When is the submission deadline?

Submissions are due September 15, 2026. Questions must be submitted by August 17, 2026.

It was issued by Cabinet For Health And Family Services. The work is located in Frankfort, Kentucky, United States.

Who is a good fit for this opportunity?

Independent healthcare review organization with experience conducting medical necessity determinations. Access to currently licensed clinicians across relevant medical specialties. Established clinician qualification, case assignment and quality assurance processes. Demonstrated ability to meet defined review timelines for government or healthcare clients. Strong information security controls, including encrypted data exchange or secure FTP.

External Independent Third-Party Review Services (Due September 15, 2026)

Overview

Healthcare Services, Wellness & Biotech

Frankfort, Kentucky, United StatesPosted: August 8, 2026Deadline: September 15, 2026

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SUMMARY

A government authority seeks an independent third-party reviewer to conduct clinically informed medical necessity determinations and related case reviews. The two-year engagement requires qualified licensed clinicians, defined review processes and timelines, and secure data transmission.

KEY REQUIREMENTS

CONTRACT DURATION

20 months

TIMELINE

Release of RFP: August 7th, 2026

Written Questions due by: August 17th, 2026

Anticipated Commonwealth Response to Written Questions: September 3rd, 2026

Proposals Due by: September 15th, 2026

QUESTION DEADLINE

August 17, 2026

CONTACTS

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

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Issuing Agency

Cabinet For Health And Family Services

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DESCRIPTION

A government authority in Frankfort, Kentucky is seeking an independent third-party vendor to provide accurate and timely external review services for a two-year contract period.

The selected provider will conduct medical necessity determinations through clinicians with relevant clinical expertise who are currently licensed, preferably in the subject matter associated with each case. The provider must establish a formal process for identifying appropriately qualified clinicians, develop timelines for completing reviews and determinations, and securely transmit and receive all data using encryption or a secure file transfer protocol site.

All questions regarding the opportunity must be submitted by August 17, 2026.

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Frequently asked questions

When is the submission deadline?: Submissions are due September 15, 2026. Questions must be submitted by August 17, 2026.
Who issued this RFP?: It was issued by Cabinet For Health And Family Services. The work is located in Frankfort, Kentucky, United States.
Who is a good fit for this opportunity?: Independent healthcare review organization with experience conducting medical necessity determinations
Access to currently licensed clinicians across relevant medical specialties
Established clinician qualification, case assignment and quality assurance processes
Demonstrated ability to meet defined review timelines for government or healthcare clients
Strong information security controls, including encrypted data exchange or secure FTP

Analysis generated by Settle AI from the source RFP.

RFP Hunter shows what is open. Settle shows what is forming.

Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.

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