OPEN ENROLLMENT (OE) for Independent Review Organization Services
Texas Department of State Health Services, Austin, TX·State
- Reported Agency
- TEXAS HEALTH AND HUMAN SERVICES COMMISSION
- Primary Contact
- Angie Campos
- Contract Term
- 3 years
- Duration
- 36 months
- Scope Location
- Texas
- Submission Address
- [email protected]
SUMMARY
The Texas Health and Human Services Commission (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. Applicants must submit a comprehensive Application meeting all requirements.
REQUIRED ATTACHMENTS
Exhibit A – HHS Solicitation Affirmations, OE Addenda (if applicable), Exhibit D – Federal Assurances and Certification, Exhibit E - DUA – Attachment 2 (Security and Privacy Initial Inquiry), References, Licensure or Accreditation documentation, Additional Minimum Qualifications documentation, Organizational Chart and Key Personnel profiles/resumes, Executive Summary, Notice of Criminal Activity confirmation, Notice of Insolvency or Indebtedness details, Applicant Contact Information, Contractor Service Locations or Offices list, Subcontractor Information, Proof of Insurance or intent to obtain, Public Information Act Copy of Application (if applicable)
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Work in government? Get Civic IQ free →Frequently asked questions
Common questions about this solicitation, answered from the record.
How do I respond to this RFP from Texas Department of State Health Services?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is January 31, 2028. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: [email protected]. For questions, contact Angie Campos.
Where can I find more RFPs from Texas Department of State Health Services?
All active and historical solicitations from Texas Department of State Health Services are tracked and searchable. As a state agency, Texas Department of State Health Services regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 3 years. Contract terms may include renewal options.
Is this solicitation still open for submissions?
Based on the posted deadline of January 31, 2028, 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: Exhibit A – HHS Solicitation Affirmations, OE Addenda (if applicable), Exhibit D – Federal Assurances and Certification, Exhibit E - DUA – Attachment 2 (Security and Privacy Initial Inquiry), Referenc. Review the full document from Texas Department of State Health Services for the complete list.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Texas Department of State Health Services in TX, 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 Angie Campos. Questions and answers are typically shared with all prospective bidders.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Texas. Review the full solicitation for detailed scope requirements.
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