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External Independent Third-Party Reviewer (EITPR)

Active
State & Local

Contract Overview

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

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The External Independent Third-Party Reviewer subcontract involves performing independent reviews of Medicaid provider requests and documentation for prime contractors supporting the Commonwealth of Kentucky Department of Medicaid Services. The selected provider will analyze provider data against state and federal Medicaid guidelines to verify the validity of claims, ensuring the delivery of completed review reports for fiscal years 2027 and 2028. A critical requirement of this engagement is the maintenance of strict independence, meaning the reviewer must have no financial or professional conflicts of interest. This opportunity was posted on September 21, 2026, with a response deadline of October 2, 2026, and falls under NAICS code 621999.

General Info

Independent reviews of Kentucky Medicaid provider claims for fiscal years 2027 and 2028.

Agency

Kentucky → Fin - Office of the SecretaryView Agency

NAICS

621999 - All Other Miscellaneous Ambulatory Health Care ServicesView NAICS

Place of Performance

Other, KY, USA

Set-Aside

NONE

Documents

This scope was carved out of RFI 758 2700000006.

The full solicitation package (13 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFI-758-2700000006-3 | RFI SAS Enterprise Financial Reporting Discovery

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Timeline

Posted

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Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyKentucky → Fin - Office of the Secretary
ContactsNo contacts available
OfficeN/A
Organization / Agency
Kentucky → Fin - Office of the Secretary
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Office AddressN/A
ContactsNo contact information available

Full Description

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Performs independent reviews of Medicaid provider requests and documentation for prime contractors on Commonwealth of Kentucky Department of Medicaid Services (DMS) projects. Analyzes provider data against state and federal Medicaid guidelines to determine validity of claims. Requires strict independence with no financial or professional conflicts of interest. Delivers completed External Independent Third-Party Review reports for FY27 and FY28.

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