This Solicitation opportunity from Minnesota was posted on February 3, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Admin/External Review Master RFP
Contract Overview
Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.
Active Opportunities Like This One
AI Contract Overview
The Department of Administration in Minnesota is seeking proposals from three or more organizations to provide independent external reviews of adverse healthcare determinations under Minnesota Statute 62Q.73. These reviews are initiated when an enrollee or their authorized representative requests an external review following an adverse decision related to healthcare coverage or benefits. The selected contractors will be responsible for conducting these reviews, which will be overseen by responsible agencies including the Department of Commerce, Department of Health, Department of Human Services, and Minnesota Management and Budget. The review process will involve qualified professionals such as dispute resolution specialists, health law experts, and licensed medical professionals to ensure impartial and expert assessments. The contracts resulting from this solicitation are expected to commence on May 1, 2025, for an initial period of one year, with options to renew annually for up to five years, contingent upon mutual agreement and agency approval. The program aims to establish a streamlined administrative process for eligible Minnesota citizens to access external review services, with ongoing monitoring and evaluation by the Department of Administration to ensure standards are met. Contractors failing to meet performance expectations may be removed from the program. The solicitation emphasizes adherence to Minnesota statutes governing external reviews and seeks to ensure a transparent, effective process for resolving healthcare disputes through qualified external reviewers.
General Info
Place of Performance
MN, USASet-Aside
Documents
5AI Contract Breakdown
Uniform Contract FormatContract not broken down yet
CLEATUS splits the solicitation into Uniform Contract Format (UCF) sections: scope, pricing, deliverables, and evaluation criteria.
Timeline
Submission Closed
Organization & Contact Information
Full Description
It is anticipated that any contracts resulting from this RFP will be for a period of one year beginning May 1, 2025, with the option to renew, at the discretion of the Department of Administration, for a total of up to five (5) years. All options to renew shall be made in consultation with the aforementioned agencies, and the concurrence of the selected Contractors.
It is the intent of this RFP to identify external reviewing entities and to establish an administrative process for the use of external reviewing entities by citizens of the State of Minnesota who are eligible to use these services.
To assure all the goals and expectations of the Program are met, Admin will regularly monitor and evaluate the Program and its Contractors. Contractors regularly failing to meet minimum standards may be removed from the Program.
Earlier notices in this NAICS code
Posted before this notice, open and closed
Find Active Opportunities Like This
Get AI-powered intelligence on the opportunities still open
Every page of the solicitation package shredded into a compliance breakdown
AI-powered matching based on your capabilities and past performance
Competitor and incumbent history on the requirement
Automated alerts on amendments, Q&A deadlines, and award
Join 750+ contractors already using CLEATUS
