Audit of vision care service providers under the Non-Insured Health Benefits (NIHB) Program.

Notice of Proposed Procurement (NPP)

Solicitation #: 1000183142 Closing Date: 23-January-2017 Time: 14:00 (EST)

This requirement is for the department of Health Canada.

Title:

Audit of vision care service providers under the Non-Insured Health Benefits (NIHB) Program.

Background:

The NIHB Program is a national program that provides coverage to registered First Nations and recognized Inuit for a limited range of medically necessary items and services that are not covered by other plans and programs, including Eye and Vision Care.

NIHB’s Businss Support, Audit and Negotiation Division (BSAND) is responsible for the risk management of HICPS benefits (dental, pharmacy and medical supplies and equipment) and also non-HICPS benefits (vision care, mental health and medical transportation). The audit function of non-HICPS benefits is managed by BSAND.

Scope:

To carry out specified audit procedures indicated in the Vision Care Audit Framework, report the results of those audit procedures for selected vision care service providers and ensure vision care providers compliance with the NIHB’s program requirements, guidelines and policies.

The audit procedures must determine whether billings are in accordance with NIHB provider requirements described in NIHB process documentation (NIHB Vision Care Audit Framework, NIHB Vision Care Policy Framework and NIHB Vision Care Provider Agreement).

Ownership of Intellectual Property:

Canada to Own Intellectual Property Rights

Security Requirement:

The Bidder must meet the security requirements identified in the Resulting Contract Clauses and Security Requirements Checklist (if applicable) which are included in Appendix 1, Annex C, of this RFP. This security requirement must be met at the Closing Date of this RFP.

Selection Methodology:

Lowest Evaluated Price per Point

Enquiries regarding this Request for Proposals must to be submitted in writing to both:

Guillaume Gagnon (guillaumec.gagnon@canada.ca)

AND

Shari Rochon (shari.rochon@hc-sc.gc.ca)