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

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3.15.34 Proposed Fixed Fee Rates - Schedule 4 Proposed Fixed Fee Rates - Schedule 4 shows the All-Inclusive Hourly Labor Rate(s) / individual Fixed Fee Rates proposed for the first 12 month Operational period (SFY 13) of a resulting contract. The RAC’s compensation for other audit services related to fraud investigations, other specific audits and any other service provided by the RAC that would not be appropriate to utilize a contingency fee to compensate the RAC for those specific services rendered will be based on Fixed Fees. The Fixed Fees will be based on individual Fixed Fee Rates included in the Contract and the level of effort to perform a specific audit not paid on a contingency basis, audit services related to fraud investigations or any other service provided by the RAC that would not be appropriate to utilize a contingency fee to compensate the RAC for those specific services rendered. The Fixed Fees for these services will be based on the explicit fixed hourly rates proposed by the respondent and the projected number of hours to be worked on the specific audit or specific project by the respondent’s staff or the staff of the respondent’s subcontractor. Respondents must specify All-Inclusive Hourly Labor Rates for the different types of staff that would be potentially working on audit services related to fraud investigations or any other audit or other services that would be paid on a fixed fee basis. For subsequent contract years (12 month Operational periods) and any applicable Operational period less than 12 months, the Fixed Fees will be determined by the application of a fixed annual inflator/deflator proposed by the respondent and subject to approval and acceptance by HHSC. Please reference Section 6.3.3 of the RFP for additional information related to Fixed Fee Rates. Respondents are to propose their compensation rates using the Cost Proposal provided as Attachment A to this RFP. All proposals for compensation must be presented in the format and categories as prescribed in that attachment. No other categories of costs will be considered by HHSC. No additional fees or costs of any sort will be paid under this contract. 40
4. Historically Underutilized Business Participation In accordance with Texas Government Code §2161.252, a proposal that does not contain a HUB Subcontracting Plan (HSP) is non-responsive and will be rejected without further evaluation. In addition, if HHSC determines that the HSP was not developed in good faith, it will reject the proposal for failing to comply with material RFP specifications. 4.1 Introduction HHSC is committed to promoting full and equal business opportunities for businesses in state contracting in accordance with the goals specified in the State of Texas Disparity Study. HHSC encourages the use of Historically Underutilized Businesses (HUBs) through race, ethnic and gender-neutral means. HHSC has adopted administrative rules relating to HUBs, and a Policy on the Utilization of HUBs, which is located on HHSC’s website. Pursuant to Texas Government Code §2161.181 and §2161.182, and HHSC’s HUB policy and rules, HHSC is required to make a good faith effort to increase HUB participation in its contracts. HHSC may accomplish the goal of increased HUB participation by contracting directly with HUBs or indirectly through subcontracting opportunities. 4.2 HHSC’s Administrative Rules HHSC has adopted the CPA’s HUB rules as its own. HHSC’s rules are located in Title 1, Part 15, Chapter 392, Subchapter J of the Texas Administrative Code, and the CPA rules are located in Title 34, Part 1, Chapter 20, Subchapter B. If there are any discrepancies between HHSC’s administrative rules and this RFP, the rules shall take priority. 4.3 Statewide Annual HUB Utilization Goal The CPA has established statewide annual HUB utilization goals for different categories of contracts in 34 T.A.C. §20.13 of the HUB Rules. In order to meet or exceed the statewide annual HUB utilization goals, HHSC encourages outreach to certified HUBs. Contractors shall make a good faith effort to include certified HUBs in the procurement process. This contract is classified as an all other services contract under the CPA rule, and therefore has a statewide annual HUB utilization goal of 24.6 % per fiscal year. 4.4 Required HUB Subcontracting Plan In accordance with Government Code, Chapter 2161, Subchapter F, each state agency that considers entering into a contract with an expected value of $100,000 or more over the life of the contract (including any renewals) shall, before the agency solicits bids, proposals, offers, or other applicable expressions of interest, determine whether subcontracting opportunities are probable under the contract. In accordance with 34 T.A.C. §20.14(a) (1) (C) of the HUB Rules, State agencies may determine that subcontracting is probable for only a subset of the work expected to be performed or the funds to be expended under the contract. If an agency determines that 41
Page 1 and 2: Tom Suehs, Executive Commissioner R
Page 3 and 4: 4.3 Statewide Annual HUB Utilizatio
Page 5 and 6: define the requirements of Section
Page 7 and 8: Coordination with HHSC in obtaining
Page 9 and 10: due diligence in its efforts to ide
Page 11 and 12: are resolved, whichever happens las
Page 13 and 14: 1.8.2 Conflicts of Interest A confl
Page 15 and 16: 1.13 Protest Procedures Texas Admin
Page 17 and 18: e. Establish a Governance process w
Page 19 and 20: . Notify providers in writing of po
Page 21 and 22: timeline will include reasonable an
Page 23 and 24: . Provide monthly status reports to
Page 25 and 26: 2.6 Location of Services The RAC wi
Page 27 and 28: Respondents must notify HHSC of any
Page 29 and 30: identify trade secret or confidenti
Page 31 and 32: 3.15.1 Part I - Business Proposal T
Page 33 and 34: work as a prime contractor or subco
Page 35 and 36: 3.15.4.6 Section 6 - Proposed Appro
Page 37 and 38: Respondents must base their Cost Pr
Page 39: 3.15.30 Proposed Compensation Table
Page 43 and 44: 4.6.1 Identify Subcontracting Areas
Page 45 and 46: 4.6.7 Written Justification of the
Page 47 and 48: 5. Proposal Evaluation HHSC will us
Page 49 and 50: after HHSC receives payment from th
Page 51 and 52: the overpayments recovered or the u
Page 53: (7) Statistician (8) Other Professi

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

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