Independent Review Organization (IRO) for PRIRA reviews
Ended State & local contract Michigan Awarded
- Contract number
- MA230000000496
- Awardee
- MANAGED MEDICAL REVIEW ORGANIZATION, INC.
- Contracting organization
- Department of Insurance and Financial Service
Contract facts
- Cumulative value
- $120,000
- End date
- Points of contact
-
- Joseph Stoddard stoddardj6@michigan.gov (517) 730-8761
- Sarah Wohlford wohlfords@michigan.gov (517) 284-8743
- Drew Simon simond13@michigan.gov (517) 930-7725
- Darcie Payne payned3@michigan.gov (517) 930-9402
Contract details come from michigan.gov. Updated .
About this contract
This indefinite delivery vehicle provides independent review organization (IRO) services under Michigan's Patient's Right to Independent Review Act (PRIRA). The contract enables the state to procure independent medical review services through a flat-rate pricing structure offering three review categories: Standard Review at $545.00 per review, Expedited Review at $565.00 per review, and Experimental/Investigational Review at $535.00 per review. These services support the state's healthcare regulatory framework by delivering objective clinical assessments and independent medical determinations as required under PRIRA statutes and regulations.
Managed Medical Review Organization, Inc. serves as the prime contractor for this agreement with the Michigan Department of Insurance and Financial Services. The initial contract period commenced March 1, 2023, and was originally scheduled to expire February 28, 2026; however, the first two-year extension option was exercised, extending the period of performance through February 28, 2028. The contract maintains an estimated aggregate value of $120,000.00 and covers the State of Michigan. The contractor must maintain URAC accreditation and comply with all applicable state requirements regarding clinical peer reviewer qualifications, conflict of interest standards, and mandatory reporting obligations. Two additional two-year renewal options remain available at the state's discretion.
Files
| File | Type | Posted |
|---|---|---|
| 230000000496.pdf |
Quick answers
Who holds contract MA230000000496?
Contract MA230000000496 was awarded to MANAGED MEDICAL REVIEW ORGANIZATION, INC. by Department of Insurance and Financial Service in Michigan on March 1, 2023.
How much is contract MA230000000496 worth?
Its cumulative value is $120,000.
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