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Source Justification Data
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General Information
Requesting Agency: Department of Human Services "prior DPW" Commodity Specialist Reviewer: Tyler Kline
Material or Service: Services: Severity of Illness and Intensity of Service Criteria (InterQual) for Acute Care Adult, Acute Care Pediatric, Rehabilitation,  Behavioral Health (BH), Home Care, Imaging, and Durable Medical Equipment (DME) Services License/Subscription E-mail: tylkline@pa.gov
Proposed Supplier: Change Healthcare Technologies LLC Request Type(s): Sole Source
Description: InterQual Clinical Criteria Subscription
    Date Submitted: 4/22/2024

Review Information
ID: 52938  
Review End Date: 05/02/24 Approval Status:
     CS Approved:04/23/24
     Submitted: 4/22/2024
     Accepted: 04/22/2024
     Approved by Sole Source Coordinator 05/02/2024
     Approved by Chief Procurement Officer 05/02/2024



Only known source - Not available from another supplier








Approval/Disapproval Date: Execution Date:
Awarded $ Amount: $500000.00
 

View Source Justification Form as PDF
Related Docs: Sole Source Determination Summary - 52938.docx