Medicaid Claim Calculation & Financial Reporting

The contract requires the accurate calculation and submission of quarterly Medicaid Administrative Claiming (MAC) reports using RMS data, with strict adherence to federal Medicaid guidelines, state-specific regulations, and generally accepted accounting principles. All financial reporting must reflect precise alignment with compliance standards to ensure proper reimbursement and audit readiness, and the work entails meticulous data analysis, reconciliation, and documentation to support claimed administrative costs. The subcontractor is expected to deliver timely, error-free submissions that meet both state and federal expectations for Medicaid administrative funding recovery. This subcontract is issued by the Hawaii Department of Health under NAICS code 541211 for accounting and auditing services, with a response deadline of August 11, 2026. The solicitation was posted on July 9, 2026, and performance is expected to be conducted in alignment with Hawaii's operational requirements. While specific location details are not provided, the work is tied to Hawaii’s Medicaid program and must be executed in a manner that supports the state’s financial integrity and reporting obligations. There is no set-aside designation, and the contract is open to qualified subcontractors capable of handling complex Medicaid administrative claiming workflows.