The Vendor is required to provide to audit services to assure that payments made to health care services providers participating in the medicaid program are in compliance with federal and district laws and rules, and comply with federal and district audit requirements.
- Shall verify the accuracy and reasonableness of all such information obtained by examining the records and other supporting evidence, to the extent necessary to prepare an authoritative, objective report.
- Shall report and make recommendations concerning the detection and correction of all improper, unallowable, or unusual costs to the district.
- An audit covering specific areas performed by utilizing procedures agreed upon by the contractor and the district to provide limited assurance that costs claimed are allowable, reasonable, and in accordance with the state plan.
- A limited scope audit involves analytical review and reasonableness testing of transactions and specific account balances as guided by agency standards and other authoritative guidance.
- Shall design and execute desk review procedures, limited scope procedures, and field audit procedures for full scope verification.
- Shall, as necessary, plan engagements, conduct entrance and exit conferences, perform field work if necessary, submit final audit reports with audit adjustments, review subsequently submitted documentation (including that submitted post exit conference) and revise audit reports accordingly.
- Shall maintain and organize working papers in a manner agreeable to both the district and the contractor and maintain all data, material and working papers in a location with convenient access to the district.
- Administrative reviews are an integral part of the audit process.
- Perform audits of the financial and other data required for computation of the provider tax for hospitals.
- Perform audits of the financial and other data required for computation of the provider tax for nursing homes.
- Provide a periodic statement of account for each audit assigned and performed, reflecting the total fee for the audit, the amount billed, the amount received, any contingency amount, and the outstanding balance.
- Cost reports and/or providers increases significantly during the term of the contract, the district may revise the required timeframes accordingly through a bilateral contract modification with the contractor.
- Provide written progress reports of ongoing audits and services, in a form acceptable to the district, every month.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: May 21, 2025