HEDIS Data Collection and Validation Support

The contract requires providing direct customer support to Texas-based Health Maintenance Organizations, Exclusive Provider Organizations, and Preferred Provider Organizations to ensure the accurate collection, validation, and submission of Commercial HEDIS measures to the Texas Health and Human Services Commission and the Department of State Health Services. The work must fully comply with National Committee for Quality Assurance standards, emphasizing data integrity and regulatory adherence for performance measurement and reporting. Support activities will involve close collaboration with managed care plans to resolve discrepancies, validate clinical and administrative data sources, and maintain timely submissions that meet state and federal requirements. The solicitation is classified as a subcontract under NAICS code 541611, targeting professional services in management consulting and related activities. It was posted on June 29, 2026, with a firm response deadline of July 16, 2026, at 4:30 PM CT. The contracting authority is the Texas Department of State Health Services, and performance is expected statewide with no specific geographic limitations designated. The opportunity is not subject to a set-aside designation and is accessible through the Texas SmartBuy portal for vendor submissions.