FY26 APS Claims Processing

The Texas Department of Family and Protective Services (DFPS) is soliciting bids for a Claims Processing Services contract through Invitation for Bid (IFB) HHS0016010, covering Adult Protective Services (APS) client claims processing across 11 DFPS regions. The primary objective is to secure a contractor responsible for timely and accurate processing of client disbursements, including intake of service authorization forms, quality assurance review, and maintaining detailed transaction records. Qualified bidders must demonstrate a minimum of three years of relevant business experience in claims processing and financial management, with specific financial resource requirements varying by region. The total minimum two-month operating fund is $1,842,183.48 across all regions, and contractors must possess technological capabilities including compatible computers, internet service, and secure email communication. The solicitation was released on June 18, 2025, with bid responses due by July 22, 2025, and an anticipated contract start date of September 1, 2025, covering an initial five-year term through August 31, 2030, with a potential one-year extension option.

The procurement includes a Historically Underutilized Business (HUB) subcontracting goal of 26.0%, requiring all respondents to develop and submit a good-faith HUB Subcontracting Plan regardless of their own HUB status. Vendors must demonstrate compliance through either Method A (utilizing only HUBs or meeting/exceeding the contract goal) or Method B (soliciting HUB vendors when not meeting the goal). Contractors are required to carry $1 million in Errors and Omissions insurance and $1 million in Commercial Crime Insurance, with specific guidelines for insurance documentation. The solicitation emphasizes comprehensive compliance requirements, including verification of no felony convictions, adherence to antitrust laws, and certification of various state-specific operational standards. While a specific contract value is not explicitly stated, the two-month operating fund requirement and the scale of processing claims across 11 DFPS regions suggest a significant financial scope for the selected contractor(s). Potential bidders must navigate a two-step registration process through the Enterprise Portal, which can take up to five business days to complete, and must carefully follow the electronic submission guidelines to avoid disqualification.