The contract is for a dependent eligibility audit for Frederick County, Maryland. The purpose of the audit is to verify that all covered dependents are fully eligible and meet all the eligibility requirements to participate in the medical, dental, and vision plans offered. The contract was awarded to six vendors: Part D Advisors, Inc., ClearTrack HR LLC, Health Management Systems, Inc., MedBill Management, LLC, Bolton Partners, Inc., and Myers and Stauffer LC. The scope of work includes auditing dependent eligibility for 3451 dependents (1466 spouses and 1985 children) covered under one or more health plan.
• The audit aims to eliminate inappropriate spending on ineligible dependents.
• The County does not intend to penalize plan participants for covering ineligible dependents.
• An amnesty period will be provided for plan participants to voluntarily identify any ineligible dependents to be removed from coverage.