45 CFR 155 Programmatic and Financial Audits

The State of Vermont, through the Department of Vermont Health Access, is issuing an RFP to award one or more contracts to independent CPA firms to perform 45 CFR 155 programmatic and financial audits of the Vermont Health Benefit Exchange for State Fiscal Years 2026‑2030. The contract will be for an initial two‑year term with two optional one‑year renewals, and work is expected to begin November 1 2026. Audits must comply with GAAP, GAGAS, and the specific requirements of 45 CFR 155, covering accurate accounting, eligibility processes, and compliance reporting. Bidders must submit technical and price proposals electronically by October 9 2026, answer any questions by September 30 2026, and demonstrate conflict‑of‑interest compliance, worker‑classification reporting (if > $250 k), and climate‑change considerations. Preference will be given to Vermont‑resident firms and those with clean‑energy practices. • Scope: Annual programmatic & financial audits for FY 2026‑2030 (5 years) • Contract length: 2 years base, up to 2 × 1‑year extensions • Start date: 11/1/2026 (anticipated) • Submission deadline: 10/9/2026 4:30 PM (EST) • Question deadline: 9/30/2026 • Required qualifications: CPA firm independent of State Medicaid Agency, able to meet GAGAS & 45 CFR 155 standards • Evaluation factors: experience (40 pts), technical approach (30 pts), cost (30 pts) • Deliverables: audit reports, compliance findings, remediation proposals, and required certifications (Certificate of Compliance, worker‑classification, climate‑change).