Enhanced Provider Network Auditing Program
Title:  

Enhanced Provider Network Auditing Program

Agency:  

Florida Agency for Health Care Administration (AHCA)

State:  

Florida

NAICS Code:  

621111

Industry:  

Healthcare and Medical Services

Solicitation Type:  

Invitation for Bid

Solicitation ID:  

AHCA ITN 002-24/25

Open Date:  

1/2/2025

Questions Due Date:  

1/20/2025

Close Date:  

7/31/2025

Project Duration:  

36 months

Last Updated:  

6/8/2025

Description:
The Agency for Health Care Administration (AHCA) is seeking a vendor to provide an Enhanced Provider Network Auditing Program. The program aims to ensure that Medicaid managed care plans have adequate provider networks. The vendor will be responsible for conducting audits, providing reports, and ensuring compliance with regulatory requirements. The contract is expected to be worth between $15,000,000 and $30,000,000 over a period of 36 months. The vendor will be required to submit various deliverables, including an implementation plan, operational policies and procedures, and quarterly reports. The Agency will evaluate the vendor's performance based on factors such as timeliness, completeness, and accuracy of deliverables. • The vendor must have experience in conducting audits and providing compliance services. • The vendor must have a strong understanding of Medicaid regulations and requirements. • The vendor must be able to provide detailed reports and analysis to the Agency. • The vendor must be able to ensure compliance with regulatory requirements and industry standards. • The vendor must be able to provide excellent customer service and support to the Agency and managed care plans.
Attached Files:

Please visit the bid source via the “Link to Bid Source” button below for documentation.

Contact Information:

Weston McKain(Procurement Officer)

solicitation.questions@ahca.myflorida.com

(000) 000-0000

Budget Estimate (AI):

$15,000,000 – $30,000,000

Based on the information provided, the budget for this contract is estimated to be between $15,000,000 and $30,000,000 over a period of 36 months. This estimate is based on the contract value mentioned in the solicitation document. The actual budget may vary depending on the vendor's performance and the Agency's requirements. Factors that may influence the budget include the vendor's ability to provide high-quality services, the complexity of the audits, and the number of managed care plans involved.

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