Title: Consultative services of: A Pharmacist. (PSAB)
Description of the Requirement:
The intent of this Request for Proposal (RFP) is to award one (1) contract for Consultative services of a Pharmacist for the new appeals process in relation to the Jordan’s Principle. The services will be on an as and when required basis. The initial contract period is three (3) years from contract award, with up to two (2) additional one (1) year option periods.
Multiple Supplier Contract - Canada reserves the right to issue more than one contract as a result of this RFP. Indigenous Services Canada (ISC) is looking to retain the services of twelve professionals from health, social and educational fields to form the new appeal committee. In the event that the other RFP’s are not successful to retain the expertise sought, ISC may award up to three (3) contracts from this current RFP.
This RFP is open to Aboriginal Business only. - This procurement is set aside under the federal government Procurement Strategy for Aboriginal Business (PSAB). For more information on Aboriginal business requirements of the Set-aside Program for Aboriginal Business, see Annex 9.4, Supply Manual.
Objective:
Indigenous Services Canada (ISC) requires the services of a Pharmacist to be part of the new appeal committee. The committee will be composed of twelve Consultants from various health, social and educational fields. The Consultant will be ask to review appeal requests for Jordan’s Principle cases and issue recommendations. The services will be required on an as and when needed basis.
Scope:
The Consultant will review Jordan’s Principle requests that have been rejected by the Assistant Deputy Minister (ADM) and that are now being appealed to see whether the decision could be overturned after receiving new information and/or having a second and more independent level of review. An appeal could also be initiated once a claim for reimbursement or advance funding for actuals has been denied or partially denied by ISC.
Once the decision has been appealed, the Consultant will collaborate with the other Consultants on the appeal panel to review the appeal and, if possible, come to an agreement on the proper course of action to be taken in terms of providing funding for care or any other requested services. Where agreement is not possible among the Consultants reviewing the appeal, the majority view will prevail.
The Consultant’ specialized knowledge will be utilized to analyze appeals in order to decide on the proper course of action. These decisions will be made by review sub committees (“appeal panels”).
