Physician Services for Statewide Review for Prior Authorization Certification Evaluation Review (PACER) and Selected DME/Medical Supplies
Active State & local contract Michigan Awarded
- Contract number
- MA240000000043
- Awardee
- MICHIGAN PEER REVIEW ORGANIZATION
- Contracting organization
- Department Technology, Management and Budget
Contract facts
- Cumulative value
- $875,352
- End date
- Points of contact
-
- Lori Hinkle hinklel@michigan.gov (517) 335-5218
- Marissa Gove govem1@michigan.gov (517) 449-8952
- Brandon Samuel samuelb@michigan.gov (517) 249-0439
Contract details come from michigan.gov. Updated .
About this contract
The Michigan Peer Review Organization (operating as iMPROve Health) delivers physician review services exclusively for the Michigan Medicaid program under this indefinite delivery vehicle. The primary services include Prior Authorization Certification Evaluation Review (PACER) for inpatient hospital admissions, long-term acute care hospitals, ventilator-dependent care units, and rehabilitation facilities, as well as review services for selected durable medical equipment and medical supplies. These services support utilization management and quality assurance functions by ensuring medical necessity and appropriate resource allocation. The contract requires completion of 98 percent of prospective requests within one business day and retrospective requests within three business days, with service level credits applied for non-compliance.
The Michigan Peer Review Organization serves as the sole prime contractor under this agreement administered by the Department of Technology, Management and Budget, Central Procurement Services, with oversight by the Michigan Department of Health and Human Services. The contract was awarded on December 1, 2023, with an initial performance period through November 30, 2026, subsequently extended through a change notice exercising all three available one-year option periods to November 30, 2029. The contract operates statewide throughout Michigan and is structured as a unit-price arrangement at $256 per review, generating an estimated three-year contract value of $875,352 based on projected annual volumes of 710 PACER reviews and 379 durable medical equipment and ventilator-dependent care unit reviews.
Files
| File | Type | Posted |
|---|---|---|
| 240000000043.pdf |
Quick answers
Who holds contract MA240000000043?
Contract MA240000000043 was awarded to MICHIGAN PEER REVIEW ORGANIZATION by Department Technology, Management and Budget in Michigan on December 1, 2023.
How much is contract MA240000000043 worth?
Its cumulative value is $875,352.
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