Description: Procurement of an Independent Utilization Review Organization for the Independent Health Care Appeals Program.
StateAgency · NJ, US
Original attachments and procurement documents tied to this bid.
Procurement and program contacts connected to New Jersey Department of Banking and Insurance.
Adjacent opportunities open for bidding right now.
New Jersey Department of the Treasury
State AgencyNJ
Jul 17, 2026
Closes
Sep 10, 2026
Provide independent and objective managed care Utilization Reviews (UR) of Carrier internal appeal decisions as defined.
Texas Health and Human Services Commission
State AgencyTX
Nov 14, 2023
Closes
Oct 31, 2026
Conduct external medical reviews (EMRs) for: texas medicaid managed care organization (MCO) or dental maintenance organization (DMO) benefit denials or reductions that are appealed by medicaid members or their authorized representatives and subsequently are requested for review by a contracted IRO; and eligibility decisions made by HHSC for a medicaid program in which eligibility is based on a medicaid applicant or recipient's medical or functional need.
Texas Health and Human Services Commission
State AgencyTX
Feb 1, 2025
Closes
Jan 31, 2028
Provide open enrollment for independent review organization services, medicaid & chip services, medical & UR appeals.
CountyNJ
Aug 17, 2026
Closes
Sep 10, 2026
The County of Passaic posted RFP # RFP-26-036 to obtain a consultant to conduct a Management Enhancement Review Program for the County Department of Health Services. The portal identifies the opportunity as a current RFP under its purchasing and requests-for-proposals listings, rather than a grant application, and names the Administrator's Office as the requesting agency. The posting lists two PDF documents in its Document Manager, but public downloading requires login and no direct file URL is exposed on the posting.
