Motor Vehicle Subrogation Program

Executive Summary The Health and Human Services Commission (HHSC), Office of Inspector General (OIG), Third Party Recoveries (TPR) works to ensure that Medicaid is the payer of last resort through cost avoidance and recovery efforts and other cost containment initiatives. HHSC OIG TPR is seeking a qualified Contractor to obtain data from motor vehicle and other casualty claims data to match with Medicaid paid claims, resulting in greater cost recovery for the State.   Scope of Work HHSC OIG TPR requires matching services to be performed to match Medicaid paid claims to motor vehicle and other casualty claims data to perform cost recovery for the State. HHSC will send Files listing all current Medicaid eligible individuals in Texas, to the Contractor. Upon receipt of each File, the Contractor will conduct data matching by utilizing a national data warehouse, Insurance Services Office Inc. (ISO), where multi-state casualty claims are recorded. If a match is made, the Contractor will notify the responsible casualty insurance carrier of the State’s intent to recover from the insurance settlement.   Contract Term The initial term of any Contract resulting from this Solicitation will be for three (3) years. HHSC, at its sole option, may extend any Contract awarded pursuant to this Solicitation for up to two (2) additional years. Following the initial term and any allowable renewals or extensions, HHSC may extend any resulting Contract for not more than one (1) additional option period to address immediate operational or service delivery needs. If the resulting Contract does not include a defined option period, the extension is limited to one (1) year.
HSP Training HHSC PCS will conduct an HSP Training. Attendance is optional but highly recommended. HHSC PCS will hold the HSP Training on the date and time set out in Section 3.1 (Schedule of Events). People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact the Sole Point of Contact identified in Section 3.3.1 (Sole Point of Contact), at least 72 hours before the meeting in order to have reasonable accommodations made by HHSC. For further information regarding the webinar, see below: Registration URL: https://attendee.gotowebinar.com/register/5246065077071409238
Webinar ID: 349-140-251
Schedule of Events

EVENT
DATE/TIME


Solicitation Posting Date to ESBD (Date of Release)
January 16, 2024

HSP Training Attendance is Optional
January 19, 2024, at 2:00 p.m. Central Time

Deadline for Submitting Questions or Requests for Clarification
January 24, 2024, by 5:00 p.m. Central Time

Tentative Date Responses to Questions or Request for Clarification Posted on ESBD
January 31, 2024

Submission Deadline for Courtesy HSP Review
February 5, 2024, by 5:00 p.m. Central Time

Solicitation Responses Submission Deadline [NOTE: Responses must be RECEIVED by HHSC by the deadline.]
February 14, 2024, by 10:30 a.m. Central Time

Evaluation Period
February 2024

Anticipated Notice of Award
May 2024

Anticipated Contract Start Date
August 1, 2024