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45 CFR 155 Programmatic Compliance Audit

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State & Local

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This subcontract, issued by the Vermont Department of Economic Development, requires a qualified provider to conduct annual independent external programmatic audits for prime contractors working on Vermont Health Access projects. The selected entity will analyze compliance with 45 CFR Part 155, specifically evaluating eligibility determination processes, APTC and CSR calculations, and QRS health plan measures. To successfully execute these tasks, the contractor must possess specialized expertise in GAGAS and the Program Integrity Rule Part II. The primary deliverables for this engagement include a comprehensive Programmatic Compliance Audit Report and detailed remediation proposals. Interested parties must submit their responses by November 6, 2026, under NAICS code 541611.

General Info

Vermont DED seeks a provider for annual external programmatic audits by November 6, 2026.

Documents

This scope was carved out of 03410-255-27.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

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Programmatic and Financial Audits 45 CFR 155

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Organization & Contact Information

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AgencyVermont → Department of Economic Development
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs annual independent external programmatic audits for prime contractors on Vermont Health Access projects. Analyzes compliance focus areas per 45 CFR Part 155, evaluates eligibility determination processes, and assesses APTC and CSR calculations and QRS health plan measures. Requires expertise in Program Integrity Rule Part II and GAGAS. Delivers a Programmatic Compliance Audit Report and remediation proposals.

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More opportunities from Vermont → Department of Economic Development

Same awarding agency

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The Department of Vermont Health Access is seeking an independent CPA firm to conduct programmatic and financial audits of Vermont Health Connect, the state's State Based Exchange, for State Fiscal Years 2026 through 2030. The selected contractor will perform annual external audits to ensure compliance with 45 CFR 155, specifically focusing on financial reporting accuracy per GAAP, the effectiveness of control frameworks, and the integrity of eligibility determinations and enrollment transactions. Key deliverables include a Financial Statement Audit Report and a Programmatic Compliance Audit Report, which must be made available to the U.S. Department of Health and Human Services by June 1 annually. The audits must adhere to Generally Accepted Governmental Auditing Standards (GAGAS) and GAAP. The period of performance is scheduled from November 1, 2026, to October 31, 2029. Awards will be made based on the best interest of the State, with preferences given to resident bidders and those promoting clean energy practices. The contract includes strict compliance requirements, such as the Byrd Anti-Lobbying Certification for contracts over 100,000 dollars, prohibitions on specific telecommunications equipment under Public Law 115-232, and adherence to OSHA guidelines for workplace violence prevention. Payment terms are Net 30 days following the submission of detailed monthly invoices. Bidders must submit their proposals as digitally searchable PDFs by November 6, 2026, including a technical response, price schedule, and a signed Certificate of Compliance.

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