Medicaid Physician Review - Bid 03410-205-26 - Waterbury, VT

Bid #03410-205-26. Contact: ahs.dvhagrantscontracts@vermont.gov. Department of Vermont Health Access, Waterbury, Vermont. *Please use Microsoft Edge to open attachments* Through this Request for Proposal (RFP) the Agency of Human Service through. Due Jun 16 (2 days left).

About this solicitation

*Please use Microsoft Edge to open attachments* Through this Request for Proposal (RFP) the Agency of Human Service through the Department of Vermont Health Access is soliciting proposals to contract with an actively licensed Physician(s) to provide medical oversight, prior authorization case review and medical necessity determinations in a Medicaid Managed Care environment. The State has policies and procedures within its Clinical Operations Unit for Surveillance and Utilization Review activities. These activities are federally mandated for all State Medicaid Managed Care Organizations, as outlined in Title 42, Part 400, of the Code of Federal Regulations. The Contractor will provide consultative services on these activities, on an as needed basis, not to exceed sixteen (16) hours per week, according to a mutually agreeable schedule as established by the Contractor, the State Clinical Operations Unit Director and the State’s Chief Medical Officer. Locations: Washington

Bid summary

Department of Vermont Health Access issued this medical and healthcare opportunity in Waterbury, Vermont, referenced as solicitation number 03410-205-26. It was published on May 26, 2026, and responses are due by June 16, 2026. Questions can be directed to ahs.dvhagrantscontracts@vermont.gov.

Public procurement context

Department of Vermont Health Access in Waterbury, Vermont is using this solicitation to procure medical work. Public buyers typically advertise this kind of work as an Invitation for Bids (IFB), Request for Proposals (RFP), or Request for Qualifications (RFQ), depending on whether the selection is price-driven, qualifications-driven, or both. Bidders responding to a medical solicitation in Vermont are generally expected to provide proof of liability insurance and workers' compensation coverage, hold any state license or trade certification required for the scope of work, and post performance and payment bonds for contracts above the agency's threshold.

Contracts of this type are usually awarded under the issuing agency's published procurement rules, with bid bond, performance bond, and reference requirements set in the solicitation documents. PublicBidSearch indexes this solicitation alongside other open bids in Vermont so contractors and vendors can compare active opportunities by category, agency, or location without monitoring each procurement portal individually.

How to respond to this opportunity

To submit a bid for this solicitation, review the full solicitation documents for Department of Vermont Health Access's exact scope of work, submission format, and any mandatory pre-bid meeting or site visit. Responses must be received before the June 16, 2026 deadline — public agencies routinely reject late submissions regardless of cause. Confirm how the agency accepts responses — through an electronic procurement portal, as a sealed hard-copy bid, or by email — because the required method varies by agency and a non-conforming submission can be disqualified. Direct questions about scope or specifications to ahs.dvhagrantscontracts@vermont.gov before the agency's question cut-off date. Vendors that have not previously contracted with Department of Vermont Health Access should confirm whether registration on the agency's vendor system is required to be eligible for award.

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