This Government Contract opportunity from Kentucky was posted on August 7, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Independent Medical Reviewers (Physicians/Clinicians)
Contract Overview
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AI Contract Overview
This subcontract opportunity is for independent medical reviewers to provide third-party clinical evaluations for prime contractors supporting the Kentucky Department of Medicaid Services. Qualified clinicians, including MDs, DOs, or other licensed healthcare professionals, will be responsible for reviewing patient medical records and provider submissions to apply medical necessity criteria and issue formal administrative decisions on appeals. Each assigned case must result in a completed rendered decision or determination report. The solicitation is listed under NAICS code 621391 and was posted on August 7, 2026, with a response deadline of September 15, 2026. Interested parties must possess credentials appropriate to the specific medical issues being reviewed to ensure clinical accuracy in their determinations.
General Info
Place of Performance
Other, KY, USASet-Aside
Documents
This scope was carved out of RFP-746-2700000006-1.
The full solicitation package (16 documents), including the RFP, is on the prime solicitation, not on this scope.
RFP-746-2700000006-1 | External Independent Third-Party Review (C6102)
AI Contract Breakdown
Uniform Contract FormatNo documents to break down
The breakdown needs solicitation documents. None were found from this contract's source.
Timeline
Submission Closed
Organization & Contact Information
Full Description
Earlier notices in this NAICS code
Posted before this notice, open and closed
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