Medicaid Physician Review and Consulting Services
| Location: | Vermont |
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| Posted: | May 26, 2026 |
| Due: | Jun 16, 2026 |
| Agency: | State Government of Vermont |
| Type of Government: | State & Local |
| Category: |
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| Publication URL: | To access bid details, please log in. |
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Bid Type: Job Contract Locations: Washington Keywords: Medical Services, Consultant Services, Health Care Services Bid Description: *Please use Microsoft Edge to open attachments* Through this Request for Proposal (RFP) the Agency of Human Service through the Department of Vermont Health Access is soliciting proposals to contract with an actively licensed Physician(s) to 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 will provide consultative services on these activities, on an as needed basis, not to exceed sixteen (16) 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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State Government of Vermont
Bid Due: 7/28/2026
* Disclaimer: Information regarding bids, requests for proposals (RFPs), or requests for qualifications (RFQs) is provided on this website only for convenience and does not constitute official public notice. Persons wishing to respond to or inquire about bids, RFPs, or RFQs should contact the appropriate government department.