This Solicitation opportunity from Maryland was posted on April 16, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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MHCC 24-038 A Study on the Standards for the Implementation of Payor Programs to Modify Prior Authorization Requirements

Closed

BPM043660State & Local

Submission Closed05/03/2024, 12:00:00 AM UTC

Contract Overview

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

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NAICS: 541612

New

International

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Columbus Consolidated Government

POSTED

2 days ago

DEADLINE

in about 1 month

AI Contract Overview

The Maryland Health Care Commission (MHCC) is seeking a contractor to conduct a comprehensive study mandated by legislation (Senate Bill 791/House Bill 932) related to health insurance utilization review processes. The legislation, developed collaboratively by the General Assembly, healthcare providers, private payors, and patient advocacy groups, requires payors and pharmacy benefits managers (PBMs) to establish an online prior authorization process that complies with specific standards by July 1, 2026. The project aims to evaluate and recommend standards for the implementation of these payor programs to streamline prior authorization procedures, ultimately improving efficiency and transparency in healthcare coverage. The solicitation, identified as BPM043660, was posted on April 16, 2024, with a response deadline of May 3, 2024. The project falls under the NAICS code 541612, which pertains to research and development in the social sciences and humanities. The Maryland Department of Health’s Maryland Boards & Commissions administers the contract, and interested parties can contact Andrea Allen via email for further details. The contract emphasizes the importance of establishing clear, standardized online processes for prior authorizations to meet legislative requirements and enhance the overall healthcare experience for Maryland residents.

General Info

Agency

Maryland Boards & Commissions Department of Health - Administration

NAICS

541612 - Human Resources Consulting Services

Place of Performance

MD, USA

Set-Aside

NONE

Documents

MHCC 24-038 Preauth Study Financial Proposal Form

rfq

High

MHCC 24-038: Study on Prior Authorization Requirements

rfp

High

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedApr 16

Solicitation

Response DeadlineMay 3

Deadline has passed

Submission Closed

05/03/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyMaryland Boards & Commissions Department of Health - Administration

Contacts1 person available

OfficeN/A

Organization / AgencyMaryland Boards & Commissions Department of Health - Administration

Office AddressN/A

Contacts

Andrea ALLEN

contact@example.gov

Full Description

The Maryland Health Care Commission (MHCC or Commission) seeks a Contractor (also referred to as Offeror herein) to complete a study required by Senate Bill 791/House Bill 932, Health Insurance – Utilization Review – Revisions (2024).1 The legislation, which was developed through a collaborative effort by the General Assembly, providers, private payors (payors), and patient advocacy organizations, requires payors or pharmacy benefits managers (PBMs) to establish and maintain an online process for prior authorizations that meets specified parameters by July 1, 2026 (referred to payor programs herein).