This Government Contract opportunity from California was posted on May 21, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Utilization Management and Prior Authorization

Closed

State & Local

Submission Closed05/28/2026, 09:00:00 PM UTC

Contract Overview

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

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AI Contract Overview

The contract involves providing comprehensive utilization management services including prospective, concurrent, and retrospective reviews to assess medical necessity and promote cost-effective healthcare delivery. Responsibilities encompass prior authorization processes, handling appeals, and ensuring all activities are overseen by licensed clinical professionals. This approach helps to optimize service delivery while maintaining quality and adherence to medical guidelines. Scheduled as a subcontract within the health services sector governed under NAICS code 541611, the contract was posted in late May 2026 with a response deadline one week later. The contracting entity is a California-based health services agency, though specific location details and points of contact are not provided. The contract emphasizes clinical oversight and operational efficiency in utilization review functions, critical to managing healthcare costs while safeguarding patient care standards.

General Info

Provide utilization management services with clinical oversight, prior authorizations, appeals, and cost-effective healthcare delivery.

Agency

California → Health ServicesView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

CA, USA

Set-Aside

NONE

Documents

This scope was carved out of Test1.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Draft - not Use, for parts

AI Contract Breakdown

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No contract breakdown available.

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Timeline

PhaseClosed

PostedMay 21

subcontract

Response DeadlineMay 28

Deadline has passed

Submission Closed

05/28/2026, 09:00:00 PM UTC

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Organization & Contact Information

AgencyCalifornia → Health Services

ContactsNo contacts available

OfficeN/A

Organization / Agency

California → Health Services

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

Perform prospective, concurrent, and retrospective utilization review to ensure medical necessity and cost-effective service delivery, including prior authorization, appeals processing, and oversight by licensed clinical professionals.