Network, Claims Administration & Medical Management Serv for LSU First

Location:	Louisiana
Posted:	Mar 9, 2026
Due:	Apr 16, 2026
Agency:	State Government of Louisiana
Type of Government:	State & Local
Category:	R - Professional, Administrative and Management Support Services
Solicitation No:	50001-2721
Publication URL:	To access bid details, please log in.

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REQUEST FOR PROPOSAL

BOARD OF SUPERVISORS OF

LOUISIANA STATE UNIVERSITY

AND AGRICULTURAL & MECHANICAL COLLEGE

SOLICITATION RFQ-0000002721

SUPPLIER #

SUPPLIER NAME AND ADDRESS

BID DUE DATE AND TIME

04/16/2026 02:00 PM CT

RETURN BID TO

Louisiana State University and Agricultural and

Mechanical College

Procurement

213 Thomas Boyd Hall

Baton Rouge, LA 70803

Buyer

Jene Troxclair Ledet

Buyer Phone

Buyer Email jeneledet@lsu.edu

Issue Date 03/09/2026

TITLE: Network, Claims Administration and Medical Management Services for LSU First

This area left intentionally blank.

LSU IS AN EQUAL OPPORTUNITY/ACCESS UNIVERSITY

Rev. 2/25

Table of Contents

SECTION 1: INTRODUCTION AND BACKGROUND ................................................................................................................5

1.1 University Information ........................................................................................................................................... 5

1.2 Purpose ................................................................................................................................................................... 5

1.3 Goals and Objectives .............................................................................................................................................. 6

1.4 Key Challenges and Concerns ................................................................................................................................ 6

SECTION 2: ADMINISTRATIVE INFORMATION .....................................................................................................................8

2.1 Definitions .............................................................................................................................................................. 8

2.2 Schedule of Events ............................................................................................................................................... 13

2.3 Proposal Submittal (Mailed) ................................................................................................................................ 13

2.4 Proposal Response Format .................................................................................................................................. 15

2.4.1 Collateral Information.................................................................................................................................. 15

2.5 Confidential Information, Trade Secrets, and Proprietary Information............................................................. 15

2.6 Proposal Clarifications Prior to Proposal Due Date ............................................................................................ 16

2.6.1 Inquiry Periods.............................................................................................................................................. 16

2.6.2 Blackout Period ............................................................................................................................................ 17

2.7 Errors and Omissions in Proposal ........................................................................................................................ 17

2.8 Changes or Addenda ............................................................................................................................................ 17

2.9 Withdrawal of Proposal ....................................................................................................................................... 18

2.10 Waiver of Administrative Informalities ............................................................................................................... 18

2.11 Cost of Proposal Preparation ............................................................................................................................... 18

2.12 Ownership of Proposal......................................................................................................................................... 18

2.13 Right to Reject ...................................................................................................................................................... 18

2.14 Proposal Validity .................................................................................................................................................. 18

2.15 Acknowledgement of Supplier Responsibility..................................................................................................... 18

2.16 Written Clarification /Presentations ................................................................................................................... 19

2.16.1 Demonstration Guidelines ........................................................................................................................... 19

2.17 Best and Final Offer (BAFO) ................................................................................................................................. 19

2.18 Notice of Intent to Award .................................................................................................................................... 19

2.19 Debriefings............................................................................................................................................................ 19

2.20 Right to Protest..................................................................................................................................................... 19

2.21 Protest Bond and Security.................................................................................................................................... 20

2.22 Contract Negotiations .......................................................................................................................................... 20

2.23 Contract Award and Execution ............................................................................................................................ 20

2.24 Commencement of Work ..................................................................................................................................... 20

2.25 Non-Negotiable Contract Terms .......................................................................................................................... 21

SECTION 3: SCOPE OF WORK .............................................................................................................................................22

3.1 Minimum Requirements and Qualifications ....................................................................................................... 23

3.2 Proposed Goods/Services ................................................................................................................................... 24

SECTION 4: EVALUATION ...................................................................................................................................................30

4.1 Evaluation and Selection...................................................................................................................................... 30

4.1.1 Evaluation Team ........................................................................................................................................... 30

4.1.2 Review and Evaluation (Points based on current RFP requirements)........................................................ 31

SECTION 5: RESPONDENT QUALIFICATIONS AND EXPERIENCE .........................................................................................32

5.1 Management Proposal ......................................................................................................................................... 32

5.2 Respondent Financial Information ...................................................................................................................... 32

5.3 Subcontractor Information .................................................................................................................................. 32

5.4 Respondent Qualifications................................................................................................................................... 32

5.5 Respondent Experience........................................................................................................................................ 33

5.6 Personnel Qualifications ...................................................................................................................................... 33

SECTION 6: TECHNICAL PROPOSAL ....................................................................................................................................35

