Procurement and Contract Services

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Open Enrollment Opportunity

Agency: Health and Human Services Commission (HHSC)
Procurement Number: HHS0008709
Procurement Name: Physician Reviewers
Program Name: Office of Inspector General
Release Date: September 25, 2020
Closing Date: March 31, 2021, at 5:00 p.m. Central Time

Executive Summary

The Health and Human Services Commission ("HHSC"), on behalf of the Office of Inspector General ("OIG") seeks to procure qualified physicians (the "Providers") to evaluate professional actions and decisions made by providers within the programs that Health and Human Services ("HHS") oversees, including Medicaid and the Childrenís Health Insurance Program ("CHIP"). The contracted Providers assist the OIG by conducting case reviews, providing professional expertise regarding the information reviewed, and providing testimony, as needed, to substantiate review findings. These services are an integral part of the OIG's ability to promote program integrity and detect/combat fraud, waste, and abuse throughout the HHS service delivery system. For the purpose of this Open Enrollment ("OE"), Providers are limited to physicians only. However, the OE may expand the scope of OE to additional types of health and allied service providers later.



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