ESBD_504575_1778881648766_Attachment 2 to Addendum 4.pdf

PROCUREMENT AND CONTRACTING SERVICES

Exhibit H, Scope of Work

(SOW)

for

Professional Multi Audit Services

RFQ No. HHS0016852

Attachment 2 to Addendum 4

Exhibit H, Scope of Work (SOW) is amended as follows:

1. Section 2.1.10 (Secure Contractor Portal Requirements) is hereby added to Exhibit H, Scope of Work (SOW) with the following:

2.1.10 SECURE CONTRACTOR PORTAL REQUIREMENTS

The Contractor must provide and maintain a secure electronic portal or secure file transfer solution for the transmission, receipt, review, storage, and exchange of HHSC information, documentation, Audit files, and related communications associated with these Services.

At a minimum, the Contractor must:

a. Provide its own secure portal that will have the ability to track, upload data, retrieve and create reports.

b. Maintain PII (Personally Identifiable Information) securely as this will be present at times.

c. The portal must:

1. Be accessible through standard web browsers, such as Microsoft Edge, Google Chrome, and Mozilla Firefox.

2. Allow HHSC direct access to the Contractor’s portal and provide credentials and passwords. Include role-based security provisioning that conditions the levels of access available to different categories of users.

3. Be capable of accepting uploads such as, Excel, Word or PDF.

4. Be compliant with all Texas Department of Information Resources (DIR) requirements. Commencing on the Effective Date and during the Contract Term, Contractor must provide Services that comply with TX-RAMP Certification Level 2.

2. Section 2.1.3 (Required Qualifications and Experience) of Exhibit H, Scope of Work (SOW) is deleted in its entirety and replaced with the following:

2.1.3 REQUIRED QUALIFICATIONS AND EXPERIENCE

Contractor must have sufficient skills, expertise and qualifications to perform the required Services under the Master Contract, which include, but are not limited to, the following:

a. Contractor must be independent of HHSC, any HHSC staff, and the audited organizations for which it submits a Work Order Response;

b. Contractor must have a minimum of three (3) years of experience conducting public sector internal Audits;

c. Contractors must have a minimum of three (3) years of experience auditing multi-million-dollar government contracts;

d. Contractor must have a minimum of three (3) years of organizational knowledge relating to public sector internal auditing;

e. Contractors must possess verifiable experience in auditing services;

f. Contractor must be able to perform extrapolations of Audit results for statistically adequate sample sizes; and

g. Contractor’s staff must possess an associate, bachelors, or masters degree(s) in Finance, Accounting, and/or, health care related fields.

2.1.3.1 ADDITIONAL REQUIRED QUALIFICATIONS AND EXPERIENCE

In addition to the required qualifications and experience under the Master Contract, certain Audit specific qualifications and experience may be required to perform the Audit Services and will be specified in the Work Order Request as outlined in Section 2.1.9 (Work Order Process) of this SOW.

Audit specific qualifications and experience may include, but not limited to, the following:

a. Contractor must have a minimum of three (3) years of experience conducting call center Audits to include auditing call center programs, functions, and operations, and must be knowledgeable of industry standards for call center operations and pricing structures;

b. Contractor must have a minimum of three (3) years of experience with MCO’s and DMOs, claims administrator and vendor drug program contracts; and

c. Contractor must have knowledge of Medicaid and CHIP legal requirements including federal privacy laws, auditing related parties, affiliate or external entity transactions.