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Medical Reviewer and Expert Witness

Active

State & Local

Response Deadline11/06/2026, 05:00:00 AM UTC

Contract Overview

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

AI Contract Overview

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This subcontract opportunity is for a Medical Reviewer and Expert Witness to support prime contractors on projects for the New York State Office of the Medicaid Inspector General. The selected provider will be responsible for conducting medical necessity reviews by evaluating medical records against Medicare coverage criteria and delivering detailed medical necessity reports. Additionally, the role requires providing expert testimony during administrative hearings. Qualified candidates must be licensed medical professionals, such as an MD or RN, possessing specific clinical expertise in home health. Interested parties should note that the response deadline is November 6, 2026, and the work falls under NAICS code 541611.

General Info

Medical Reviewer and Expert Witness for NYS Medicaid reviews; deadline November 6, 2026.

Agency

New York → NYS Office of Medicaid Inspector General

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

NY, USA

Set-Aside

NONE

Documents

This scope was carved out of 2140006.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFP# OMIG 26-23- Home Health Care Medicare Maximization Services (HHC MMX)

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

PostedOct 16

subcontract

Response DeadlineNov 6

Submission deadline

Response Deadline

11/06/2026, 05:00:00 AM UTCin 17 days

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Organization & Contact Information

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AgencyNew York → NYS Office of Medicaid Inspector General

ContactsNo contacts available

OfficeN/A

Organization / AgencyNew York → NYS Office of Medicaid Inspector General

Office AddressN/A

ContactsNo contact information available

Full Description

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Provides medical necessity reviews and expert opinions for prime contractors on NYS Office of the Medicaid Inspector General (OMIG) projects. Reviews medical records against Medicare coverage criteria and provides expert testimony at administrative hearings. Requires a licensed medical professional (MD, RN) with home health clinical expertise. Delivers medical necessity reports and expert testimony.

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