Audit Services

The State of Nevada, through the Silver State Health Insurance Exchange (SSHIX) and the State Purchasing Division, is soliciting proposals for comprehensive Audit Services. The Request for Proposal (RFP) seeks a qualified vendor to perform an Annual Independent External Financial Audit and an Annual External Programmatic Audit of the Exchange, with a three-year contract term and potential two-year renewal. Key deliverables include developing detailed audit work plans, conducting transaction testing, interviewing staff, and producing comprehensive reports by March 30th annually. The audits will assess the Exchange's compliance with Affordable Care Act regulations, examining functions such as consumer assistance, eligibility determinations, enrollment processes, appeals procedures, and qualified health plan certifications. The evaluation criteria will be weighted as follows: experience (25%), proposed services (25%), key personnel expertise (15%), RFP conformance (10%), and cost proposal (25%). The solicitation was released on 05/22/2025, with proposals due by 06/24/2025, and an anticipated contract start date of 11/01/2025, pending Board of Examiners approval on 10/14/2025.

Vendors must be registered on nevadaepro.com and are subject to a Nevada-based business preference of 5%. The contract requires contractors to have a minimum of three years of experience in government and health insurance auditing, with expertise in interpreting federal regulations. While no specific set-aside designations are explicitly mentioned, the RFP emphasizes compliance with federal non-discrimination requirements. The total contract value is structured with a maximum allowed budget of $110,000 per contract year, allowing for potential ad-hoc task orders to address new regulatory requirements. Contractors must maintain comprehensive insurance coverage, including Commercial General Liability ($2,000,000 aggregate), Automobile Liability ($1,000,000), Worker's Compensation, and Professional Liability ($1,000,000 per claim). Vendors must follow Generally Accepted Governmental Auditing Standards (GAGAS) and comply with Centers for Medicare and Medicaid Services requirements. The contract includes provisions for staff continuity, with personnel resumes subject to SSHIX approval, and requires retention of audit documentation for ten years.