Opportunity Overview
The Indian Health Service, Navajo Area Indian Health Service, has an open Utilization Review Software, Solicitation 75H71026Q00297 for Gallup Indian Medical Center in Gallup, New Mexico. The acquisition seeks site-hosted evidence-based clinical criteria and utilization-review reporting software supporting medical-necessity and quality-of-care determinations.
Deadline and Submission
Quotes are due September 17, 2026 at 12:00 PM Mountain Daylight Time (MDT). Amendment 01 changes the solicitation to a Total Small Business Set-Aside under FAR 19.5. Quote submissions are directed to Contract Specialist Felecia Chavez by email, with solicitation number 75H71026Q00297 in the subject line.
Scope
The requirement includes evidence-based criteria for inpatient adult, obstetrical, newborn, continued inpatient stays, discharge planning, ambulatory surgery and imaging; clinical notations supporting diagnosis and treatment; and utilization-review reports including variance days, medical necessity and observation findings. The criteria must align with applicable hospital utilization-review requirements and CMS/HSAG expectations.
Contract Structure and Value
The available solicitation information describes a base period from October 1, 2026 through September 30, 2027, plus four one-year option periods through September 30, 2031. A fixed maximum contract value is not stated in the publicly available notice and indexed solicitation excerpts. Award evaluation considers technical capability and price, including option-year pricing.
Eligibility
Amendment 01 identifies this procurement as a Total Small Business Set-Aside. Offerors must qualify as small businesses under the solicitation and be capable of furnishing the required utilization-review software and clinical criteria.
Opportunity Notes
This procurement is for utilization-management decision-support software and evidence-based clinical criteria supporting hospital medical-necessity and quality-of-care reviews.
Amendment 01 changes the acquisition to a Total Small Business Set-Aside. Vendors must still meet all technical, security, accessibility, licensing, training, and support requirements in the amended solicitation.
Verification Notes
The current Amendment 01 notice is active. The amendment extends the quote deadline to September 17, 2026 at 12:00 PM MDT and identifies the acquisition as a Total Small Business Set-Aside. Offerors should use the amended solicitation and SAM.gov notice as the controlling sources for submission requirements.