERM OF CONTRACT................................................................................................................................................ 11
007 - PRE-SUBMITTAL CONFERENCE .............................................................................................................................. 11
008 - PROPOSAL REQUIREMENTS ................................................................................................................................... 11
009 - SUBMISSION OF PROPOSAL ................................................................................................................................... 12
010 - RESTRICTIONS ON COMMUNICATION ................................................................................................................... 13
011 - EVALUATION OF CRITERIA ...................................................................................................................................... 13
012 - AWARD OF CONTRACT AND RESERVATION OF RIGHTS .................................................................................... 14
013 - SCHEDULE OF EVENTS ............................................................................................................................................ 15
014 - INSURANCE REQUIREMENTS.................................................................................................................................. 15
015 - RFP ATTACHMENTS .................................................................................................................................................. 18
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003 - BACKGROUND
The Bexar County Board of Trustees for Mental Health Mental Retardation Services d/b/a The Center for Health Care
Services (“CENTER”) is a multi-facility community mental health and intellectual disability center created under the
authority of Section 534.001 of the Texas Health and Safety Code by its sponsoring agencies, Bexar County and the
Bexar County Hospital District d/b/a University Health. The CENTER has been providing services to Bexar County
residents experiencing mental health, intellectual developmental disabilities and/or substance use issues for over fifty-five
years and is the Texas Health and Human Services Commission-designated Local Mental Health Authority for Bexar
County, Texas. The CENTER is considered a governmental entity, a political subdivision of the state of Texas, but is not a
Texas state agency. The CENTER’S administrative offices are located at 6800 Park Ten Blvd. Suite 200-S, San Antonio,
Texas 78213.
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004 - SCOPE OF SERVICES
The Center for Health Care Services (“CHCS”, “CENTER”) is seeking proposals from qualified and experienced laboratory
testing companies (“RESPONDENT”) to provide comprehensive testing that meets the needs of the CENTER, as further
defined in this Request for Proposals (“RFP”).
A. General Requirements and Responsibilities
RESPONDENT shall:
1. Provide Laboratory Testing Services for CENTER in accordance with prescriber orders by persons authorized
under state or federal law to order laboratory tests.
2. Perform “STAT” and “URGENT” lab testing services when ordered by a prescriber as follows:
a. STAT – performed immediately due to a consumer’s critical condition, with results typically available and
reported within one (1) hour or less.
b. URGENT – performed when prompt diagnosis or treatment is needed to prevent worsening of
consumer’s condition and reported within two (2) to four (4) hours.
3. Provide comprehensive in-service training for appropriate personnel on an as-needed basis, to be arranged by
CENTER.
4. Supply all collection materials and any other related supplies per draw site, as necessary, for the collection of the
test, to include centrifuges and lockboxes, at no charge.
5. Provide phlebotomist (technical services) at agreed upon times to collect, and process samples at no additional
cost for up to three (3) CENTER locations:
a. Paul Elizondo Clinic: 928 W. Commerce Street, San Antonio, TX 78207 – Current technical services
provided
b. Two (2) additional undetermined locations are designated for potential expansion of services.
6. Provide courier services to pick up specimens from CENTER to be tested by RESPONDENT.
7. Set up and provide electronic submission of laboratory results per draw site when test is completed at no
additional cost.
8. Supply testing supplies necessary for obtaining, collecting, and transporting specimens in full within twenty-four
(24) hours of request.
9. Provide one (1) Master Price List for lab testing that applies universally to all CENTER Programs/Clinic locations.
10. Submit an itemized monthly statement of services, under a “Parent” or “Master” account, that includes the
following information for each individual unit:
a. CENTER location and unit number;
b. Date of services;
c. Consumer name or identification number;
d. Ordering physician;
e. Test performed;
f. Test code; and
g. Net cost.
11. Maintain separate records for each of the CENTER’S locations served by unit number, so as to provide a monthly
analysis of tests performed by test code and name, as well as cumulative summary reflecting usage at all
CENTER locations.
12. Provide direct billing for services to all payers of claims, other than the CENTER, for all consumers served by the
CENTER when the required billing information is supplied on the requisition form. Payment received from third
party payers will be considered payment in full for the services rendered.
13. Provide next-day reporting for all tests listed. (No later than 24 hours turn-around).
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14. Report Critical/Urgent lab values within one (1) hour per agreed upon mechanism to requesting location.
15. Have a defined financial hardship system available to consumers who qualify.
16. Comply with all requirements of the Health Insurance Portability and Accountability Act (HIPAA) and Health
Information Technology for Economic and Clinical Health (HITECH) Act, as applicable.
B. Technical Specifications
1. Have Health Level Seven (HL7) standards or similar systems/mechanisms to interface with CENTER’S Software
System (Netsmart - OrderConnect).
2. Demonstrate ability to interface with CENTER’S Electronic Health Record (EHR) which is currently utilizing the
MyAvatar product.
3. Demonstrate ability to work with and through an EHR intermediary between CENTER and RESPONDENT for
data transfer related to prescriber orders, lab test resulting and posting processes, data reports, and billing as
necessary. Current vendor intermediary is Change Health.
C. Laboratory Standards
RESPONDENT shall:
1. Be licensed by all state and federal agencies having jurisdiction in such matters and shall submit documentation
of such licenses with the RFP, and provide proof of renewal upon expiration dates of licenses including, but not
limited to:
a. Medicare License
b. Medicaid License
c. College of American Pathologists accredited
d. CLIA certification
e. Texas Health and Human Services, Health Facility Compliance Unit
2. Provide to the CENTER with such information upon request to demonstrate to the CENTER’S satisfaction that
each of the following items is complied with:
a. Participation in external proficiency testing programs;
b. Automatic telephoning of Critical/Urgent values for any test;
c. Automatic repeat of grossly abnormal results for confirmation;
d. Internal blind re-submission of previously tested samples;
e. Periodic review of cumulative consumer means;
f. Corporate review of external proficiency testing results;
g. Weekly compliance inspections;
h. Monthly corporate-wide internal proficiency program;
i. Monthly corporate review of performance statistics for each method;
j. Quarterly on-site internal inspection program;
k. Pathologist review of abnormal cytology;
l. Quarterly proficiency testing of cytotechnologist; and
m. Quarterly on-site cytology inspection.
D. Lab Categories and Tests
RESPONDENT’S laboratory services will include the following core categories of testing services offered. In addition, the
following lab tests are examples from each of the categories listed and are not intended to be representative of all
potential tests within each category. A RESPONDENT may provide a comprehensive listing of tests provided per category
for consideration in their scope of services.
1. Chemistry
a. Basic Metabolic Profile
b. Comprehensive Metabolic Profile
c. Electrolyte Profile
d. Lipid Profile
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This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.