Independent Review Organization for Medical Necessity review (IRO)

Location: Maryland
Posted: Jul 20, 2025
Due: Sep 5, 2025
Agency: State Government of Maryland
Type of Government: State & Local
Category:
  • Q - Medical Services
  • R - Professional, Administrative and Management Support Services
Solicitation No: BPM052008
Publication URL: To access bid details, please log in.
ID: BPM052008
Title: Independent Review Organization for Medical Necessity review (IRO)
Status: Open
Due / Close Date: 9/5/2025
Publish Date: 7/18/2025 8:54:38 PM
Main Category: Life and health and accident insurance
Solicitation Type: RFP: Double Envelope Proposal
Issuing Agency: Department of Health & Mental Hygiene

Solicitation Summary
Title
Independent Review Organization for Medical Necessity review (IRO)
ID
BPM052008
Alternate ID
Lot #
1
Round #
1
Status
Open
Due / Close Date (EST)
Sep 5 2025 2:00PM
Due / Close Date (EST)
Sep 5 2025 2:00PM
Solicitation Type
RFP: Double Envelope Proposal
Main Category
Life and health and accident insurance
Issuing Agency
Department of Health & Mental Hygiene
Procurement Officer / Buyer
Chevelle MCGINNIS
See All
Email
Chevelle.McGinnis@maryland.gov
Solicitation Summary

MDH is issuing this RFP to perform medical Necessity review for Maryland Medicaid Managed Care Organization )(MCO) claim denials

Additional Instructions
Project Cost Class
Pre-Bid Conference Information
Pre-Bid Conference Date (EST)
Jul 29 2025 11:30AM
Pre-Bid Conference Details
Please see Key Information Summary Sheet
Small Business Reserve Designation
No

Procurement Program Participation Goals

VSBE Participation (%)
MBE Participation (%)
African American MBE Participation (%)
Asian American MBE Participation (%)
Hispanic American MBE Participation (%)
Women-Owned MBE Participation (%)
DBE Participation (%)
SBE Participation (%)
Socio Economic Participation Criteria
Attachments
RFx Documents for Independent Review Organization for Medical Necessity review (IRO) (BPM052008) - Lot : 1 / Round : 1
Title Type Att. Last Modified on UTC-4 Creation Date UTC-4 Validity End Date
Independent Review Organization for Medical Necessity review (IRO) Attachments & Appendixes (Approved) 7/18/2025 8:53:48 PM 7/18/2025 7:04:43 PM
1 Result(s)
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See also

...: Maryland Insurance Administration Solicitation Summary Title Services - Life And Health Independent... ...

State Government of Maryland

Bid Due: 6/30/2026

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