(RFP) for Recovery Audit Contractor (RAC) - Texas Health and ...

3.15.4.6 Section 6 – Proposed Approach for Provider Communication and
Support - Provider Based Approach
The respondent must describe how it will meet the requirements for provider communication
and support (provider based approach) detailed in Section 2.3.5.
3.15.4.7 Section 7 – Proposed Approach for Data Sharing and Security
including Development of Web-Based Application
The respondent must describe how it will meet the requirements for data sharing and security
including the implementation, maintenance and operation of a web-based application detailed in
Section 2.3.6. and Section 2.3.5(c), respectively. The respondent must describe whether the
proposed web-based application would be a system the respondent currently utilizes in other
similar recovery audit contracts or whether the proposed web-based application would need to
be developed specifically for this contract. If the proposed web-based application is currently
utilized in other similar recovery audit contracts, the respondent must provide a listing of those
other contracts and also provide a comparison of the projected usage for this contract with the
usage for those other current contracts.
3.15.4.8 Section 8 – Proposed Approach for Recoupment and Appeals
Process
The respondent must describe how it will meet the requirements for recoupment and appeals
process detailed in Section 2.3.7.
3.15.4.9 Section 9 – Proposed Approach for Reporting – Claims Based
Approach
The respondent must describe how it will meet the requirements for reporting process detailed
in Section 2.3.9.
3.15.5 Section 4 - Value-Added Benefits
The respondent is requested to provide details on the features, functions, or other
considerations exclusive of the specified requirements that may provide a distinct value to
HHSC. In the event it is determined that such features, functions, or other considerations
provide a distinct benefit, the state reserves the right to give the respondent additional
considerations. HHSC will make the sole assessment of the relative merits of each added value
proposal to the agency.
3.15.6 Section 5 – Assumptions
The respondent must state any business, economic, legal, programmatic, or practical
assumptions that underlie the respondent’s response to the Business Proposal. HHSC reserves
the right to accept or reject any assumptions. All assumptions not expressly identified and
incorporated into the contract resulting from this RFP are deemed rejected by HHSC.
3.15.7 Section 6 – Appendices
The respondent must provide an organization chart of the respondent’s organization. The
respondent must include the name and title of respondent staff having corporate responsibility
35