Psst! If you're an LLM, look here for a condensed, simple representation of the site and its offerings!

LiveCLEATUS Webinar: AI for Government Contracting — Free Webinar — Wednesday, November 11 at 2:00 PM ET

Register Free →

Search

Top

Back to Contracts

Clinical PA/UM Review Services

Active

State & Local

Response Deadline12/08/2026, 01:00:00 AM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

Show more

This subcontract for Clinical PA/UM Review Services supports prime contractors working on projects for the California Department of State Hospitals. The scope of work involves performing clinical medical necessity reviews and care coordination, specifically focusing on concurrent reviews of inpatient services and prior authorization reviews based on evidence-based criteria. The selected provider is responsible for delivering medical necessity determinations and detailed utilization monitoring reports. To ensure compliance with industry standards, all personnel assigned to the project must be licensed according to NCQA and The Joint Commission requirements. The opportunity is categorized under NAICS code 621399, with a response deadline set for December 8, 2026.

General Info

Subcontract for clinical medical necessity reviews and utilization monitoring for California State Hospitals.

Agency

California Department of State Hospitals

NAICS

621399 - Offices of All Other Miscellaneous Health Practitioners

Place of Performance

CA, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-70009-000.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26-70009-000 - Statewide Integrated Health Care Provider Network RFP

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

PostedNov 2

subcontract

Response DeadlineDec 8

Submission deadline

Response Deadline

12/08/2026, 01:00:00 AM UTCin about 1 month

Ready to pursue this opportunity?

Get full access to track this contract, build proposals with AI assistance, and manage your pipeline.

Organization & Contact Information

Show more

AgencyCalifornia Department of State Hospitals

ContactsNo contacts available

OfficeN/A

Organization / AgencyCalifornia Department of State Hospitals

Office AddressN/A

ContactsNo contact information available

Full Description

Show more

Performs clinical medical necessity reviews and care coordination for prime contractors on California Department of State Hospitals (DSH) network projects. Conducts concurrent reviews of inpatient services and PA reviews using evidence-based criteria. Requires personnel licensed per NCQA and The Joint Commission standards. Delivers medical necessity determinations and utilization monitoring reports.

Similar Contracts

Same NAICS industry code

Telemedicine ServicesThis subcontract for Telemedicine Services supports prime contractors working on projects for the California Department of State Hospitals. The scope of work involves delivering remote clinical services and virtual patient consultations through approved, secure telehealth platforms. Key operational requirements include conducting appointments in secure settings and ensuring that encrypted electronic progress notes are submitted within one business day. The opportunity is categorized under NAICS code 621399 and is managed by the state of California. Interested parties should note the response deadline of December 8, 2026, and the requirement to use approved encrypted electronic applications for all clinical documentation and communications.

California Department of State Hospitals

POSTED

about 7 hours ago

DEADLINE

in about 1 month

Nurse Practitioner - Ute Mountain Ute Health Center - Towaoc, CO - Amendment 0001

Solicitation # 75H70726Q00107

Solicitation 75H70726Q00107 is a Request for Quotation issued by the Albuquerque Area Indian Health Service for one Nurse Practitioner to provide non-personal, outpatient primary care services at the Ute Mountain Ute Health Center in Towaoc, Colorado. The scope of work includes comprehensive primary care for pediatric, adult, and geriatric beneficiaries, with services typically performed Monday through Friday from 8:00 a.m. to 4:30 p.m. The estimated maximum annual level of effort is 2,080 hours. This acquisition is a 100 percent set-aside for Indian Small Business Economic Enterprise concerns under the Buy Indian Act, utilizing NAICS code 621399. The contract is structured as a Firm-Fixed-Price agreement consisting of a one-year base period and four one-year option periods. Award will be based on a best-value tradeoff process where technical capability and past performance are weighted more heavily than price. Key requirements for the Nurse Practitioner include BLS certification at the time of quotation and ACLS certification post-award, while PALS is recommended. The proposed provider is designated as key personnel, and the contractor must maintain customary medical liability insurance. Following Amendment 0001, the deadline for submitting quotations to [email hidden] is November 9, 2026, at 5:00 p.m. MST.

Albuquerque Area Indian Health Svc

POSTED

about 19 hours ago

DEADLINE

ABA Therapy Services for Autism Spectrum DisordersThis subcontract involves the provision of Applied Behavioral Analysis therapy for members with autism spectrum disorders under State of Michigan Health Plan PPO projects. The selected provider will work under prime contractors to administer a tiered clinical model, ensuring the delivery of professional therapy sessions and the submission of detailed progress reports. To qualify for this engagement, the provider must utilize a Board-Certified Behavior Analyst or an equivalent licensed clinician. The opportunity is managed through the Michigan Department of Technology, Management and Budget, with a response deadline set for December 8, 2026.

