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Independent Clinical Reviewers for Medicaid EITPR

Active
State & Local

Contract Overview

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

Documents

This scope was carved out of RFI 758 2700000006.

The full solicitation package (16 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFQ-040-2700000006-1 | Janitorial Services for Prestonsburg Office

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Organization & Contact Information

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AgencyKentucky → Office of the Attorney General
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs independent clinical reviews and renders medical necessity determinations for prime contractors on Commonwealth of Kentucky Department of Medicaid Services (DMS) projects. Analyzes record on appeal materials from MCOs to issue final decisions and review summaries within 30 days. Requires secure FTP/encryption for medical data. Must be a licensed Physician or RN in good standing with 5+ years post-licensure clinical experience. Delivers final decisions and review summaries.

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Same NAICS industry code

NAICS: 621399
SLED
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Area Agency on Aging

POSTED

14 days ago

DEADLINE

in 18 days
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