Recovery Audit Contract OCMP-26-25113 (RAC)

The Maryland Department of Health is seeking a Medicaid Hospital Claims Audit Contractor under solicitation OCMP-26-25113 to reduce improper payments by identifying overpayments and underpayments across three specific hospital provider types. This Small Business Reserve Procurement is limited to certified small businesses and includes goals for Minority Business Enterprise (14%) and Very Small Business Enterprise (2%) participation. The contract consists of a three-year base term starting August 1, 2027, with two optional one-year extensions. The selected vendor will be compensated via a contingency fee of 10% of properly identified payments. The procurement process utilizes a two-part submission via the eMaryland Marketplace Advantage portal, with technical and financial factors weighted equally. Technical evaluations prioritize the work plan, staff qualifications, offeror capabilities, and economic benefits to the state. Key administrative requirements include mandatory electronic funds transfer for contracts exceeding 200,000 dollars, a non-disclosure agreement, and self-certification that the vendor is not on federal exclusion lists. Performance will be conducted from the contractor's own location, and the state will maintain oversight through a designated Contract Monitor.