NHCAC North Hudson Community Action Corporation

Transcription

1 NHCAC Nrth Hudsn Cmmunity Actin Crpratin RFP 340B Prgram Auditing Services INQUIRIES SHOULD BE DIRECTED TO: Name: Title: Entity: Address: Manny Diaz Directr f Cmmunity Develpment Nrth Hudsn Cmmunity Actin Crpratin st Street Unin City, New Jersey Phne: (201)

2 Ntice f Prpsal The Nrth Hudsn Cmmunity Actin Crpratin (NHCAC) is issuing this request fr prpsal (RFP) fr the audit f the NHCAC s 340B Drug Pricing Prgram. Cvered entities must ensure prgram integrity and maintain accurate recrds dcumenting cmpliance with all 340B Prgram requirements. HRSA has the authrity t audit cvered entities fr cmpliance with 340B Drug Pricing Prgram (340B Prgram) requirements (42 USC 256b(a)(5)(C)): The cntact persn regarding this prpsal is Michael Shababb, Chief Financial Officer, and can be reached at st Street, Unin City, NJ NHCAC s phne number is ext The respnse due date fr this RFP is 4:00 P.M, Friday, February 26 th, Any prpsals received after this date will nt be cnsidered. NHCAC is requesting tw (2) cpies f yur prpsal. The audit perid under cntract is fr the years ended January 31 st, 2016 and January 31 st, 2017 and may be extended at the discretin f NHCAC, but the term f the engagement shall end; 1. When the audit cntract has been vilated. 2. When the quality f the audit is unacceptable. Descriptin f the entity and recrds t be audited: Obtain and review select 340B Prgram data and internal cntrls. Audit prcedures include, at a minimum: review f relevant plicies and prcedures and hw they are peratinalized; verificatin f eligibility, including GPO and eligibility; verificatin f internal cntrls t prevent diversin and duplicate discunts, including hw the cvered entity defines whether a patient is cnsidered eligible, HRSA Medicaid Exclusin File designatins, and accuracy f cvered entity s 340B database recrd; review f 340B Prgram cmpliance at cvered entity, utpatient r assciated facilities, and cntract pharmacies; and Testing f 340B drug transactin recrds n a sample basis. Obtain a list f all sites f NHCAC and cmpare it t the sites listed n the Office f Pharmacy Affairs ( OPA ) website. Cmpare the cntract pharmacies that are listed in the cntract pharmacy agreements t thse listed n the OPA database.

3 Inspect the OPA database as t whether NHCAC recertified their eligibility within the last year and ntified the OPA whether there was a change in their eligibility during the year. Obtain a reprt (prescriptin reprt) f all patients that participated in the 340B prgram during the year ending in January 31, Make a selectin f 40 patients and select ne prescriptin fr each patient. Fr each prescriptin perfrm the fllwing prcedures: Obtain the patient s chart t determine that the patient was an eligible patient f NHCAC based upn the guidelines f the 340B prgram. Inspect the dcumentatin that the patient was prescribed the prescriptin by a prvider that is cntractually emplyed by NHCAC. Inspect the manufacturer s database as t whether the prescribed drug is an eligible drug as part f the 340B prgram. Inspect the dcumentatin that the patient received healthcare services and nt just the dispensing f the drug. Cmpare the practitiner s name and the prescriptin frm the prescriptin reprt t thse detailed within the revenue system. Inspect the prescriptin slip t determine that it is signed by the practitiner. Inquire f management as t whether the Medicaid patients f NHCAC participate in the 340B prgram and btain a listing f all Medicaid patients served by NHCAC. Cmpare a listing f NHCAC s sites t thse listed in the Medicaid exclusin file per the OPA website. If the Medicaid patients d nt participate in the 340B prgram, perfrm the fllwing: Inspect the payrs f the patients selected within the Diversin testing and nte whether any are Medicaid.

