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Dental Quality Assurance and Clinical Review

Active

State & Local

Response Deadline11/13/2026, 03:00:00 PM UTC

Contract Overview

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

AI Contract Overview

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This subcontract for Dental Quality Assurance and Clinical Review supports prime contractors on Rhode Island EOHHS Medicaid projects. The selected provider will supply licensed dental professionals to make Prior Authorization decisions and review clinical coverage policies. Additionally, the contractor will support the QM/QI Committee in ensuring Utilization Management program requirements align with NCQA standards and 42 CFR § 438, while delivering necessary clinical audit reports and program updates. The opportunity is issued by the State of Rhode Island under NAICS code 541611. Interested parties must submit their responses by the deadline of November 13, 2026. Further details and bidding opportunities can be accessed through the Rhode Island Division of Procurement portal.

General Info

Agency

State of Rhode Island

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

RI, USA

Set-Aside

NONE

Documents

This scope was carved out of QLV27007063.

The full solicitation package (6 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RIteSmiles 4-ALL Medicaid Managed Care Dental Services

AI Contract Breakdown

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Timeline

PostedOct 16

subcontract

Response DeadlineNov 13

Submission deadline

Response Deadline

11/13/2026, 03:00:00 PM UTCin 28 days

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Organization & Contact Information

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AgencyState of Rhode Island

ContactsNo contacts available

OfficeN/A

Organization / AgencyState of Rhode Island

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs independent clinical reviews for prime contractors on Rhode Island EOHHS Medicaid projects. Provides licensed dental professionals to render Prior Authorization decisions and review clinical coverage policies. Supports the QM/QI Committee in evaluating Utilization Management (UM) program requirements per NCQA standards and 42 CFR § 438. Delivers clinical audit reports and UM updates.

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