The Division of Medicaid seeks offers from qualified, experienced, and responsible entities to provide professional services related to independent external medical reviews for State Fair Hearings and/or State Administrative Hearings. The selected bidder will be required to provide these services in accordance with the terms and conditions of the contract. The key aspects of the job include:
• Providing independent external medical reviews for State Fair Hearings and/or State Administrative Hearings
• Ensuring that the reviews are conducted in a fair and impartial manner
• Submitting reports and recommendations to the Division of Medicaid
• Complying with all applicable laws, regulations, and rules
• Maintaining confidentiality and handling sensitive information with care
The bidder must demonstrate experience and expertise in providing similar services, and must be able to provide references and other supporting documentation as required.
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