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This Solicitation opportunity from Vermont was posted on May 26, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Medicaid Physician Review and Consulting Services

Closed
03410-205-26State & Local

Contract Overview

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

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NAICS: 621111
New
Federal
Notice of Intent to Sole Source Coal Workers’ Health Surveillance Program Richard Bernstein B ReaderThe Centers for Disease Control and Prevention plans to award a sole source, firm fixed price contract to Richard Bernstein MD to provide B Reader classification services for chest radiographs used in the Coal Workers’ Health Surveillance Program (CWHSP). This program requires expert interpretation of radiographs to detect coal workers' pneumoconiosis (CWP) using the International Labour Office (ILO) Classification System. Dr. Bernstein has met all stringent criteria to participate, including high scores on the B Reader Examination and board certification, ensuring confidence and integrity in the classifications essential for maintaining the program’s high standards. The CWHSP is federally mandated under the Federal Coal Mine Health and Safety Act and is administered by the Respiratory Health Division in Morgantown, WV, screening miners and enabling those affected by CWP to transfer to areas with lower dust exposure. This sole source procurement is justified under the authority allowing negotiation with only one source, reflecting the specialized skills required for the service. While this notice is not a request for competitive quotations, responses or expressions of interest will be accepted within 15 days of issuance and considered solely to determine whether a competitive procurement is warranted. The contract falls under NAICS code 621111, covering physicians practicing general or specialized medicine, and performance is based in Atlanta, Georgia. Interested parties may submit responses via email by July 1, 2026, before 5 pm EST, but the government retains full discretion on whether to pursue competition.
CDC Office Of Acquisition Services

POSTED

1 day ago

DEADLINE

in 15 days

AI Contract Overview

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The Agency of Human Services, through the Department of Vermont Health Access, is seeking proposals from actively licensed physicians to provide medical oversight and consulting services related to Medicaid Managed Care. The contracted physician will perform prior authorization case reviews and determine medical necessity within the state's Medicaid program, adhering to federally mandated surveillance and utilization review protocols as specified in Title 42, Part 400 of the Code of Federal Regulations. The work is expected to be consultative and limited to a maximum of sixteen hours per week, with scheduling agreed upon by the contractor and state officials including the Clinical Operations Unit Director and the Chief Medical Officer. This solicitation, titled "Medicaid Physician Review and Consulting Services," was posted on May 26, 2026, with a response deadline of June 16, 2026. The contract falls under the jurisdiction of the Vermont Department of Economic Development and is based in Vermont. Interested parties can direct communications to the primary contact provided via email. The focus is on supporting the State’s Clinical Operations Unit in carrying out federally required Medicaid oversight activities and ensuring compliance with established state policies and procedures within the Clinical Operations Unit.

General Info

Seeking licensed physicians for Medicaid medical oversight, prior authorizations, 16 hours weekly, Vermont-based.

Agency

Vermont → Department of Economic Development

NAICS

621111 - Offices of Physicians (except Mental Health Specialists) View NAICS

Place of Performance

VT, US

Set-Aside

NONE

Documents

(1)

DVHA Medical Director RFP 03410-205-26

PDFrfp

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyVermont → Department of Economic Development
Contacts1 person available
OfficeVT, US
Organization / Agency
Vermont → Department of Economic Development
Office AddressVT, US

Full Description

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*Please use Microsoft Edge to open attachments* Through this Request for Proposal (RFP) the Agency of Human Service through the Department of Vermont Health Access is soliciting proposals to contract with an actively licensed Physician(s) to provide medical oversight, prior authorization case review and medical necessity determinations in a Medicaid Managed Care environment. The State has policies and procedures within its Clinical Operations Unit for Surveillance and Utilization Review activities. These activities are federally mandated for all State Medicaid Managed Care Organizations, as outlined in Title 42, Part 400, of the Code of Federal Regulations. The Contractor will provide consultative services on these activities, on an as needed basis, not to exceed sixteen (16) hours per week, according to a mutually agreeable schedule as established by the Contractor, the State Clinical Operations Unit Director and the State’s Chief Medical Officer.