Showing posts with label Medicaid/Medicare. Show all posts

Special Education Medicaid Reimbursement Filing

The District is seeking proposals from qualified vendors for Special Education Medicaid Reimbursement Filing.

This rfp is located in Texas, United States.

Details available at: RFP - Special Education Medicaid Reimbursement Filing

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COST REPORTING SERVICES

Qualified proposers to provide Medicaid and Medicare cost reporting services for the state.

This rfp is located in Louisiana, United States.

Details available at: RFP - COST REPORTING SERVICES

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Medicaid Research Services

The State is soliciting proposals from qualified vendors to provide Medicaid Research, Training and Evaluation Services

This rfp is located in Kansas, United States.

Details available at: RFP - Medicaid Research Services

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Capitated Managed Care

The State is issuing this RFP to obtain competitive responses from VENDORs to provide managed care for the Medicaid and CHIP programs.

This rfp is located in Kansas, United States.

Details available at: RFP - Capitated Managed Care

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Pre-Payment Review of Claims and Other Strategies to Reduce Medicaid Fraud

The State seeks information for predictive modeling techniques that can screen, score and select claims that have a high probability of payment error and refer them for review and/or verification. Comprehensive pre- payment review will assist in the prevention of suspect claims from being reimbursed...

This rfp is located in Texas, United States.

Details available at: RFP - Pre-Payment Review of Claims and Other Strategies to Reduce Medicaid Fraud

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Service Cost Analysis for Rate Setting

The two significant goals for this solicitation are To accomplish the State obligation in the ADA Settlement Agreement to analyze service costs; and to meet the obligation to the federal Medicaid authority for periodic service cost analysis for rate setting.

This rfp is located in Georgia, United States.

Details available at: RFP - Service Cost Analysis for Rate Setting

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RFP #20110902 Preadmission Screening and Resident Review (PASRR)

NOTICE

The Division of Medicaid (DOM) has released a Request for Proposal for the purpose of contracting with a qualified contractor to conduct all functions of Mental Health Pre-Admission Screening and Resident Reviews (PASRR).

DOM seeks competitive written proposals from qualified contractors f...

This rfp is located in Mississippi, United States.

Details available at: RFP - RFP #20110902 Preadmission Screening and Resident Review (PASRR)

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Arkansas Insurance Department

The purpose of this Request for Proposal is to provid multiple award contracts throughout Arkansas with
nonprofits and faith-based organizations to carry out local programs with two primary functions; (1) to
educate Medciare beneficiaries about disease prevention and wellness promotion, namely Me...

This rfp is located in Arkansas, United States.

Details available at: RFP - Arkansas Insurance Department

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Workers Compensation Coverage for Medicaid Funded Consumer Directed Services

The State is seeking to establish purchasing agreements with one or more companies that can provide commercial workers compensation coverage for that group collectively described as Medicaid funded consumer directed services.

This rfp is located in Vermont, United States.

Details available at: RFP - Workers Compensation Coverage for Medicaid Funded Consumer Directed Services

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Medicare Part D Preferred

Primary services include coordinating payment of member monthly premiums, enrollment and pharmacy data exchange, customer service and adherence to clinical requirements specific to contracts. PDPs may submit a proposal for one Basic Plan below the benchmark and/or one Enhanced Plan.

This rfp is located in Maine, United States.

Details available at: RFP - Medicare Part D Preferred

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Medicaid Facility Management and Support Services

The State is seeking a contractor to provide Facility Management (FM) and Support Services.

This rfp is located in Montana, United States.

Details available at: RFP - Medicaid Facility Management and Support Services

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Health IT Animation / Videos for the Public

The ONC, the oversight organization for the HITECH Act, seeks vendor to develop animated videos explaining the value of health IT and electronic health records to patients and consumers.

This rfq is located in Maryland, United States.

Details available at: RFQ - Health IT Animation / Videos for the Public

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Group Prescription Drug Coverage for Medicare-Eligible Retirees and Dependents

The University envisions maintaining the current pharmacy benefit design, which is a benefit plan that is authorized by Centers for Medicare and Medicaid services (CMS) as a stand-alone group prescription drug plan (PDP). For 2012 we would like to provide additional coverage for non-D prescriptions....

This rfp is located in Iowa, United States.

Details available at: RFP - Group Prescription Drug Coverage for Medicare-Eligible Retirees and Dependents

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Pharmacy Benefits Management & Data Warehouse Services

A Request for Information requesting potential vendor input for the Office of Medicaid Policy and Planning (OMPP) planned Data Warehouse is scheduled for release in August 2011.

This rfi is located in Indiana, United States.

Details available at: RFI - Pharmacy Benefits Management & Data Warehouse Services

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Member Services

The State is requesting proposals from qualified organizations to provide benefits counseling, enrollment services, outreach, and member services for health care beneficiaries.

This rfp is located in Vermont, United States.

Details available at: RFP - Member Services

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Reviews of Emergency Medicaid Services

qualified Vendors to conduct day-by-day, ex post facto reviews of the emergency medical care provided to undocumented aliens, and legal aliens who do not qualify for full Medicaid benefits, in order to determine if the subject medical conditions meet the Federal definition of “medical emergency”...

This rfp is located in North Carolina, United States.

Details available at: RFP - Reviews of Emergency Medicaid Services

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Health Plan Audit

Audit a public healthcare system

This rfp is located in Nevada, United States.

Details available at: RFP - Health Plan Audit

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Medicaid Eligibility Systems Technology

This Request for Information (“RFI”) is being issued to solicit targeted and specific information from interested companies with respect to Medicaid Eligibility Systems.

This rfi is located in Georgia, United States.

Details available at: RFI - Medicaid Eligibility Systems Technology

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RFP #20110617 Preferred Drug List and Supplemental Drug Rebate Program

The Mississippi Division of Medicaid is requesting proposals from qualified contractors to develop and maintain DOM's Preferred Drug List and administer the Supplemental Rebate Program.

This rfp is located in Mississippi, United States.

Details available at: RFP - RFP #20110617 Preferred Drug List and Supplemental Drug Rebate Program

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Medicaid Enterprise Products

to provide the DHS with the information management tools and business partners that can assist DHS in managing the State Medicaid program in an era of transformation of the nation’s health care system through health reform and electronic health information technology.

This rfp is located in Arkansas, United States.

Details available at: RFP - Medicaid Enterprise Products

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