Closed

Services - Life And Health Independent Review Organization Consulting Services (RFP)

Description: Provide life and health independent review organization consulting services.

Buyer: Maryland Insurance Administration
StateAgency · MD, US
Released: May 12, 2026
Closes: Jul 30, 2026(Closed)

RFP documents

Solicitation files and supporting documents for this bid.

1 file available

Services - Life And Health Independent Review Organization Consulting Services (RFP)ZIP

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Texas Health and Human Services Commission
State AgencyTX
Posted
Nov 14, 2023
Closes
Oct 31, 2026
Independent Review Organization Services
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.
Vermont Department of Health Access
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Posted
Jul 9, 2026
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Medicaid Physician Review and Consulting Services (RFP)
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.
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Key Contacts on this RFP

Decision makers connected to this RFP from Maryland Insurance Administration.

Anthonia ChukuProcurement Officer

*******@************

+1 (***) ***-****

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Active alternatives to this closed RFP

These related opportunities are still open for bidding.

Texas Health and Human Services Commission

State AgencyTX

Posted

Nov 14, 2023

Closes

Oct 31, 2026

Independent Review Organization Services

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.

Vermont Department of Health Access

State AgencyVT

Posted

Jul 9, 2026

Closes

Jul 10, 2027

Medicaid Physician Review and Consulting Services (RFP)

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.

Texas Health and Human Services Commission

State AgencyTX

Posted

Feb 1, 2025

Closes

Jan 31, 2028