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Independent Medical/Clinical Reviewers

Active

State & Local

Response Deadline10/02/2026, 07:30:00 PM UTC

Contract Overview

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

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This subcontract involves providing External Independent Third-Party Reviews for prime contractors working on projects for the Commonwealth of Kentucky Department of Medicaid Services. The selected provider will perform clinical and administrative reviews of medical records and claims against established Medicaid guidelines to ensure impartial determinations. The primary deliverable consists of completed third-party review reports and formal determinations. Qualified candidates must possess medical or clinical licensure along with certification in medical auditing or utilization review. This opportunity is categorized under NAICS code 621511 and is managed by the Kentucky Office of the Secretary. Interested parties must submit their responses by October 2, 2026.

General Info

Independent third-party medical reviews for Kentucky Medicaid services, due October 2, 2026.

Agency

Kentucky → Fin - Office of the SecretaryView Agency

NAICS

621511 - Medical LaboratoriesView NAICS

Place of Performance

Other, KY, USA

Set-Aside

NONE

Documents

This scope was carved out of RFI 758 2700000006.

The full solicitation package (10 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFI-758-2700000006-2 | RFI SAS Enterprise Financial Reporting Discovery

AI Contract Breakdown

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Timeline

PostedSep 16

subcontract

Response DeadlineOct 2

Submission deadline

Response Deadline

10/02/2026, 07:30:00 PM UTCin 13 days

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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 External Independent Third-Party Reviews (EITPR) for prime contractors on Commonwealth of Kentucky Department of Medicaid Services projects. Conducts clinical and administrative reviews of medical records and claims against Medicaid guidelines to provide impartial determinations. Requires medical or clinical licensure and certification in medical auditing or utilization review. Delivers completed third-party review reports and determinations.

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