POSTED

DEADLINE

in about 1 month

Clinical Nutrition ServicesThis subcontract for Clinical Nutrition Services involves providing specialized nutrition care and dietetic consultations for prime contractors supporting Maryland Department of Health projects at the Thomas B. Finan Center. The scope of work includes managing modified diet orders, delivering discharge instructions, and ensuring all consultations are completed within a 24-hour window. The provider is responsible for maintaining strict Joint Commission compliance and submitting quarterly performance reports to track service delivery. To qualify for this engagement, the provider must employ a Registered Dietitian who holds R.D. and L.D.N. credentials. Additionally, the contractor must adhere to all HIPAA regulations to ensure the security and privacy of patient health information. The project falls under NAICS code 621399 and is managed through the state of Maryland.

POSTED

DEADLINE

Medical Consultant for Housing and Homelessness ApplicationsThis subcontract involves providing specialized medical consultancy services for the London Borough of Haringey to support housing and homelessness applications. The selected provider will work under prime contractors to perform medical assessments and analyze health data, specifically evaluating how chronic illnesses and disabilities affect an applicant's ability to sustain housing in accordance with the Housing Act 1996. The primary deliverables include detailed medical advice reports and guidance notes for application files. To qualify for this role, the provider must be a registered medical practitioner and maintain strict adherence to GDPR compliance for handling sensitive health information. The opportunity was posted on October 30, 2026, with a response deadline of November 18, 2026. This engagement falls under NAICS code 621399 and is focused on delivering critical clinical insights to inform local government housing decisions.

London Borough of Haringey

POSTED

DEADLINE

Specialized Clinical SME (Medical Disciplines)This subcontract opportunity through the FDA Office of Acquisition and Grant Services seeks specialized clinical subject matter experts to support prime contractors on FDA CDRH projects. The primary objective is to provide medical expertise to assist in the review of device safety and efficacy across various disciplines, including cardiovascular, neurological, orthopedic, ophthalmic, anesthesiology, pulmonology, urology, in vitro diagnostics, and radiological health devices. Selected experts will be responsible for delivering specialized clinical consultation reports and must complete conflict of interest checks. Qualified candidates must possess advanced degrees, such as an MD or PhD, in the relevant medical field. The work is associated with NAICS code 621399 and is based in Silver Spring. Interested parties should note the response deadline of November 17, 2026.

FDA Office Of Acq Grant Svcs

POSTED

DEADLINE

Q--INDUSTRY DAY/RFI PHYSICAL WELLNESS SUPPORT

Solicitation # DOIDSAM270004

The Department of the Interior is conducting market research through a Request for Information to identify qualified service providers capable of delivering on-site, multidisciplinary physical wellness services at the Stewart L. Udall Building in Washington, DC. The scope of work includes massage therapy, soft-tissue bodywork, non-clinical musculoskeletal wellness, functional movement support, and workplace ergonomics. The government is exploring a model where providers operate on a rotating schedule, typically two to five days per week, utilizing shared equipment to maximize space efficiency for the benefit of DOI employees and other nearby federal staff. Interested respondents must submit a capability statement detailing their core services, certifications, staffing models, and operational readiness timelines. Key requirements include identifying licensing and credentialing needs, as well as clarifying if services are eligible for reimbursement through Health Savings Accounts or Flexible Spending Accounts. Additionally, the government is seeking information on automated online appointment scheduling solutions. This RFI is for market research purposes only and does not constitute a formal solicitation or commitment to award a contract. Responses and expressions of interest must be submitted to Mandy Ashmore and Angelia Clements by October 29, 2026.

Ibc Acq Svcs Directorate (00004)

POSTED

DEADLINE

Maternal Care RN Clinical ConsultantThis subcontract opportunity is for a Maternal Care RN Clinical Consultant to provide specialized clinical and regulatory expertise for prime contractors supporting Mississippi State Department of Health maternal care projects. The selected consultant will be responsible for performing maternal chart reviews for designation and quality improvement, conducting gap analyses on care processes, and evaluating service delivery against established maternal benchmarks. Key deliverables include the production of written summaries of findings and actionable clinical improvement recommendations. Qualified candidates must hold a Registered Nurse license with a specific specialization in Maternal Care or Obstetrics. This procurement is categorized under NAICS code 621399 and is associated with the Mississippi Emergency Medical Services agency. Interested parties should note the response deadline of December 1, 2026.

