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Recovery Audit Contractor Services

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HHS0017023State & Local

Contract Overview

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

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The Texas Health and Human Services Commission, acting for the Office of Inspector General, is soliciting a qualified contractor to provide recovery audit review services. The primary objective of this engagement is to identify Medicaid underpayments and overpayments, known as improper payments, across the Medicaid state plan and associated waivers. This scope includes reviews of both Fee for Services and Managed Care Organizations to ensure compliance with federal and state regulations. This solicitation, identified as HHS0017023, was posted on August 11, 2026, with a response deadline of September 9, 2026. The contract will be performed within the state of Texas. Interested parties may coordinate with the primary point of contact, Stacy Elizondo, regarding the submission process and requirements for this SLED organization opportunity.

General Info

Texas HHSC seeks a contractor for Medicaid recovery audit review services in Texas.

Agency

Texas → Health and Human Services Commission

NAICS

561440 - Collection AgenciesView NAICS

Place of Performance

TX, USA

Set-Aside

NONE

Documents

(2)

ESBD_548236_1786476270413_RFQ RAC Services HHS0017023.pdf

PDF

ESBD_548236_1786476314617_Exhibits RFQ RAC Services HHS0017023.zip

ZIP

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Timeline

PhaseSolicitation
Posted

Solicitation

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyTexas → Health and Human Services Commission
Contacts1 person available
OfficeTX, USA
Organization / Agency
Texas → Health and Human Services Commission
Office AddressTX, USA

Full Description

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The Texas Health and Human Services Commission (HHSC), on behalf of the Office of Inspector General (HHSC OIG), is seeking a qualified Contractor to perform recovery audit review services as described in 42 U.S.C. § 1396(a)(42)(B), 42 CFR Part 455 Subpart F, Texas Government Code Section 544.0504, and 1 TAC § 354.1451, which require states to contract with a Recovery Audit Contractor (RAC) for the purpose of identifying Medicaid Underpayments and Overpayments (also referred to as “Improper Payments”) under the Medicaid state plan, and any waiver of the Medicaid state plan including Fee for Services (FFS) and Managed Care Organizations (MCO).

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