Medicaid Physician Review and Consulting Services

Agency:	State Government of Vermont
State:	Vermont
Type of Government:	State & Local
NAICS Category:	541611 - Administrative Management and General Management Consulting Services 541618 - Other Management Consulting Services 621111 - Offices of Physicians (except Mental Health Specialists)
Posted Date:	May 26, 2026
Due Date:	Jun 16, 2026
Original Source:	Please Login to View Page
Contact information:	Please Login to View Page
Bid Documents:	Please Login to View Page

Description

Medicaid Physician Review and Consulting Services	Request Date: 5/26/2026 11:44:24 AM Open Date: 5/26/2026 Closing Date: 6/16/2026 2:00 PM Intent To Bid Deadline: Est. Dollar Value: $0.00 RFQ Number: 03410-205-26
Department of Vermont Health Access 280 State Drive Waterbury , VT 05671

Bid Type:
Job Contract

Locations:
Washington
Keywords:
Medical Services, Consultant Services, Health Care Services

Bid Description:
*Please use Microsoft Edge to open attachments* Through this Request for Proposal (RFP) the Agency of Human Service through the Department of Vermont Health Access is soliciting proposals to contract with an actively licensed Physician(s) to provide medical oversight, prior authorization case review and medical necessity determinations in a Medicaid Managed Care environment. The State has policies and procedures within its Clinical Operations Unit for Surveillance and Utilization Review activities. These activities are federally mandated for all State Medicaid Managed Care Organizations, as outlined in Title 42, Part 400, of the Code of Federal Regulations. The Contractor will provide consultative services on these activities, on an as needed basis, not to exceed sixteen (16) hours per week, according to a mutually agreeable schedule as established by the Contractor, the State Clinical Operations Unit Director and the State’s Chief Medical Officer.

Special Instructions:

Contact Information:
	Emily Weidman Phone: NA Fax: Email: ahs.dvhagrantscontracts@vermont.gov For additional information:

Bid Attachments:
DVHA Medical Director RFP 03410-205-26.pdf


Site Visit:	Date:

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Medicaid Physician Review and Consulting Services

Description

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