Medicaid Third Party Liability, Recovery Audit Contractor, and Estate Recovery Services
Overview
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Deadline for questions: July 13th, 2026
Answers posted: July 20th, 2026
Deadline for references: August 9th, 2026
Deadline submissions and opening: August 10th, 2026
Evaluation period: August 10th, 2026 - August 24th, 2026
Vendor presentations: September 7th, 2026 - September 8th, 2026
Notice of intent: September 8th, 2026
Notice of award: December 8th, 2026
BOE approval: January 12th, 2027
Contract start date: January 12th, 2027
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Nevada Health Authority
DESCRIPTION
The selected vendor will be responsible for delivering comprehensive Medicaid third party liability (TPL), recovery audit contractor (RAC), and Medicaid estate recovery (MER) services. Scope includes: managed care TPL data exchange and evaluation, secondary recovery, subrogation, casualty reduction, cost avoidance, and Health Insurance Premium Payment (HIPP) program support. The provider must be able to adapt to program changes post-implementation and support all necessary data conversion, migration, transition, and implementation activities to ensure operational continuity.
Vendors are required to maintain robust accounting systems and procedures that conform to generally accepted accounting principles and standards. They must operate all relevant systems, applications, and infrastructure, adhering to agency enterprise data governance, quality, and information management requirements. Vendors need to ensure the secure collection, exchange, storage, access, retention, and transmission of sensitive or regulated data using industry-standard encryption and protection in accordance with applicable laws, regulations, state policies, and security requirements.
The contract will run for a period of four years. Prospective bidders must submit all questions regarding this RFP by July 13, 2026.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 10, 2026. Questions must be submitted by July 13, 2026.
- Who issued this RFP?
- It was issued by Nevada Health Authority. The work is located in Carson City, Nevada, United States.
- Who is a good fit for this opportunity?
- Experience with Medicaid TPL, RAC, and estate recovery programs
- Expertise in healthcare financial operations and data security compliance
- Proven ability to manage large-scale government healthcare contracts
- Strong capabilities in data exchange, migration, and system integration
- Accredited in accounting standards and sensitive information handling
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.