4 Descriptin f Prject Mandatry Qualificatins f the Auditr The fllwing must be affirmed in the prpsal respnse: 1. The prpser is prperly licensed fr public practice as a certified public accuntant. 2. The prpser must have significant and nging cmmitment and experience in prviding auditing services t Federally Qualified Health Center s 340B pharmacy prgram.. 3. The prpser must have trained qualified staff and partners. Timeframe Cnsideratins NHCAC shall receive all prpsal respnses by 4:00 P.M., February 29, 2016 NHCAC anticipates the successful bidder will be ntified by March 7, The timetable fr starting and cmpleting the audit must be within 90 days f award. Right t Reject NHCAC reserves the right t reject any and all prpsals submitted and t request additinal infrmatin frm all prpsers. Any cntract awarded will be t the independent auditr wh, based n evaluatin f all respnses, applying all criteria and ral interviews, if necessary, is determined t be the best qualified t d the audit. Number f Cpies f Auditr s Reprts reprt. The auditr shall furnish NHCAC an electrnic cpy and 5 bund cpies f the audit Cntractual Arrangements and Remedies fr Vilatins Invices fr service will be paid when received. The ttal amunt t be inviced shall nt exceed the amunt f the bid. NHCAC reserves the right t terminate the cntract fr the audit at any time. Shuld a federal r state agency reject the audit as deficient, NHCAC may withhld payment fr services until the audit deficiency is crrected. Shuld the audit firm fail t crrect the audit deficiency; the audit firm will be barred frm further engagements with NHCAC and pssible reductin in fees.

5 Methd f Evaluating Prpsals Prpsals will be evaluated with a strict emphasis n quality. As such, the primary emphasis f prcuring an audit will be the quality f the technical factrs f the audit firm. Attributes that will be analyzed include: 1. Number f FQHC 340B prgrams audited by prpsing firm. 2. Invlvement in nn-prfit related rganizatins. 3. Quality f staff included in assignment. 4. Reference respnses 5. Ability t cmmunicate audit results in an effective manner. After the technical qualities have been evaluated, cst and ther cnsideratins will be evaluated. The prpsing audit firm shuld indicate the cst f the audit fr the tw years in the RFP FORMAT OF THE RFP RESPONSE The frmat f the prpsal is at the preparer s discretin. It is suggested the RFP respnse shuld be frmatted as fllws: Title Page The respnse shuld identify the RFP subject, the name f the independent auditr, lcal address, telephne number, name and title f cntact persn and date f submissin. The perid that the prpsal is effective shuld als be disclsed. Table f Cntents The table f cntents f the prpsal shuld include a clear and cmplete identificatin f the materials submitted by sectin and page number. Letter f Transmittal The letter f transmittal shuld cntain the fllwing infrmatin: 1. A brief understanding f the audit service t be perfrmed. 2. A psitive cmmitment t perfrm the service within the time perid specified. 3. The names f persns authrized t represent the respndent, their title, address and telephne number. This may be imprtant if different frm the individual wh signs the transmittal letter. Prfile f the Independent Auditr

6 The respndents are requested t prvide a prfile f general backgrund infrmatin. Summary f the Prpser s Qualificatins Evaluatin 1. Identify the audit managers and field supervisrs and ther staff wh will wrk n the audit, including staff frm ther than the lcal ffice, if applicable. Resumes including relevant experience and cntinuing educatin fr auditr in-charge up t the individual with the final respnsibility fr the engagement shuld be included. (The resumes may be included as an appendix). 2. Describe the recent lcal ffice auditing experience similar t the type f audit requested and give the names and telephne numbers f client fficials respnsible. 3. If ther auditrs are t participate in the audit, thse auditrs are required t prvide similar infrmatin. Evaluatin f each prpsal will be based n the fllwing criteria: Factrs 1. Prir experience auditing 340B prgrams. a. Prir experience auditing agencies f like size b. Prir experience auditing similar prgrams funded by HRSA, Office f Pharmacy Affairs. c. Federal Gvernment/r State Gvernment f. Prir experience with Fund Accunting systems NHCAC will cntact prir audited rganizatins t verify the experience prvided by the Offerr. 2. Organizatin, size, and structure f Offer s firm. a. Adequate size f the firm b. Minrity/Small Business 3. Qualificatins f staff t be assigned t the audits t be perfrmed. This will be determined frm resume submitted. Educatin, psitin in firm, years and types f experience, cntinuing prfessinal educatin, and states(s) in which licensed as a CPA, etc. will be cnsidered. a. Audit Team Makeup b. Overall supervisin t be exercised c. Prir experience f the individual audit team members 4. Offerr understands f wrk t be perfrmed. a. Adequate cverage b. Realistic time estimates f each audit step 5. Price

7 Review Prcess NHCAC may, at its discretin, request presentatins by r meetings with any r all Offerr s, t clarify the Offerr s prpsal. Hwever, NHCAC reserves the right t make an award withut further discussin f the prpsals submitted. NHCAC is nt bund t accept the lwest bid, nr any prpsal submitted. Cmpensatin Prvide an estimate f the cst f services being ffered fr the tw years f the engagement. Additinal Data Prvide any additinal data the respndent feels may be helpful in the selectin prcess.