Recovery Audit Contractor Services
Awarded State & local contract opportunity Posted
- Solicitation number
- HHS0013244
- State
- Texas
- Responses due
Opportunity facts
- Jurisdictions
- NIGP codes
- 20821 Business Intelligence Software
- 20836 Data Processing Software, Microcomputer
- 20860 Medical Software, All Types
- 20882 Scientific, Statistical, Engineering, Mathematical, And Mapping Software (Including Photogrammetry)
- 91804 Accounting/Auditing/Budget Consulting
- 91878 Medical Consulting
- 94611 Accounting Services (Not Otherwise Classified)
- 94620 Auditing
- 94807 Administration Services, Health
- 94847 Health Care Center Services
Opportunity details come from txsmartbuy.com. Updated .
About this opportunity
The Texas Health and Human Services (HHS) Office of Inspector General (OIG) is seeking a qualified contractor to perform recovery audit services to identify Medicaid underpayments and overpayments under the Medicaid state plan and any waiver, as required by federal and state regulations. The selected contractor will be responsible for conducting recovery audit activities, coordinating recovery efforts, and performing rebuttal reviews and appeals in accordance with HHS OIG's directives and guidelines. The contract period is anticipated to be an initial 3-year term with two 1-year extension options, starting in January 2024. An optional pre-proposal conference is scheduled for July 26, 2023, and the deadline for submitting responses is August 21, 23, 2023 by 10:30 a.m. Central Time. The contract will serve the jurisdictions of Dallas County and Irving City in Texas.
The solicitation does not mention any set-aside designations or restrictions on the types of organizations that can respond. It also does not provide information on any incumbent vendors or current contractors. While historical compensation under similar transactions has been approximately $8.6 million per State Fiscal Year, the HHS OIG makes no guarantee of volume, usage, or total compensation to be paid to the selected contractor. The focus of the procurement is on obtaining a qualified contractor to perform the required recovery audit services for the HHS OIG.
Opportunity text
Executive Summary
The Texas Health and Human Services (HHS) Office of Inspector General (OIG) is seeking a qualified Contractor to perform all recovery audit services as described in 42 U.S.C. § 1396(a)(42)(B), 42 CFR §§ 455.500-455.518, Texas Government Code Section 531.117, and 1 TAC § 354.1451, which require states to Contract with a Recovery Audit Contractor (RAC) for the purpose of identifying Medicaid Underpayments and Overpayments (also referred to as "Improper Payments") under the Medicaid state plan and any waiver of the Medicaid state plan.
Scope of Work
The Contractor will perform Recovery Audit Contractor (RAC) services as described in 42 CFR §§ 455.500-455.518 and 1 TAC § 374.1451, and conduct RAC activities in accordance with HHS OIG's directives and guidelines.
Optional Pre-proposal Conference
Participants must register for the webinar conference prior to the event using the following link:
Webinar Information:
https://attendee.gotowebinar.com/register/7713238327696809052
**After registration, participants will receive an additional email with the actual link to the webinar.**
Schedule of Events
EVENT
DATE/TIME
Solicitation Posting Date on the ESBD
July 20, 2023
Pre-proposal Conference
Attendance is Optional
July 26, 2023 at 2:00 p.m. Central Time
Deadline for Submitting Questions
July 27, 2023 by 5:00 p.m. Central Time
Tentative Date Responses to Questions Posted on the ESBD
August 4, 2023
Deadline for courtesy HSP review
August 7, 2023 by 5:00 p.m. Central Time
Deadline for Submission of Solicitation Responses [NOTE: Responses must be RECEIVED by HHSC by the deadline.]
August 21, 23, 2023 by 10:30 a.m. Central Time
Evaluation Period
September 2023
Tentative Date for Notice of Award Posted on the ESBD
December 2023
Anticipated Contract Effective Date
January 2024
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