Audit Services

The vendor is required to provide to perform both an annual independent external financial audit and an annual external programmatic audit of the exchange, together with any related work or services within the proposal for ad-hoc tasks.
- Designate a person to whom all project communications may be addressed and who has the authority to act on all aspects of the contract.
- This person will be responsible for the overall project and will be the contact for all invoicing and contractor staffing issues.
- Provide written reports for review and approval by the agency and formally respond to agency review findings as necessary.
- Meet as required with agency staff to discuss progress.
- Make its best efforts to maintain staff continuity throughout the life of the project. If, however, a substitution becomes necessary, the contractor must submit resumes for review, in advance, for all proposed personnel substitutions.
- All contractor personnel substitutions must be approved in writing by agency representative. Failure to receive the required approvals may result in termination of the contract.
- Designate the agency representative to whom all contractor communications may be addressed and who has the authority to act on all aspects of the contract.
- Provide access to business and technical documents as necessary for the contractor to complete the tasks identified in this agreement.
- Ensure appropriate resources are available to perform assigned tasks, attend meetings, and answer questions.
- Ensure that decisions are made in a timely manner.
- Identify and provide access to subject matter experts to assist in the development of technical requirements.
- Request and review project and system data and documentation including, but not limited to:
• Internal controls, and related policies and operating procedures
• Program notices and forms
• Executed contracts and agreements.
• System eligibility and enrollment transactions results
- Conduct sample testing
• Work with agency to determine testing procedures, sample methodology and sizes based in applicable laws and regulations.
• Request population data accordingly for financial and programmatic audit testing
• Select samples, request detailed sample data, and conduct testing including, but not limited to: programmatic audit
1. Eligibility and enrollment testing
2. Verification testing
• Financial audit
1.  Internal control testing
2. Compliance testing
3. Substantive testing of financial statements
- Consumer assistance tools and programs, including a toll-free call center, website, consumer information that is accessible and in plain language, a navigator program, and outreach and education.
- Navigator program established and standards in place, including training standard.
- Agent and broker agreement in place.
- Certified application counselor program in place.
- Process for an applicant or enrollee to designate an authorized representative.
- Standards for marketplace notices are in place.
- Standards and protocols for electronic transactions with QHP issuers have been implemented.
- Privacy and security standards to protect personally identifiable information have been implemented
- Contract Period/Term: 10 years
- Questions/Inquires Deadline: June 05, 2025