Open Enrollment: HHS0015818

Agency: HHSC
Procurement Number: HHS0015818
Procurement Name: OE for Independent Review Orgs; Medicaid & CHIP Services; Medical & UR Appeals
Program Name: Health and Human Services
Release Date:
Submission Deadline: January 31, 2028 — 05:00 pm CST

Executive Summary

HHSC is seeking Applications to establish Contracts for Independent Review Organizations (IROs) to assist HHSC Medical and UR Appeals (M&URA) and HHSC Operations Management (OM) Provider Resolution and Administrative Appeals (PRAA) with conducting appeal reviews.

Documents

Scope Of Work (67.56 KB)
DUA (494.98 KB)
Affirmations (5.07 MB)
Terms and Conditions (387.11 KB)