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Medical Utilization Review Services

Active

State & Local

Response Deadline11/05/2026, 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 Review Services involves performing clinical reviews for prime contractors supporting Arizona Department of Administration workers compensation projects. The primary objective is to determine medical necessity for service requests by ensuring strict adherence to Title 23, Chapter 6 and the Arizona Administrative Code, Article 13. The selected provider will utilize specialized clinical review software and integrate all findings into the Origami Risk RMIS to deliver final utilization review determinations and reports. This opportunity is categorized under NAICS code 621999, with a response deadline set for November 5, 2026.

General Info

Subcontract for Arizona workers compensation medical utilization reviews due by November 5, 2026.

Agency

Arizona Department of Administration

NAICS

621999 - All Other Miscellaneous Ambulatory Health Care Services

Place of Performance

AZ, USA

Set-Aside

NONE

Documents

This scope was carved out of BPM007467.

The full solicitation package (15 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Workers’ Compensation Cost Containment and Pharmacy Benefit Management (PBM) Services

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Timeline

PostedOct 5

subcontract

Response DeadlineNov 5

Submission deadline

Response Deadline

11/05/2026, 09:00:00 PM UTCin 10 days

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Organization & Contact Information

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AgencyArizona Department of Administration

ContactsNo contacts available

OfficeN/A

Organization / AgencyArizona Department of Administration

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs clinical reviews for prime contractors on Arizona Department of Administration workers' compensation projects to determine medical necessity. Reviews service requests in accordance with Title 23, Chapter 6 and the Arizona Administrative Code, Article 13. Utilizes clinical review software and integrates results into Origami Risk RMIS. Delivers utilization review determinations and reports.

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