The vendor is required to provide 340b program integrity audit services for include:
- Provide up to two (2) consultants onsite for one (1) day.
• Option to be conducted remotely.
- Conduct 340b outpatient purchasing audit annually (contract pharmacy):
• Data review:
o Review of any medicaid or private billing decisions;
o Review eligible prescription volume.
• Verification of program eligibility and review of operational procedures:
o Eligibility and registration review, including detailed review of the office of pharmacy affairs information system (OPAIS);
o Review of memorandum of understanding (MOU)/grant;
o Review of 340b policies and procedures;
o Review of contract pharmacy’s policies and operations relationships including active pharmacy services agreements (PSAS); and
o 340b purchasing account review to include purchase order and inventory management.
• Health resources and services administration (HRSA)-style random sampling audit
o Ten (10) records for prescriptions data universe per 340b id; and
o Review 340b medications through entire accumulation to purchasing process (tracer samples)
• Provide comprehensive report complete with detailed findings annually:
o Recommendations, and next steps. the report will include all eleven (11) 340b ids; and
o A call or in-person meeting will be scheduled to review the report in detail with staff.
- Provide ongoing technical support including, but not limited to:
• Support application process for the “grantee combine purchasing and distribution request” for HRSA, which includes staff training and identification of data sources.
o Review current staff training, provide recommendations and education material as needed.
• Identification of areas of improvement for data collection including collaboration among departments.
• Identification of opportunities to optimize the value of the 340b program.
• Review of third-party administrator (TPA) configuration settings
• Evaluate and provide recommendations for 340b infrastructure, program governance, and operations.
• Ensure application of combined purchasing and distribution request is submitted timely encompasses all requirements as outlined by 340b grant program.
• Provide follow up on application process, updates to status to department as requested.
• Guidance of implementation of recommendations identified during the audit.
• Ongoing program operational support, regulatory compliance monitoring, and reporting.
• Program development, optimization, and implementation.
• Third party administrator (TPA) ongoing monitoring, configuration review, and support.
• Policy and procedure development.
• HRSA 340b program audit support.
• Manufacturer 340b program audit support.
• Other 340b support services as needed.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: May 26, 2025