Recovery Audit Services
Overview
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SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
TIMELINE
Solicitation Posting Date: August 11th, 2026
Pre-proposal Conference: August 13th, 2026
Deadline for Submitting Questions: August 17th, 2026
Responses to Questions Posted: August 25th, 2026
Deadline for optional courtesy VetHUB Subcontracting Plan review: August 28th, 2026
Deadline for Submission of Solicitation Responses: September 9th, 2026
Evaluation Period: Late September – early October 2026
Tentative Date for Notice of Award: March 2027
Anticipated Contract Effective Date: April 2027
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Texas Health and Human Services Commission
DESCRIPTION
The government authority located in Austin, Texas, seeks a Recovery Audit Contractor to identify Medicaid underpayments and overpayments, also referred to as improper payments, under the Medicaid state plan and any related waivers. The scope includes both Fee-for-Service and Managed Care Organization programs.
The selected vendor will conduct first-level appeal reviews and facilitate second-level appeals at the request of providers. The contractor must provide a secure, online, role-based portal for appeal reviewers, providers, and other stakeholders.
Additional responsibilities include performing program integrity risk assessments; developing logic and algorithms to analyze large datasets and produce meaningful outcomes; detecting and referring suspected fraud, waste, abuse, and improper payments; and administering the government project. Project administration will include internal controls, risk management processes, audit trail management and tracking, and information security requirements. A pre-bid meeting is scheduled for August 13, 2026, and questions must be submitted by August 17, 2026.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due September 9, 2026. Questions must be submitted by August 17, 2026.
- What is the budget for this RFP?
- Settle estimates the budget at $10,000,000. The issuer has not published an official figure.
- Who issued this RFP?
- It was issued by Texas Health and Human Services Commission. The work is located in Austin, Texas, United States.
- Who is a good fit for this opportunity?
- Recovery audit and Medicaid program integrity specialist
- Experience supporting both Fee-for-Service and Managed Care Organization programs
- Expertise in healthcare payment analytics, fraud detection, waste and abuse identification
- Capability to conduct provider appeals and administer secure role-based portals
- Strong internal controls, risk management, audit trail, and information security experience
- Experience delivering government healthcare projects
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.