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.
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.
Provide medical oversight, prior authorization case review and medical necessity determinations in a medicaid managed care environment. The state has policies and procedures within its clinical operations unit for surveillance and utilization review activities. These activities are federally mandated for all state medicaid managed care organizations, as outlined in title 42, part 400, of the code of federal regulations. The contractor(s) will provide consultative services on these activities, on an as needed basis, not to exceed ten (10) hours per week, according to a mutually agreeable schedule as established by the contractor, the state clinical operations unit director and the state s chief medical officer.
The Denton County Transportation Authority has issued an RFP titled "Sales & Use Tax Compliance Review, Recovery, and Consulting Services" to procure consulting services to review sales and use tax compliance, pursue recoveries, and provide related consulting. The solicitation is an RFP posted on 2026-06-25 with proposals due 2026-07-27 and is open for bidding; the posting lists an estimated award range of approximately $50,000–$2,500,000. Required response attachments listed by the buyer include references, key personnel, CIQ, Non-Collusion Affidavit, vendor questionnaire/W-9, and several mandatory compliance forms, and solicitation documents are available via the buyer’s vendor portal.
Provide medical oversight, prior authorization case review and medical necessity determinations in a medicaid managed care environment. The state has policies and procedures within its clinical operations unit for surveillance and utilization review activities. These activities are federally mandated for all state medicaid managed care organizations, as outlined in title 42, part 400, of the code of federal regulations. The contractor(s) will provide consultative services on these activities, on an as needed basis, not to exceed ten (10) hours per week, according to a mutually agreeable schedule as established by the contractor, the state clinical operations unit director and the state s chief medical officer.
The Denton County Transportation Authority has issued an RFP titled "Sales & Use Tax Compliance Review, Recovery, and Consulting Services" to procure consulting services to review sales and use tax compliance, pursue recoveries, and provide related consulting. The solicitation is an RFP posted on 2026-06-25 with proposals due 2026-07-27 and is open for bidding; the posting lists an estimated award range of approximately $50,000–$2,500,000. Required response attachments listed by the buyer include references, key personnel, CIQ, Non-Collusion Affidavit, vendor questionnaire/W-9, and several mandatory compliance forms, and solicitation documents are available via the buyer’s vendor portal.
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