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Utilization Review


Location
Montana
Publication Date
07/03/2019 02:43 PM EDT
Closing Date
08/30/2019 10:00 AM EDT
Issuing Organization
State of Montana - Department of Public Health & Human Services
Solicitation Number
Description

Specifications include, but are not limited to: The STATE OF MONTANA, Department of Public Health and Human Services, (hereinafter referred to as “the State”) is seeking a Contractor who is a Quality Improvement Organization (QIO) or QIO-like organization to provide utilization management and review (UR) services which includes level of care determination, PASRR activities, functional assessments, prior authorizations, continued stay reviews and special case reviews for Montana Healthcare Programs in accordance with federal and state rules/regulations and related state policies and procedures.

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