Utilization Review Software

The Indian Health Service (IHS) is seeking a small‑business‑set‑aside vendor to provide a site‑hosted, evidence‑based clinical utilization review software and accompanying license for Gallup Indian Medical Center. The software must support evaluation of observation services, inpatient admissions, continued stays, discharge planning, ambulatory surgical services, transitions of care to rehab, sub‑acute, skilled nursing, substance‑use disorder pathways, durable medical equipment needs, and retrospective risk‑management/quality assessments. The contract includes a base period of one year (10/01/2026‑09/30/2027) with up to four one‑year option periods, each replicating the same scope. Quotes are due by 12:00 pm MT on 09/17/2026 and must be emailed to the contracting officer. This is a small‑business set‑aside RFQ; the award will be to a vendor capable of delivering, maintaining, and supporting the software throughout the performance period. • Site‑hosted utilization‑review software with clinical criteria engine. • Licensing for up to four optional one‑year extensions. • Must meet IHS/Section 508 accessibility requirements. • Small‑business set‑aside; NAICS 511210 (Software Publishers) preferred. • Deadline: 09/17/2026 12:00 pm MT (email submission).