Specifications include, but are not limited to: (1) meets the criteria as an evidence-based medical review tool that is available 24/7 in an electronic, Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) compliant format, which is web-based, searchable, and hosted by the Contractor; (2) notify the Department in the event of an interruption of service. The Contractor will also update the Department of expected down time and restoration of the software; (3) include the capacity to create completely customized criteria as well as have the ability to modify already established criteria; (4) have the medical necessity clinical content of the product updated, at a minimum, annually; (5) have the functionality to perform data aggregation and create reports, which are user-friendly and customizable to the Department needs. (6) provide evidence of contracting with state Medicaid programs; (7) include the following to support the Department in formulating policy and authorizing mandatory, optional, and EPSDT services: clinical content incorporated into the utilization control process; the capacity to accommodate diverse service types or have the capacity for customization necessary to accommodate the Department needs; and the utilization process shall be able to accommodate DRGs, ICD-CM 10, ICD-PCS, CPT, revenue, and HCPCS coding and outliers. (9) The product must provide: (A) a user-friendly environment in which a staff member can easily access medically necessary code specific clinical content; (B) clinical criteria that must be available in an easily searchable and selectable format; (C) a systematic review process; (D) a built-in workflow that allows a primary review to be completed as well as the possibility of additional reviews to be performed on individual cases; (E) capacity for the reviews to be completed retrospectively, concurrently, and prospectively; and (F) access for Medicaid providers to be able to view criteria sets from the web. (10) have the availability to measure interrater reliability. This can be a function that resides within the evidence-based medical review tool, or a tool that works in conjunction with the review tool; and (11) include the following clinical content, at a minimum: level of care for acute adult and pediatric; a long-term acute care and rehabilitation products; behavioral health products; care planning products for procedures; imaging; molecular diagnostics; and durable medical equipment.