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
Contract Overview
Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.
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AI Contract Overview
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
Agency
NAICS
Place of Performance
VT, USSet-Aside
Timeline
Submission Closed
