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This Government Contract opportunity from Texas was posted on August 11, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Medicaid Recovery Audit Coding and Review

Closed
State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541219
New
Federal
Request for Information (RFI) – Financial Reporting & Accounting
Solicitation # HHM402-27-X-FRAS
The Virginia Contracting Activity (VaCA) has issued a Sources Sought Notice and Request for Information (RFI) under solicitation HHM402-27-X-FRAS to identify potential sources capable of providing financial accounting and reporting support for the Defense Intelligence Agency (DIA) Office of the Comptroller (CFOCO). The scope of work involves comprehensive general ledger management, transaction validation, account reconciliation, and asset accounting, including depreciation, amortization, and lease accounting. The contractor will be required to utilize the FACTS (Oracle PeopleSoft) system and ensure all outputs, such as Agency Financial Reports and quarterly financial statements, comply with OMB Circular A-136, the DoD Financial Management Regulation, and U.S. Standard General Ledger standards. The anticipated contract structure consists of a 12-month base period followed by four 12-month option periods, with the primary place of performance located at DIA Headquarters in Washington, DC. Due to the nature of the work, personnel must possess TS/SCI clearances with CI Polygraphs. Performance will be monitored via a Quality Assurance Surveillance Plan, with high accuracy thresholds required for financial reporting packages and posting logic. Interested small and large businesses must submit their capability responses, limited to 20 pages, via email to the designated points of contact no later than October 23, 2026, at 4:00 PM ET.
Virginia Contracting Activity

POSTED

1 day ago

DEADLINE

in 6 days

AI Contract Overview

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This subcontract for the Texas Health and Human Services Commission focuses on Medicaid Recovery Audit Coding and Review. The selected provider will perform medical record reviews and coding audits for prime contractors to identify billing errors or fraud within Fee for Services and Managed Care Organization claims, ensuring compliance with 42 CFR Part 455 Subpart F. The primary objective is to deliver detailed audit reports that pinpoint improper payments. To execute these services, the contractor must utilize Certified Coders and maintain a Medical Director or Physician Panel for necessary clinical validation. The opportunity was posted on August 11, 2026, with a response deadline of September 9, 2026. This engagement falls under NAICS code 541219 and is managed through the Texas state agency system.

General Info

Subcontract for Texas HHSC providing Medicaid recovery audit coding and medical record reviews.

Agency

Texas → Health and Human Services Commission

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of HHS0017023.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Recovery Audit Contractor Services

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTexas → Health and Human Services Commission
ContactsNo contacts available
OfficeN/A
Organization / Agency
Texas → Health and Human Services Commission
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs medical record reviews and coding audits for prime contractors on Texas Health and Human Services Commission (HHSC) Medicaid projects. Conducts review scenarios to identify billing errors or fraud in Fee for Services and Managed Care Organization claims per 42 CFR Part 455 Subpart F. Requires Certified Coders and a Medical Director or Physician Panel for clinical validation. Delivers audit reports identifying improper payments.

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