StateMT
Posted
Oct 21, 2026
Dec 8, 2026
Utilization Review (UR)
Montana’s State Procurement Services Division is soliciting a vendor on behalf of the Department of Health and Human Services to provide utilization management and review services for the Montana Healthcare Program. The work includes level-of-care determinations, PASRR activities, functional assessments, prior authorizations, continued-stay reviews, eligibility determinations, and special-case reviews under applicable federal and state requirements and related policies. The selected organization must maintain QIO or QIO-like status throughout the contract period.
