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Provider Site Visit & Field Audit Services

Active
State & Local

Contract Overview

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

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This subcontract for Provider Site Visit and Field Audit Services supports prime contractors on Ohio Department of Medicaid provider oversight projects. The scope of work involves performing on-site visits and structural reviews, specifically conducting field audits for providers categorized as moderate or high risk. Key responsibilities include verifying physical address compliance, analyzing shared square footage, and evaluating location clustering using GIS or address verification software in accordance with Ohio Revised Code and CMS risk-level guidelines. The selected provider is responsible for delivering comprehensive site visit reports and official address compliance certifications. This opportunity is associated with NAICS code 541219 and is managed under the Ohio Medicaid Director. Interested parties must submit their responses by the deadline of December 4, 2026.

General Info

Subcontract for Ohio Medicaid provider site visits and field audits due December 4, 2026.

Documents

This scope was carved out of ODMR 2627-0011.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

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ODMR 2627-0011 Provider Oversight RFI

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Organization & Contact Information

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AgencyOhio → Mcd000001 Medicaid Director Mcdlz5
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs on-site visits and structural reviews for prime contractors on Ohio Department of Medicaid (ODM) provider oversight projects. Conducts field audits for moderate and high-risk providers, verifies physical address compliance, and analyzes location clustering and shared square footage. Utilizes GIS or address verification software per CMS risk-level guidelines and Ohio Revised Code. Delivers site visit reports and address compliance certifications.

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Same NAICS industry code

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NAICS: 541611
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SLED
ODMR 2627-0011 Provider Oversight RFI
Solicitation # ODMR 2627-0011
The Ohio Department of Medicaid (ODM) has issued Request for Information (RFI) ODMR 2627-0011 to gather data on tools, services, and measures to enhance provider enrollment and oversight activities. The primary objective is to prevent fraud, waste, and abuse within the Medicaid program, specifically focusing on the management and revalidation of approximately 30,000 providers in Home and Community Based Services waiver programs. Proposed solutions must integrate seamlessly with the Ohio Medicaid Enterprise Solution (OMES) and align with CMS guidance to revalidate all Medicaid providers within a two-year window. The scope of the RFI includes seeking information on eligibility screening, the management of on-site visits for various risk levels, the tracking of initial and revalidation applications, and methods for verifying provider location clustering and shared square footage compliance. Requirements also touch upon the use of standard credentialing forms from the Council for Affordable Quality Healthcare and adherence to state and federal confidentiality and privacy laws. This is an information-gathering effort for planning purposes and does not constitute a formal solicitation or a contract award. Interested parties must submit their responses as a single PDF document via the OhioBuys portal by December 4, 2026, at 2:00 pm EST.
Administrative Management and General Management Consulting Services

POSTED

2 days ago

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in about 1 month
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