DSH Audit, UPL Calculations, Cost Settlementand MIUR

The North Dakota Department of Health and Human Services, Medical Services Division is seeking a Certified Public Accountant firm to provide comprehensive Medicaid hospital payment and settlement services through RFP 325-25-415-027. The procurement involves five key deliverables: conducting annual certified audits of the Disproportionate Share Hospital (DSH) program, calculating Upper Payment Limits (UPL) for various hospital services and Intermediate Care Facilities, performing cost settlements for Critical Access Hospitals, and calculating Medicaid Inpatient Utilization Rates. The contract will span two years from January 1, 2026, through December 31, 2027, with potential extensions up to 12 months and additional renewal options for three 24-month periods. Offerors must have a minimum of five consecutive years of experience in governmental accounting, Medicare/Medicaid cost reports, DSH audits, and UPL calculations. The evaluation criteria will allocate 100 points across understanding of scope (40 points), experience and qualifications (30 points), management plan (15 points), and cost proposal (15 points). Key deadlines include proposal questions due by August 19, 2025, proposals due September 23, 2025, at 12:00 PM CT, and an anticipated contract award on October 7, 2025.

The RFP does not explicitly indicate specific set-aside designations or restrictions for disadvantaged enterprises. The procurement will work with North Dakota's 44 hospitals (including 6 PPS hospitals and 36 Critical Access Hospitals), 2 psychiatric hospitals, and 70 Intermediate Care Facilities. While specific incumbent vendor information is not provided, the solicitation requires comprehensive insurance coverage, including $2,000,000 commercial general liability and $500,000/$2,000,000 automobile liability, with the state named as additional insured. The contract is structured as a firm fixed price arrangement, with deliverables including DSH audit reports due by September 30th and UPL calculations due by June 1st annually. Though precise budget ranges are not specified in the documents, the Cost Proposal attachment indicates that vendors will need to provide detailed pricing for each year of the contract across the five key deliverables. All work products will become the property of the state, and the selected vendor must maintain records for at least three years following contract completion for audit purposes.