DHHS-Department of Health & Human Services-NHIssuing agency·New Hampshire·via the NH DAS Procurement & Support Services portalThe New Hampshire Department of Health and Human Services, Division of Medicaid Services (“Department”), is seeking responses to this Request for Applications (“Solicitation” or “RFA”) from qualified Vendors to provide dental benefit administration and remote dental consultation services for children and adults ages 1 up to 21 years of age residing in New Hampshire who are enrolled in NH Medicaid, as requested by the Division of Medicaid Services (DMS) Dental Director.
The contractor must provide remote dental benefit administration and clinical consultation including review of dental records and diagnostic images, interpretation of radiographs, guidance on routine extractions and preventive care, medical-necessity review of prior authorization requests under He-W 566 and He-W 546, claims review and pricing corrections, MMIS data gathering and suspended-claims processing, CDT code and fee/utilization reviews, policy and program development support, provider and MCO collaboration, monthly virtual and in-person meetings, daily Department email monitoring, and service as the Department dental expert at administrative appeals hearings, available a minimum four days per week for approximately 50 hours per month with ability to travel to Concord and respond to urgent clinical matters when the DMS Dental Director is unavailable.
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Most New Hampshire work asks for the two below, and the solicitation documents are where it’s stated. One prequalification covers both — on this bid and the next.
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Source: New Hampshire DAS Procurement (solicitation 6df7be76-1f8d-47cf-bf6d-6dd139bf5b73), retrieved via the NH DAS Procurement & Support Services portal. View the official posting, and always confirm requirements and deadlines with the issuing agency.
