Specifications include, but are not limited to: The Division of Medicaid (DOM) intends to release a Request for Proposals (RFP) in the near future to acquire the services of a Utilization Management/Quality Improvement Organization (UM/QIO) in an effort to safeguard against unnecessary utilization of care and services. Currently, DOM processes prior authorization requests for expanded Early and Periodic Screening, Diagnosis and Treatment (EPSDT) benefits, certain dental and vision services, and prescription drugs utilizing agency staff from the appropriate program areas. DOM envisions that the winning Contractor will conduct staff interviews with employees in the program areas, evaluate the existing system, and perform a gap analysis
