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State of Montana - Utilization Review Services for Montana Healthcare Program - DPHHS-RFP-2027-0712AB (2026)

Montana Department of Commerce | State of Montana logoMontana Department of Commerce | State of Montana
Due
Dec 8, 2026
35 days left
Posted
Oct 21, 2026
Primary contact
Amanda Battin
(406) 444-9665

The 30-second brief

What they're buying

The State of Montana, State Procurement Services Division, on behalf of the Department of Public Health and Human Services, is issuing this Request for Proposal for utilization management and review (UR) services, which include level of care determination, Preadmission Screening and Resident Review (PASRR) activities, functional assessments, prior authorizations, continued stay reviews, eligibility determinations, and special case reviews for the Montana Healthcare Program (MHP) in accordance with all federal and state rules, regulations, and related state policies and procedures. The organization must maintain its QIO or QIO-Like status throughout the contract period. Federal funds are involved in this project, requiring a Unique Entity ID (UEI) from SAM.GOV and completion of Federal Form NDA889. Proposals are due by December 8, 2026, at 2:00 PM MST.

How it's scored

Price, experience, approach

35 days left to submitDue Dec 8

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Summary

The State of Montana, State Procurement Services Division, on behalf of the Department of Public Health and Human Services, is issuing this Request for Proposal for utilization management and review (UR) services, which include level of care determination, Preadmission Screening and Resident Review (PASRR) activities, functional assessments, prior authorizations, continued stay reviews, eligibility determinations, and special case reviews for the Montana Healthcare Program (MHP) in accordance with all federal and state rules, regulations, and related state policies and procedures.

The organization must maintain its QIO or QIO-Like status throughout the contract period. Federal funds are involved in this project, requiring a Unique Entity ID (UEI) from SAM.GOV and completion of Federal Form NDA889. Proposals are due by December 8, 2026, at 2:00 PM MST.

EVALUATION CRITERIA

3
  • Price
  • Experience
  • Approach

REQUIRED ATTACHMENTS

7
  • Business Information document
  • Scope of Work document
  • Offeror Qualifications document
  • Budget Worksheet
  • Contract Exception template
  • Trade Secret Affidavit
  • Federal Form NDA889
Scope location
Helena, MT
Reported agency
State of Montana

Questions about this RFP

How do I respond to this RFP from Montana Department of Commerce | State of Montana?

Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is December 8, 2026. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: [email protected]. For questions, contact Amanda Battin.

Can small businesses or minority-owned firms bid on this RFP?

Most government agencies, including Montana Department of Commerce | State of Montana in MT, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.

What happens after the RFP submission deadline?

After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.

Can I ask questions about this solicitation before submitting?

Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Amanda Battin at (406) 444-9665. Questions and answers are typically shared with all prospective bidders.

Show 5 more questions

What are the evaluation criteria for this solicitation?

This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Price, experience, approach" Vendors should carefully align their proposals with each criterion to maximize their score.

Where can I find more RFPs from Montana Department of Commerce | State of Montana?

All active and historical solicitations from Montana Department of Commerce | State of Montana are tracked and searchable. As a state agency, Montana Department of Commerce | State of Montana regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.

Is this solicitation still open for submissions?

Based on the posted deadline of December 8, 2026, this solicitation appears to still be accepting submissions. Deadlines may change through amendments or addenda, so always verify the current status directly with the issuing agency before preparing your response.

What documents are required to bid on this RFP?

Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Business Information document, Scope of Work document, Offeror Qualifications document, Budget Worksheet, Contract Exception template, Trade Secret Affidavit, Federal Form NDA889. Review the full document from Montana Department of Commerce | State of Montana for the complete list.

What is the scope of this project?

This solicitation defines a specific project scope. The scope covers the following locations: Helena, MT. Review the full solicitation for detailed scope requirements.

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