Bid guide
How to bid on Medicaid Physician Review and Consulting Services for Vermont Health Access
What the Department of Vermont Health Access is buying
The Department of Vermont Health Access (DVHA) is seeking a licensed physician to provide medical oversight, review prior authorization requests, and make medical necessity determinations for Medicaid services. This role involves ensuring care is medically necessary and cost-efficient, acting as a steward of public funds.
The selected physician will work part-time, up to ten hours per week, on an as-needed basis. Key responsibilities include reviewing prior authorization requests, supporting the State Clinical Services Team, assisting with clinical guideline adoption, reviewing Non-Emergent Medical Transportation, and participating in appeals and quality improvement activities.
Key dates and what happens at the deadline
The Request for Proposal (RFP) was published on July 10, 2026. Proposals must be submitted by July 10, 2027, at 2:00 PM ET. This is the final deadline for submitting your response.
It is crucial to submit your proposal before this exact time. Late submissions are typically not accepted and will not be considered for evaluation.
Who this opportunity suits
This opportunity is ideal for individual physicians or medical consulting firms with a physician on staff who holds an active Vermont medical license in good standing. The physician must have an M.D. or D.O. degree and a minimum of one year in primary care or general medicine internship.
Preference will be given to candidates with broad practice experience, such as primary care or general internal medicine, and those with previous experience making medical necessity determinations. Expertise in care management, quality improvement programs, and an understanding of health reform initiatives are also important.
How to respond to this solicitation
To access the solicitation details, you need to view the original source on the Vermont Business Registry & Bid System. This will open the bid's preview page, where you can find the description, work location, and instructions on how to obtain the full bid documents.
The bid documents are typically available from the contact person listed in the posting. Once you have reviewed all the documents and prepared your response, submit it as directed in the posting before the specified deadline. Registering on the Vermont Business Registry is free and will keep you informed of future Vermont bidding opportunities.
Practical tips for a competitive response
Clearly demonstrate that the physician proposed has an active Vermont medical license and meets all credentialing standards. Highlight any board certifications and extensive experience treating patients with complex medical needs, including co-occurring substance use disorder, mental health, and medical conditions.
Emphasize the physician's experience with medical necessity determinations and their understanding of both national and Vermont health reform initiatives. Provide specific examples of how the physician's expertise aligns with the primary responsibilities, such as reviewing prior authorization requests and participating in appeals. Ensure your proposal is well-organized and directly addresses all requirements outlined in the RFP.
See the live bid — deadline, agency details, and how to respond
Dates and requirements can change via addenda; always verify on the bid page and at the original source before responding.
View this bid on BiddingSimpleThis guide was prepared by BiddingSimple from the solicitation’s public posting. It is not official guidance from Department of Vermont Health Access; the original posting controls.