District of Columbia Cobblestone Systems #CFOPD-26-C-023

Award of Medical Audit Services Contract for DC Medicaid Program

This contract award summary details the District of Columbia's selection of Myers and Stauffer LC to provide comprehensive medical audit services for the Department of Health Care Finance (DHCF) Medicaid Program. - Government Buyer: - District of Columbia Office of the Chief Financial Officer (OCFO), Human Support Services Cluster (HSSC), Office of Contracts - Department of Health Care Finance (DHCF) - Awarded Vendor: - Myers and Stauffer LC (prime contractor) - F.S. Taylor & Associates, P.C. (subcontractor performing 35% of work) - Products/Services Requested: - Medical audit services covering a wide range of Medicaid providers and programs - Specific audit deliverables include: - SSAE-18 SOC 1 Type II Audit - Audits for providers under 1115 and 1015(c) waivers - Audits for Stevie Sellows Fund, Nursing Home Quality of Care Fund, and various facility types (nursing homes, hospitals, ICFIID, specialty hospitals, schools, clinics, health centers, home health agencies, managed care organizations, and more) - Full scope, limited scope, and desk review audits for each provider type - Special projects fee for ad hoc audit work - Each audit type is listed as a separate line item, typically with a quantity of 1 per report - Unique/Notable Requirements: - Compliance with HIPAA and all relevant federal and District regulations - Subcontracting requirement: 35% of work to be performed by F.S. Taylor & Associates, P.C. - Services must ensure Medicaid payments comply with all applicable laws and audit standards - Contract includes a base period and four one-year option periods, with increasing value over time

Description

This contract is for Myers and Stauffer, LLC to provide audit services on behalf of the Department of Health Care Finance (DHCF). The services ensure that payments made to healthcare providers participating in the Medicaid Program comply with Federal and District laws and rules, and meet Federal and District audit requirements. The contract includes a base period through November 30, 2026, with four one-year option periods. The contract amount for the base period is $1,482,399.00, with varying amounts for each option period due to changes in unit prices and projected usage.

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