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Medical Utilization Management (UM) Services

Active

State & Local

Response Deadline11/19/2026, 09:00:00 PM 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 for Medical Utilization Management (UM) Services involves performing clinical reviews and precertification for prime contractors supporting Tempe Union High School District health benefit projects. The scope of work includes managing precertifications for inpatient admissions, outpatient requests, oral and maxillofacial surgery, and Part B drugs. Additionally, the provider is responsible for authorizing transplant services, experimental treatments, and ART infertility services utilizing National Pharmacy List codes. To ensure clinical accuracy, all review staff must hold valid RN or MD licensure. The selected provider is required to deliver formal precertification approvals and comprehensive utilization reports. This opportunity is categorized under NAICS code 621999 and is managed through Business Services in Arizona.

General Info

Subcontract for RN/MD clinical reviews and precertification services for Tempe Union High School.

Agency

Arizona → Business Services

NAICS

621999 - All Other Miscellaneous Ambulatory Health Care Services

Place of Performance

AZ, USA

Set-Aside

NONE

Documents

This scope was carved out of 27-012CH-32RFP.

The full solicitation package (4 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Employee Benefits- Medical/Rx/EAP RFP

AI Contract Breakdown

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Timeline

PostedOct 20

subcontract

Response DeadlineNov 19

Submission deadline

Response Deadline

11/19/2026, 09:00:00 PM UTCin 22 days

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Organization & Contact Information

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AgencyArizona → Business Services

ContactsNo contacts available

OfficeN/A

Organization / AgencyArizona → Business Services

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs clinical review and precertification for prime contractors on Tempe Union High School District health benefit projects. Conducts precertification for inpatient admissions, outpatient requests, OMFS, and Part B drugs. Authorizes experimental treatments, transplant services, and ART infertility services using National Pharmacy List (NPL) codes. Requires RN/MD clinical licensure for review staff. Delivers precertification approvals and utilization reports.

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