FY27 Claims Processing for DFPS

The Health and Human Services Commission, acting on behalf of the Texas Department of Family and Protective Services, is soliciting bids for a state contract to deliver claims processing services for Child Protective Services clients under solicitation number HHS0016921. The contract, titled FY27 Claims Processing for DFPS, is set to commence on September 1, 2026, with a base term ending August 31, 2031 and a potential one-year unilateral extension for continuity of service. The solicitation, issued on April 29, 2026, closes for submissions on May 20, 2026, and requires responses to be submitted exclusively via a single USB drive containing all required documents in Microsoft Office or Adobe PDF formats, with no hard copies accepted. Bidders must use the HHS Online Bid Room or submit via email to pcsbids@hhsc.state.tx.us, and must include mandatory attachments such as the Affirmation and Solicitation Acceptance, Uniform Terms and Conditions, Pricing Sheet and Minimum Qualifications, Reference Form, and Supplemental and Special Conditions. The contract requires comprehensive claims processing capabilities including timely review and adjudication of Service Authorization Form 2054, maintained system availability, documented receipt timestamps, and adherence to strict confidentiality and reporting standards under Texas law. Contractors must provide qualified personnel with at least three years of experience in state agency payment processing or financial management, ensure compliance with Texas Buy Texas laws, E-Verify enrollment, cybersecurity training, TX-RAMP standards, and data protection requirements. Key compliance obligations include background checks for all personnel with client access, immediate reporting of new legal issues, prohibition on using DFPS branding without authorization, disclosure of any artificial intelligence systems used in service delivery, and certification regarding foreign ownership and boycotts of Israel. Additional requirements include maintaining appropriate insurance through Texas-licensed carriers, submitting all records for audit by DFPS and the State Auditor’s Office, and reporting performance data to the Texas Comptroller. The award will be determined through a trade-off process, where cost is considered significant but not determinative; priority is given to the bidder deemed most advantageous to the state based on experience, past performance, and operational capabilities. Non-compliance with representations, including failure to disclose employment history with state agencies, pending legal actions, or debarment status, may result in disqualification. The place of performance is DFPS headquarters in Austin, Texas, and acceptance of deliverables is centralized there, with the