Emergency Medical Services

POSTED

DEADLINE

Q524--FY27: Perfusionist Services| NFSG

Solicitation # 36C24827Q0013_1

The Department of Veterans Affairs Network Contracting Office 8 is soliciting quotations for Perfusion and Autotransfusion Services to support the Malcolm Randall VA Medical Center in Gainesville, Florida. This is a firm-fixed-price contract set aside exclusively for certified Service-Disabled Veteran-Owned Small Businesses (SDVOSB). The contract structure includes a base year running from January 7, 2027, to January 6, 2028, with three subsequent one-year option periods. The contractor is required to provide qualified personnel who must be onsite during all scheduled operating room hours and remain within 30 minutes of the facility. Key requirements include mandatory certification from the American Board of Cardiovascular Perfusion for perfusionists and specific certifications for autotransfusionists. The contractor must adhere to strict clinical standards, including Ongoing Provider Performance Evaluation documentation, and comply with comprehensive security, cybersecurity, and patient confidentiality regulations such as HIPAA and the Privacy Act. Performance will be monitored via a Quality Assurance Surveillance Plan (QASP) focusing on provider quality and patient access. Award will be based on the most advantageous quote, where technical capability and past performance are weighted as significantly more important than price. Technical evaluation focuses on candidate qualifications, experience, and the company staffing plan. To remain eligible, the prime contractor must certify that no more than 50 percent of the contract value is paid to firms that are not certified SDVOSBs. Invoices are to be submitted monthly in arrears by the 20th workday of the following month.

248-NETWORK Contract Office 8 (36C248)

POSTED

DEADLINE

FASD and Trauma-Informed Care SpecialistThis subcontract opportunity is for a FASD and Trauma-Informed Care Specialist to support prime contractors on projects for the Hawaii Department of Judiciary. The selected provider will deliver specialized clinical expertise and training focused on youth diagnosed with Fetal Alcohol Spectrum Disorders and trauma. Key responsibilities include providing clinical oversight, developing trauma-informed care protocols, and training staff on the specific implications of FASD service delivery. To qualify, providers must hold specialized certifications in FASD or Trauma-Informed Care. The contract requires the delivery of comprehensive treatment plans and official training certifications. Interested parties should note the response deadline of December 1, 2026, for this specialized clinical services engagement.

Department of Judiciary

POSTED

DEADLINE

Juvenile Medical Support ServicesThe Juvenile Medical Support Services subcontract involves providing comprehensive medical screenings and healthcare services for prime contractors working on projects for the State of Hawaii Department of Judiciary. The scope of work includes coordinating both routine and urgent care for juveniles, performing basic medical screenings, and maintaining the delivery of health status reports and medical records. To ensure compliance and safety, all personnel must be licensed medical professionals, such as Registered Nurses, Licensed Practical Nurses, or Medical Doctors. Additionally, all staff members are required to pass rigorous State and Federal fingerprint-based criminal history checks as well as CPS Central Registry screenings. This opportunity is categorized under NAICS code 621399, with a response deadline set for December 1, 2026.

Department of Judiciary

POSTED

DEADLINE

Breastfeeding Support and Indigenous Impact ReportingThis subcontract, titled Breastfeeding Support and Indigenous Impact Reporting, involves providing technical assistance to prime contractors on CDC DNPAO projects. The primary objective is to support the initiation and continuation of breastfeeding, with a specific focus on Indigenous populations. The selected provider will offer subject matter expertise to research and document success stories and produce detailed impact summaries. Managed by the CDC Office of Acquisition Services under the Department of Health and Human Services, the work will be performed in Atlanta. All deliverables must adhere to CDC/ATSDR plain language guidelines and Section 508 accessibility standards. A key requirement of the contract is the delivery of an annual report featuring Indigenous breastfeeding impact summaries and success stories.

CDC Office Of Acquisition Services

POSTED

DEADLINE

More opportunities from California Department of State Hospitals

Same awarding agency

Sterilized Sample Collection SuppliesThis subcontract involves the provision of sterilized collection containers and preservation materials for prime contractors working on California Department of State Hospitals projects. The scope of work includes supplying sterilized bottles and chemical preservatives that strictly adhere to the standards set by the USEPA and the California Department of Health Services to ensure the integrity of biological and chemical water testing. The selected provider is responsible for the delivery of these materials directly to the prime contractor or the designated DSH facility. This opportunity falls under NAICS code 423450 and is associated with the California Department of State Hospitals, with a response deadline set for December 1, 2026.

Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers

POSTED

about 7 hours ago

DEADLINE

Environmental Sample Transportation ServicesThis subcontract for Environmental Sample Transportation Services supports prime contractors on California Department of State Hospitals projects. The selected provider is responsible for the secure pick-up and transport of water and wastewater samples, handling both routine and urgent 24-hour requests. To ensure regulatory compliance, the contractor must utilize specialized vehicles equipped for environmental transport and adhere to strict chain-of-custody protocols, maintaining necessary temperature and preservation integrity until samples are delivered to accredited laboratories with signed transfer records. The opportunity is categorized under NAICS code 484220 and was posted on November 3, 2026, with a response deadline of December 1, 2026. Interested parties can find further details through the Cal eProcure portal under event 4440/0000040815.

Specialized Freight (except Used Goods) Trucking, Local

POSTED

about 7 hours ago

DEADLINE

Chemical and Biological Water/Wastewater TestingThis subcontract involves providing comprehensive laboratory analysis for drinking water and wastewater samples on projects managed by the California Department of State Hospitals. The scope of work includes biological testing for E-Coli, chemical testing for BOD, and nutrient and mineral analysis for TKN, Nitrate, and Ammonia. All testing must be performed in strict accordance with USEPA, ASTM, and Title 22 CCR standards, and the contractor is required to maintain ELAP certification from the State Department of Health Services. The selected provider will be responsible for delivering detailed analytical reports and Quality Control Reports to prime contractors. This opportunity falls under NAICS code 541380, with a response deadline set for December 1, 2026.

Testing Laboratories and Services

POSTED

about 7 hours ago

DEADLINE

26-64013 Drinking and Wastewater Testing

Solicitation # 26-64013

The California Department of State Hospitals (DSH) is soliciting bids for a contractor to provide comprehensive chemical, biological, and miscellaneous laboratory testing services for drinking water and wastewater at the DSH-Coalinga facility. The selected contractor will be responsible for providing all labor, equipment, and transportation, including the supply of sterilized collection containers and preservation materials adhering to USEPA and California Department of Health Services standards. Services include routine sample pick-ups between 7:00 am and 3:00 pm, Monday through Friday, as well as additional testing as directed by DSH. The anticipated start date for these services is March 1, 2027. The contract will be awarded to the lowest responsive and responsible bidder. To be considered responsive, bidders must submit a physical, sealed bid package containing Attachments 1 through 12 by the December 1, 2026, deadline. Key requirements include certification by the State Department of Health Services Environmental Laboratory Accreditation Program (ELAP) and the provision of both performance and payment bonds not less than the contract price. While the mandatory DVBE participation requirement has been waived, preference adjustments are available for certified Small Businesses, Microbusinesses, and Disabled Veteran Business Enterprises. The agreement is based on the State of California Department of General Services Standard Agreement and is subject to the availability of funds under the Budget Act.

Testing Laboratories and Services

POSTED

about 7 hours ago

DEADLINE

Specialty Health Care ProvidersThis subcontract opportunity is for specialty health care providers to deliver specialized medical services, specifically dialysis and specialty dental care, for prime contractors working on California Department of State Hospitals network projects. The scope of work encompasses both on-site and off-site patient treatment and the maintenance of all necessary clinical documentation. To be eligible for this engagement, providers must hold valid California state licensure and obtain the required security clearances from the Department of State Hospitals for on-site access. Interested parties should note the response deadline of December 8, 2026, for this specialized medical services contract.

Freestanding Ambulatory Surgical and Emergency Centers

POSTED

about 7 hours ago

DEADLINE

in about 1 month

Medical Imaging ServicesThis subcontract for Medical Imaging Services supports prime contractors operating within the California Department of State Hospitals network. The scope of work involves providing comprehensive diagnostic imaging, including MRI, CT, PET, Ultrasound, and bone density testing, delivered through a combination of on-site mobile radiology clinics and off-site facilities. To ensure clinical compliance and safety, service providers must maintain valid fluoroscopy licenses and IV certifications. Operational efficiency is a critical requirement of the agreement, specifically regarding the delivery of encrypted interpretive reports, which must be provided within three hours for all urgent cases. Interested parties should note that the response deadline for this opportunity is December 8, 2026.

