HHSC Continues Contracts With Independent Review Organizations

The Texas Health and Human Services Commission maintains contracts with Independent Review Organizations to provide external medical review of Medicaid managed care benefit denials and reductions. These professional service contracts support objective, unbiased determinations of medical necessity under state law for STAR Kids and other programs.

Document date · April 1, 2026

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Scope & details

The full contract record, as filed.

Contract type

PROFESSIONAL_SERVICES

Renewal

HHSC is using an open enrollment process to contract with IROs that meet specified criteria; individual contract renewal dates are not specified in the report.

Document type

Report

Source document

Texas Health and Human Services Medically Dependent Children Program Monitoring Report April 2026

Related contracts

Other contracts from Independent Review Organization.

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pickett-county-bill-2024-05-06_b36.pdf

PLANNED

Tennessee Health Facilities Commission, TennesseeMay 6, 2024

Frequently asked questions

Common questions about this contract, answered from the record.

Who was awarded the professional services contract by Texas Center For Infectious Disease?

Independent Review Organization was awarded this professional services contract by Texas Center For Infectious Disease, as recorded on April 1, 2026.

What type of contract is this?

This is a Professional Services contract, documented as a report record.

Where was this contract approved?

This contract appears in Texas Health and Human Services Medically Dependent Children Program Monitoring Report April 2026 (Report), dated April 1, 2026 from Texas Center For Infectious Disease. Civic IQ extracts contract records directly from agency meeting documents and solicitations.

What other contracts does Independent Review Organization hold?

Independent Review Organization may hold additional government contracts. View their full contract history, the agencies they serve, and total tracked spend on their Civic IQ vendor profile.

View Independent Review Organization's profile

What is Texas Center For Infectious Disease currently buying?

Explore Texas Center For Infectious Disease's vendors, signed contracts, and active RFPs on their Civic IQ agency profile.

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