About this opportunity
AI summaryThe government authority located in Montana requires a USA-based vendor to provide offsite utilization review services. The requested scope includes utilization management and review activities such as level of care determinations, Preadmission Screening and Resident Review (PASRR) activities, functional assessments, prior authorizations, continued stay reviews, eligibility determinations, and special case reviews. Only onshore USA organizations are eligible to bid on this opportunity. Bidders can submit their proposals digitally through email or online, and the buyer is currently seeking budget proposals for the project.
Buyer and opportunity details
- Client
- The State
Scope of work
- Propose a process and infrastructure to support brain injury screening activities
- Administer standardized brain injury screening tool as part of face-to-face utilization review activities
- Screen individuals undergoing Functional Assessments, Level of Care Determination, and PASRR (All levels)
- Provide customized tip sheets and actionable strategies to individuals and designated providers based on identified challenges
- Provide information on local and state-specific resources and support services
- Develop reports and information from collected data to inform policies, programs, and service models
- Review collected data against national datasets to identify trends and service gaps