Recovery Audit Services

The government authority in Austin, TX requires a vendor to provide Recovery Audit Contractor (RAC) services to identify Medicaid underpayments and overpayments under the Medicaid state plan and any plan waivers, including Fee for Services and Managed Care Organizations. The selected vendor must conduct first-level appeal reviews, facilitate provider-requested second-level appeals, and supply a secure, online, role-based portal for stakeholders. Additionally, the buyer requires the vendor to perform program integrity risk assessments, develop logic and algorithms to analyze large data sets, utilize efficient methods to refer suspected fraud, waste, abuse, and improper payments, and conduct project administration with internal controls and information security. Only USA organizations may bid, and the vendor must perform all work offsite. The buyer hosts a pre-bid meeting on August 13, 2026, and sets the deadline for question submissions on August 17, 2026. Bidders must submit proposals to provide pricing, as the buyer is currently seeking proposals for the budget.