Type : Bid Notification
The Health and Human Services Commission (HHSC) seeks to contract with one or more Independent Review Organizations (IROs) to conduct external medical reviews (EMRs) for: 1) Texas Medicaid managed care organization (MCO) or dental maintenance organization (DMO) benefit denials or reductions that are appealed by Medicaid members or their authorized representatives and subsequently are requested for review by a contracted IRO; and 2) eligibility decisions