JPS Health Network - Utilization Review Technology and Optimization Partner - RFP #20261404054 (2026)
Jps Health NetworkPublic Hospital · Fort Worth, TX- Due
- Oct 20, 2026
- 3 days left
- Posted
- Sep 29, 2026
- Contract term
- 3 years
- Primary contact
- David Flores
- (817) 702-3431
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THE 30-SECOND BRIEF
JPS Health Network seeks proposals for an AI-enabled Utilization Management (UM) platform that integrates with Epic and related enterprise systems to support timely, consistent, and prioritized UM review across inpatient and observation encounters. The solution will analyze available clinical, utilization, payer, authorization, and encounter data to generate actionable, explainable recommendations for admission status review, continued-stay review, payer authorization needs, and physician advisor escalation. The project aims to improve review timeliness, status accuracy, regulatory compliance, revenue integrity, and throughput at John Peter Smith Hospital in Fort Worth, Texas. The response deadline is October 20, 2026, at 2:00 p.m. CST, with questions due by October 7, 2026. The initial contract term is three years with two additional one-year renewal options.
Implementation plan and workflow design for UM admission review, Observation management, Continued stay, Payer authorization, Denial-risk review, And physician advisor escalation; Production-ready AI-prioritized worklists and dashboards integrated with Epic and relevant JPS data sources; Configurable criteria, Payer rules, Prioritization logic, Alerts, Documentation support, And audit trail functionality; Training, User adoption support, Go-live support, And role-based education for UM reviewers, Physician advisors, Leaders, And other approved users; Post-implementation reporting package and optimization plan comparing baseline metrics to current performance.
Price (20), The extent to which the goods and/or services meet the District's needs (30), Quality of Respondent's goods and/or services (30), The reputation of the Respondent and of the Respondent's goods and/or services (20), Historically Underutilized or Small Business Participation (evaluated but not weighted or scored)
SUMMARY
JPS Health Network seeks proposals for an AI-enabled Utilization Management (UM) platform that integrates with Epic and related enterprise systems to support timely, consistent, and prioritized UM review across inpatient and observation encounters.
The solution will analyze available clinical, utilization, payer, authorization, and encounter data to generate actionable, explainable recommendations for admission status review, continued-stay review, payer authorization needs, and physician advisor escalation. The project aims to improve review timeliness, status accuracy, regulatory compliance, revenue integrity, and throughput at John Peter Smith Hospital in Fort Worth, Texas. The response deadline is October 20, 2026, at 2:00 p.m. CST, with questions due by October 7, 2026. The initial contract term is three years with two additional one-year renewal options.
EVALUATION CRITERIA
Price (20), The extent to which the goods and/or services meet the District's needs (30), Quality of Respondent's goods and/or services (30), The reputation of the Respondent and of the Respondent's goods and/or services (20), Historically Underutilized or Small Business Participation (evaluated but not weighted or scored)
REQUIRED DELIVERABLES
5- Implementation plan and workflow design for UM admission review, Observation management, Continued stay, Payer authorization, Denial-risk review, And physician advisor escalation
- Production-ready AI-prioritized worklists and dashboards integrated with Epic and relevant JPS data sources
- Configurable criteria, Payer rules, Prioritization logic, Alerts, Documentation support, And audit trail functionality
- Training, User adoption support, Go-live support, And role-based education for UM reviewers, Physician advisors, Leaders, And other approved users
- Post-implementation reporting package and optimization plan comparing baseline metrics to current performance
REQUIRED ATTACHMENTS
7- Exhibit A: Pricing
- Exhibit B: Signature Form
- Exhibit C: Contract Terms
- Exhibit D: Vendor Certification Form
- Exhibit F: Good Faith Form
- Exhibit G: JPS Security Risk Assessment Forms
- Bid Addendums
- Submit to
- https://f1.jpshealth.org/form/RFPResponseForm
- Duration
- 60 months
- Scope location
- Fort Worth, TX
- Reported agency
- JPS Health Network
Questions about this RFP
How do I respond to this RFP from Jps Health Network?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is October 20, 2026. The solicitation specifies required deliverables that must be addressed in your response. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: https://f1.jpshealth.org/form/RFPResponseForm. For questions, contact David Flores.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Jps Health Network in TX, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is David Flores at (817) 702-3431. Questions and answers are typically shared with all prospective bidders.
What are the key deliverables?
The solicitation specifies the following deliverables: Implementation plan and workflow design for UM admission review, Observation management, Continued stay, Payer authorization, Denial-risk review, And physician advisor escalation; Production-ready AI-prioritized worklists and dashboards integrated with Epic and relevant JPS data sources; Configurabl. Proposals should clearly address how each deliverable will be met.
Can I search RFPs like this in ChatGPT or Claude?
Yes. Civic IQ has an MCP server that connects ChatGPT, Claude and other AI assistants to live Civic IQ data: open RFPs, pre-RFP signals from public meetings, awarded contracts and agency decision-makers across 100,000+ US public agencies. Add https://beta.mcp.civiciq.com/mcp as a connector (in ChatGPT under Settings > Apps & Connectors, in Claude under Settings > Connectors) and sign in with a free Civic IQ account at civiciq.com/mcp.
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What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Price (20), The extent to which the goods and/or services meet the District's needs (30), Quality of Respondent's goods and/or services (30), The reputation of the Respondent and of the Respondent's g..." Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Jps Health Network?
All active and historical solicitations from Jps Health Network are tracked and searchable. As a public hospital agency, Jps Health Network regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 3 years. Contract terms may include renewal options.
Is this solicitation still open for submissions?
Based on the posted deadline of October 20, 2026, this solicitation appears to still be accepting submissions. Deadlines may change through amendments or addenda, so always verify the current status directly with the issuing agency before preparing your response.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Exhibit A: Pricing, Exhibit B: Signature Form, Exhibit C: Contract Terms, Exhibit D: Vendor Certification Form, Exhibit F: Good Faith Form, Exhibit G: JPS Security Risk Assessment Forms, Bid Addendums. Review the full document from Jps Health Network for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Fort Worth, TX. Review the full solicitation for detailed scope requirements.