SECTION 8: VETERAN AND HUDSON INITIATIVE................................................................................................................51

SECTION 9: GENERAL INFORMATION ................................................................................................................................53

9.1 Data Security ........................................................................................................................................................ 53

9.2 Use of Subcontractors .......................................................................................................................................... 53

9.3 Prohibition of Discriminatory Boycotts of Israel ................................................................................................. 53

9.4 Campus Participation ........................................................................................................................................... 54

9.5 Insurance Requirements ...................................................................................................................................... 54

9.6 Subcontractor Insurance ...................................................................................................................................... 56

9.7 Indemnification and Limitation of Liability ......................................................................................................... 56

9.8 Compliance with Applicable Law ......................................................................................................................... 56

9.9 Term ...................................................................................................................................................................... 56

9.10 Payment ............................................................................................................................................................... 56

9.10.1 Claims............................................................................................................................................................ 57

9.10.2 Administrative Monthly Fees....................................................................................................................... 57

9.10.3 Late Payments .............................................................................................................................................. 57

9.11 Taxes ..................................................................................................................................................................... 57

9.12 Assignment ........................................................................................................................................................... 57

9.13 Audit/Retention of Records ................................................................................................................................. 58

9.13.1 Audit of Persons Submitting Cost or Pricing Data....................................................................................... 58

9.13.2 Contract Audit .............................................................................................................................................. 58

9.14 Content of Contract/Order of Precedence .......................................................................................................... 58

9.15 Contract Changes.................................................................................................................................................. 58

9.16 Governing Law ...................................................................................................................................................... 58

9.17 Termination .......................................................................................................................................................... 58

9.17.1 Termination of the Contract for Cause ........................................................................................................ 58

9.17.2 Termination of the Contract for Convenience ............................................................................................ 59

9.17.3 Termination for Non-Appropriation of Funds ............................................................................................. 59

9.18 Anti-Kickback Clause ............................................................................................................................................ 59

9.19 Substitution of Personnel .................................................................................................................................... 59

9.20 Clean Air Act ......................................................................................................................................................... 59

9.21 Energy Policy and Conservation Act .................................................................................................................... 59

9.22 Clean Water Act.................................................................................................................................................... 60

9.23 Anti-Lobbying and Debarment Act ...................................................................................................................... 60

9.24 Fund Use ............................................................................................................................................................... 60

9.25 Warranties ............................................................................................................................................................ 60

9.26 Accessibility .......................................................................................................................................................... 61

9.27 Licenses and Permits ............................................................................................................................................ 61

9.28 Severability ........................................................................................................................................................... 61

9.29 Code of Ethics ....................................................................................................................................................... 61

9.30 Security ................................................................................................................................................................. 61

9.31 Personnel and Background Checks ...................................................................................................................... 61

9.32 Parking and Transportation ................................................................................................................................. 62

ATTACHMENT A - CERTIFICATION STATEMENT................................................................................................................63

ATTACHMENT B -BUSINESS ASSOCIATE AGREEMENT .....................................................................................................64

ATTACHMENT C - VETERAN/HUDSON INITIATIVE VERIFICATION ...................................................................................70

ATTACHMENT D - SAMPLE CONTRACT ............................................................................................................................72

ATTACHMENT E – CENSUS DATA AND 1095 REPORTING ................................................................................................83

ATTACHMENT F-BARIATRIC PROGRAM............................................................................................................................84

ATTACHMENT G – COMPREHENSIVE CARE CLINIC (CCC) .................................................................................................85

ATTACHMENT H

– GEO ACCESS AND NETWORK ADEQUACY REQUIREMENTS .........................................................................................86

EXHIBIT I: SUMMARY PLAN DOCUMENT..........................................................................................................................87

EXHIBIT II: FLEXIBLE SPENDING SUMMARY PLAN DESCRIPTION.....................................................................................88

EXHIBIT III: LSU FIRST PRORATION GUIDE........................................................................................................................89

EXHIBIT IV: FINANCIAL PROPOSAL WORKSHEET-CLAIMS REPRICING .............................................................................90

EXHIBIT V: FINANCIAL PROPOSAL WORKSHEET-ADMINISTRATIVE FEE..........................................................................91

EXHIBIT VI: CERTIFI BILLING FILE FORMAT .......................................................................................................................92

This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.

Bid Number	Description	Date Issued	Bid Open Date/Time
50001-2721	Network, Claims Administration & Medical Management Serv for LSU First Original: 50001-2721	03/09/2026	04/16/2026 2:00:00 PM CT

Department	++ University - LSU - Baton Rouge
Section	LSU Procurement Services
Dept Code	50001
Contact	Office of Procurement Services
Address	213 Thomas Boyd Hall Baton Rouge, LA 70803-3001
Phone	2255782176
Fax	225-578-2292
Email	purchase@lsu.edu
URL	http://www.procurement.lsu.edu