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Hawaii Medicaid §1915(c) Home and Community-Based Services Waiver Auditing Services
Department of Health Developmental Disabilities Division
Buyer seeks a contractor to ensure accountability and compliance with requirements for the Medicaid §1915(c) Home and Community-Based Services Waiver. The contractor will conduct post-payment reviews, audit Electronic Visit Verification data, assist service providers with billing practices, and ensure adequate service rates. The work includes developing robust systems to prevent fraud, abuse, and waste within the I/DD Waiver program. The contractor will also support PERM audit processes and determine appropriate annual rates for Crisis Mobile Outreach services.
- 3/27/2025 - Release of Request for Proposals
- 4/9/2025 - Due date to Submit Questions
- 4/16/2025 - State's Response to Questions
- 4/28/2025 - Proposal Due Date
- 5/12/2025 - Notice of Award
- 10/1/2025 - Contract Start Date
- Conduct fiscal audits on I/DD Waiver service providers
- Create statistically valid random sample for fiscal audit lists
- Complete audit correspondence with service providers
- Monitor Electronic Visit Verification (EVV) data
- Support PERM audit processes including error resolution
- Review and approve Corrective Action Plans
- Determine annual rates for Crisis Mobile Outreach services
- Conduct quarterly and annual revenue/expenditure reviews
- Testify at administrative hearings
- Develop strategies to ensure financial integrity and accountability
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