Hospital FQHC and RHC Cost Audits; Rate-Setting
ID: RFP-UHAA-2026000070-1
• State: Colorado
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Description
Background
The Colorado Department of Health Care Policy and Financing (HCPF) is soliciting proposals from qualified organizations to conduct cost audits for hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). The goal is to ensure accurate reimbursement rates for inpatient and outpatient services in compliance with federal and state regulations. The Department oversees Medicaid and other publicly funded health care programs in Colorado, aiming to reform reimbursement methodologies for FQHCs and RHCs.
Work Details
The contractor will perform cost audits on hospital cost reports, FQHC cost reports, Indian Health Service (IHS) cost reports, and set rates for RHCs. Specific tasks include:
1. Conducting annual project planning for cost audits.
2. Performing detailed reviews of Medicare cost reports, including obtaining necessary documentation from hospitals.
3. Completing outpatient hospital cost audits based on available financial information.
4. Delivering final audit reports within specified timelines, including adjustments for reopened reports.
5. Assisting in the development of reimbursement methodologies for FQHCs and RHCs based on audited costs.
6. Providing monthly status reports on audit progress and outcomes.
Period of Performance
The contract's start-up period is anticipated from July 1, 2026, to July 31, 2026. The initial operational period will run from August 1, 2026, until June 30, 2027. The total duration may extend up to five years depending on options exercised by the State.
Place of Performance
The contract will be performed in Colorado, specifically involving hospitals, FQHCs, RHCs, and IHS facilities participating in the Colorado Medicaid program.
Bidder Requirements
Offerors must be certified public accounting firms with experience in Medicare and Medicaid reimbursement processes. They must demonstrate organizational experience in conducting similar cost audits and provide qualified personnel to fulfill the contract requirements.
The Colorado Department of Health Care Policy and Financing (HCPF) is soliciting proposals from qualified organizations to conduct cost audits for hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). The goal is to ensure accurate reimbursement rates for inpatient and outpatient services in compliance with federal and state regulations. The Department oversees Medicaid and other publicly funded health care programs in Colorado, aiming to reform reimbursement methodologies for FQHCs and RHCs.
Work Details
The contractor will perform cost audits on hospital cost reports, FQHC cost reports, Indian Health Service (IHS) cost reports, and set rates for RHCs. Specific tasks include:
1. Conducting annual project planning for cost audits.
2. Performing detailed reviews of Medicare cost reports, including obtaining necessary documentation from hospitals.
3. Completing outpatient hospital cost audits based on available financial information.
4. Delivering final audit reports within specified timelines, including adjustments for reopened reports.
5. Assisting in the development of reimbursement methodologies for FQHCs and RHCs based on audited costs.
6. Providing monthly status reports on audit progress and outcomes.
Period of Performance
The contract's start-up period is anticipated from July 1, 2026, to July 31, 2026. The initial operational period will run from August 1, 2026, until June 30, 2027. The total duration may extend up to five years depending on options exercised by the State.
Place of Performance
The contract will be performed in Colorado, specifically involving hospitals, FQHCs, RHCs, and IHS facilities participating in the Colorado Medicaid program.
Bidder Requirements
Offerors must be certified public accounting firms with experience in Medicare and Medicaid reimbursement processes. They must demonstrate organizational experience in conducting similar cost audits and provide qualified personnel to fulfill the contract requirements.
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Overview
Opportunity Type
Request for Proposals (RFP)
Opportunity ID
RFP-UHAA-2026000070-1
Response Deadline
Jan. 8, 2026
Past Due
Date Posted
Dec. 2, 2025
Source
Source Notes
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Est. Value Range
Experimental
$500,000 - $2,000,000
(AI estimate)
Agency Distribution
High
On 12/2/25 HCPF - Executive Directors Office in Colorado issued Request for Proposals (RFP) Hospital FQHC and RHC Cost Audits; Rate-Setting with ID RFP-UHAA-2026000070-1 due 1/7/26.
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