WV-65 Contract Opportunity Summary

This is a Scope of Work document issued by the West Virginia Department of Health and Human Resources, specifically the Office of Inspector General (OIG), for the procurement of audit and investigative services. The contract involves comprehensive auditing of Medicaid programs, fraud investigations, and compliance reviews across West Virginia's health and human services operations. The solicitation requests qualified firms to provide financial audits, program evaluations, investigative services related to fraud and abuse, and detailed reporting on findings and recommendations. The contract term is for one year with options to renew for up to four additional one-year periods, providing a potential five-year total engagement. Interested vendors must submit proposals by the specified deadline, with contract award anticipated to follow evaluation of submitted bids and supporting documentation.

Pricing for this engagement will be negotiated based on the scope of work performed and the contractor's submitted fee schedule, with costs anticipated to be funded through Medicaid program revenue and state appropriations. The contract may involve competitive selection among qualified audit and investigative firms meeting specified credentials and experience requirements. The OIG seeks firms with demonstrated expertise in healthcare program auditing, knowledge of Medicaid regulations and operations, and capacity to conduct complex financial and compliance investigations. This procurement supports the state's oversight responsibilities and fraud prevention initiatives within the Medicaid system, addressing identified compliance gaps and audit findings from prior reviews.