Opportunity
Illinois BidBuy #27-444DHS-CONTO-B-54515
IDHS Medical Review Officer Services for Pre-Employment and DOT Drug Tests
Posted
October 13, 2026
Respond By
October 23, 2026
Identifier
27-444DHS-CONTO-B-54515
NAICS
621111
Illinois Department of Human Services is seeking Medical Review Officer services for pre-employment and DOT-regulated drug-test results. - Government buyer: Illinois Department of Human Services (IDHS), Contract Obligation department / OHR. - Services requested: Remote Medical Review Officer (MRO) review of pre-employment panel 45105N results, estimated at 125 reviews annually and 625 over five years; and DOT randomized driver panel 65304N results, estimated at 24 reviews annually and 120 over five years. The request also describes a general MRO review service covering the specified pre-employment and CDL driver results. - Review and reporting requirements: Verify laboratory-confirmed non-negative, adulterated or substituted, and invalid results; complete required interviews and determinations within applicable DOT timeframes; and promptly report verified results to DHS’s Designated Employer Representative. The initial release also calls for review of at least 5% of negative results reported by staff and personal review of specimens requiring corrective action. - Provider qualifications: The reviewing physician must be a licensed MD or DO with specialized MRO training and certification from a nationally recognized board, such as the Medical Review Officer Certification Council or the American Association of Medical Review Officers. Requalification training is required every five years. The physician must be directly employed by the vendor or bid individually as the qualified MRO; subcontracting is prohibited. DOT supervisory training is not required. - Named vendor/supplier: Quest supplies the test results; the MRO must be able to receive them through Quest. No product OEMs are identified. - Delivery: Services are provided remotely by email and phone, with reporting to the Designated Employer Representative. Reviews are subject to DOT 49 CFR Part 40, Subpart G.
Description
The solicitation seeks occasional services from a qualified, licensed Medical Review Officer to review and verify drug-test results for Illinois DHS. Work includes reviewing pre-employment drug tests and DOT-regulated tests for CDL driver positions, including positive or non-negative, adulterated or substituted, and invalid results, and reporting determinations promptly. The selected MRO must meet the qualifications stated in the attached RFQ, provide services remotely, and be directly employed by the bidding vendor; subcontracting is not allowed. The bid schedule estimates 125 pre-employment reviews and 24 DOT driver reviews per year over five years.