Explanation
BACKGROUND: This ordinance authorizes the Public Safety Director to enter into a contract with CareWorks USA in the amount of $78,000.00 to provide prisoner medical claims services as needed for the Division of Police. The scope of services outlined in the City’s formal request for proposal (RFP) include: the creation and maintenance of an electronic medical claims database, coordination of billing with local medical providers, medical review of claims for appropriateness of charges and the utilization of Preferred Provider Networks.
The Division of Police is obligated to enforce the criminal and traffic ordinances of the City of Columbus and laws of the State of Ohio necessitating the apprehension and incarceration of violators. The Columbus City Attorney, through a memorandum to the Division of Police, has determined that the Division of Police is liable for the medical care of those injured or sick individuals who are under arrest or lawfully detained. The Division of Police continues to experience increasing costs associated with the review and payment of medical claims. The services provided by CareWorks USA will provide greater scrutiny of medical claims submitted to the Division as well as the added benefit of cost reductions available through Preferred Provider Networks.
Bid Information: An evaluation committee comprised of representatives from the Division of Police, completed a review of the two proposals submitted to the City in response to a formal request for proposal (RFP) SA004709 held on December 11, 2012. The committee recommended awarding the contract to CareWorks USA and sent notice to the other company, Group & Pension Administrators Inc of said recommendation. The vendor was selected based upon their initial response to the defined criteria listed in the RFP, subsequent response to follow-up questions from the committee, and adherence to the Columbus City Code requirement as the best, most responsible and responsive bi...
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