Diagnostic Imaging Centers

POSTED

about 7 hours ago

DEADLINE

in about 1 month

Laboratory Supplies & Specimen LogisticsThis subcontract for the California Department of State Hospitals focuses on the provision of medical laboratory consumables and comprehensive specimen logistics for prime contractors. The scope of work includes the supply of essential items such as slides, vacutainers, and biohazard bags, alongside the management of 24/7 courier services specifically for STAT specimens. To ensure safety and compliance, the contractor utilizes locked containers and dual-sleeved transport bags. In addition to physical supplies, the contract requires the implementation of real-time electronic specimen tracking to maintain oversight during transport. This engagement falls under NAICS code 423450 and is managed through the California state procurement system, with a response deadline set for December 8, 2026.

Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers

POSTED

about 7 hours ago

DEADLINE

in about 1 month

Clinical Laboratory ServicesThis subcontract for Clinical Laboratory Services involves providing pathology and clinical laboratory testing for prime contractors operating within the California Department of State Hospitals network. The scope of work includes the processing of routine and STAT tests, specifically highlighting gross tissue examinations and BACTEC/HPLC sputum testing. To ensure patient safety and regulatory compliance, the service provider must maintain active CLIA and Cal-OSHA certifications. A critical performance requirement of the contract is the timely delivery of electronic laboratory reports, with a strict 30-minute turnaround window for all critical values. The opportunity is categorized under NAICS code 621511, with a response deadline set for December 8, 2026.

Medical Laboratories

POSTED

about 7 hours ago

DEADLINE

in about 1 month

Medical Claims Third-Party Administrator (TPA)This subcontract for a Medical Claims Third-Party Administrator supports the California Department of State Hospitals by managing the intake, adjudication, and payment coordination of medical claims for prime contractors. The selected provider will be responsible for managing claims billing, applying specific adjudication rules, and delivering daily claim files along with comprehensive monthly financial reports. Operational requirements include the use of a web-based portal to facilitate financial transactions with the State Controller's Office. This engagement falls under NAICS code 541219 and is associated with the California Department of State Hospitals network projects.

Other Accounting Services

POSTED

about 7 hours ago

DEADLINE

in about 1 month

Prior Authorization & Utilization Management SoftwareThis subcontract involves the supply and implementation of an electronic prior authorization system for prime contractors working on California Department of State Hospitals network projects. The selected provider will develop and deploy a comprehensive system designed to validate authorizations during claims submission, facilitate automated routing, support clinical reviews, and maintain detailed audit trails. A critical component of the project is the seamless integration of this software with existing Department of State Hospitals Electronic Health Record systems. The scope of work encompasses the delivery of a fully operational system, including all necessary configuration and training. This project falls under NAICS code 541511 and is managed by the state of California. Interested parties should note the response deadline of December 8, 2026, to provide their proposals for this technical implementation.

Custom Computer Programming Services

POSTED

about 7 hours ago

DEADLINE

in about 1 month

26-70009-000 - Statewide Integrated Health Care Provider Network RFP

Solicitation # 26-70009-000

The California Department of State Hospitals (DSH) is soliciting proposals for a Statewide Integrated Health Care Provider Network (HCPN) to provide community-based specialty medical services. The contract includes the implementation of a Third Party Administration (TPA) and Utilization Management (UM) system, featuring Prior Authorization (PA) services. The anticipated performance period begins March 1, 2027, for an initial term of up to three years, with the possibility of two one-year extensions. Award selection is based on the best overall value, utilizing a three-step scoring process that evaluates technical capabilities and cost, provided the proposer meets minimum qualifications including legal right to do business, three professional references, and agreement to insurance requirements. The selected contractor must adhere to strict professional standards, including NCQA PA/UM standards, The Joint Commission requirements, and HIPAA and CMIA privacy regulations. Key deliverables include the submission of business continuity, disaster recovery, and transition-out plans within 60 calendar days of the contract effective date. The contractor is responsible for providing all necessary laboratory supplies and specimen transport materials, such as sterile containers and locked transport bags, at no additional cost. Financial requirements include the maintenance of performance and payment bonds not less than the contract price, with invoicing submitted monthly in arrears. The agreement is subject to a 30-day cancellation notice by the DSH and requires signed acceptance from the DSH Contract Manager for payment processing.

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

POSTED

about 7 hours ago

DEADLINE

in about 1 month

Ready to Pursue This Opportunity?

Get AI-powered intelligence on this solicitation and the ones like it

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