Eligibility Support Services

The Texas Health and Human Services Commission (HHSC) is soliciting qualified respondents to provide Eligibility Support Services (ESS) to maintain its statewide eligibility system. This system facilitates access to services via eligibility offices, Community Partners, telephone, mail, fax, and the internet. The selected contractor must provide comprehensive administrative services and support, including the development of a Project Work Plan with a Work Breakdown Structure, as well as specialized operational plans for training, risk management, quality management, disaster recovery, and business continuity. Performance will be measured against Key Performance Requirements and specific deliverables. To qualify, respondents must have been in business for at least five years or possess equivalent executive management experience in ESS, alongside five years of relevant industry experience and proven financial solvency. The contract mandates strict data security compliance, requiring all confidential information and backup systems to remain within the United States and adhere to HIPAA and other federal and state PHI regulations. Breach notifications must be submitted within one hour for federal system data or 48 hours for other reportable incidents. The selection process is based on best value, with scoring weighted at 50% for the narrative proposal, 30% for cost, and 20% for qualifications and experience, with potential additional points awarded for oral presentations. Proposals must be submitted via two labeled USB drives containing a searchable PDF of the response and an Excel-based cost proposal. The resulting contract may include one additional option period or a one-year extension to meet operational needs.