Attachment 1 - Licensed Medical Personnel Areas of Specialty.docx

This is an attachment listing licensed medical personnel areas of specialty for the Medical Care Utilization Review Services contract opportunity issued on behalf of Missouri's Department of Commerce and Insurance. The document enumerates 33 distinct medical specialties that will be covered under the utilization review services. These specialties span primary care disciplines including General Medicine, Family Medicine, and Internal Medicine, as well as specialized fields such as Cardiology, Oncology, Orthopedics, and Surgery subspecialties including Neurosurgery, Plastic Surgery, and Thoracic Surgery. The list also includes mental health and behavioral services such as Psychology, Psychiatry, Applied Behavioral Analysis, and Substance Use Disorder Treatment, along with ancillary care specialties including Chiropractic Care, Podiatry, and Vision Care.

This attachment establishes the scope of medical specialties subject to utilization review oversight under the contract. The comprehensive nature of the specialty list indicates that the utilization review services will encompass a broad range of healthcare providers and services, requiring reviewers with expertise across multiple medical disciplines to evaluate medical necessity, appropriateness of care, and compliance with clinical standards across the full spectrum of medical practice areas listed.