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.