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.

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Medicaid Physician Review and Consulting Services

Closed

03410-205-26State & Local

Submission Closed06/16/2026, 07:00:00 AM UTC

Contract Overview

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

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NAICS: 621111

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Medical Review Officer (MRO) Professional Services

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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

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

Agency

Vermont → Department of Economic DevelopmentView Agency

NAICS

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

Place of Performance

VT, USA

Set-Aside

NONE

Documents

(1)

DVHA Medical Director RFP 03410-205-26

PDF•rfp

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedMay 26

Solicitation

Response DeadlineJun 16

Deadline has passed

Submission Closed

06/16/2026, 07:00:00 AM UTC

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Organization & Contact Information

AgencyVermont → Department of Economic Development

Contacts1 person available

OfficeVT, USA

Organization / Agency

Vermont → Department of Economic Development

View Agency Profile

Office AddressVT, USA

Contacts

contact@example.gov

Full Description

*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.