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Provider Network Adequacy Validator

Active

State & Local

Response Deadline10/14/2026, 04:00:00 AM UTC

Contract Overview

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

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The Provider Network Adequacy Validator subcontract is issued by the New Hampshire Department of Health and Human Services to ensure prime contractors on Medicaid projects maintain sufficient provider networks. The selected party will be responsible for analyzing provider directories and network maps, validating them against state and federal standards, and conducting secret shopper surveys to verify actual provider availability and patient access. Qualified candidates must possess specialized knowledge of network adequacy standards and professional experience in healthcare access auditing. The primary deliverables for this engagement include detailed Network Adequacy Validation Reports and the results of the secret shopper surveys. The solicitation was posted on September 15, 2026, with a response deadline of October 14, 2026, under NAICS code 541611.

General Info

NH DHHS subcontract for validating Medicaid provider network adequacy and conducting secret shopper surveys.

Agency

New Hampshire → Dhhs-Department Of Health & Human ServicesView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

Not specified

Set-Aside

NONE

Documents

This scope was carved out of RFP-2027-DPQI-02-EQRO.

The full solicitation package (9 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

External Quality Review Organization

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Timeline

PostedSep 15

subcontract

Response DeadlineOct 14

Submission deadline

Response Deadline

10/14/2026, 04:00:00 AM UTCin 28 days

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Organization & Contact Information

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AgencyNew Hampshire → Dhhs-Department Of Health & Human Services

ContactsNo contacts available

OfficeN/A

Organization / Agency

New Hampshire → Dhhs-Department Of Health & Human Services

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Office AddressN/A

ContactsNo contact information available

Full Description

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Validates provider network adequacy for prime contractors on NH DHHS Medicaid projects. Analyzes provider directories and network maps, validates network adequacy against state and federal standards, and performs secret shopper surveys to verify provider availability and access. Requires knowledge of network adequacy standards and healthcare access auditing experience. Delivers Network Adequacy Validation Reports and Secret Shopper Survey results.

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