Audit of the State Based Marketplace

"DEPARTMENTOFADMINISTRATIVRANDFINANCA SERVICE 9\n\nDIVISION OF PROCUREMENTSERVCEE \u2014\u2014\n\nSTATEOFMAINE\n\nPROCUREMENT JUSTIFICATION FORM (PJF)\n\nThis form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division\nof Procurement Services.\n\nINSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (excepf signatures)\nmust be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division\nof Procurement Services Intranet site (Forms page) for additional instructions.\n\nPART I: OVERVIEW\n\nDHHS / Office of the Health Insurance Marketplace\nDepartment ee a Jeanne Garza / Melinda Farrell\nff applicable) Department Resenee HIM-23-0201\nana Amount: | g 420.000.00 Advantage CT/RQS | CT-10A-\n(Contrac/Amendment/Grant) nn nn 20230216000000002123\n\n_CONTRACT. || Proposed Start Date: | 2/1/2023 ls | 82012023\n\nAMENDMENT | Orginal StrtDte: | DD

\u2014 | Eee \u2014 |\nAMENDMENT | Previous End Date:| | NewEndDate:| |\nran | ProjeetStartDate: _ _ | Gonsertbe:l\u2014 DD |\n..SRANT _ PoietEndDdate) O\u2014\u2014\u2014\u2014\u2014\u2014 Te\u00f6\u00dfantEndDddte: |\n\nVendor/Provider/Grantee Name; | BarryDunn\nCity, State: | Portland, ME\n\nBrief Description: of\nGoods/Senices/Grant: Audit ofthe State Based Marketplace\n\nDepartment Office/Division/Program:\n\nPART Il: JUSTIFICATION FOR VENDOR SELECTION\n\nGrant: Rast\nH. State Statute/Agency Directed\nFederal Agency Directed: |\n\n. Proprietary/Copyright/Patents . Willing and Qualified\n\n..Emergeney ERDE .. ClientChoice\n\n.. Other Authorization\n\nREV 11/18/2021 Page 1 0f3\n" "Procurement Justification Form (PJF)\n\nPlease respond to ALL ofthe questions in the following sections.\nPART Ill: SUPPLEMENTAL INFORMATION\n\n1: -Provide.a more detailed description and explain the need for.the gend, services or grant to\n-.supplement:the response in Part: i\n\nThe purpose of this agreement is to secure financial and programmatic auditing resources required for the\nannual audit of the Maine Health Insurance Marketplace (Marketplace). Section 1313(a)(1) ofthe ACA\nrequires an Exchange (Marketplace) to keep an accurate accounting of all activities, receipts, and\nexpenditures and annually submit to the Secretary a report concerning such accounting. Section 155.1200\nof Title 45 of the Code of Federal Regulations, finalized in the Program Integrity Rule Il, 78 F.R. 65046\n(October 30, 2013) (Pl Reg Il), requires SBMs to monitor and report to HHS on Exchange-related activities,\ncomplete an annual report, and engage an independent qualified auditing entity to perform an annual\nindependent external financial and programmatic audit to ensure each Marketplace is in compliance with\nCMS regulations and standards.\n\nThe Department is contracting an independent external auditor to perform an annual independent external\nprogrammaltic and financial audit ofthe Exchange, that follows generally accepted governmental auditing\nstandards (GAGAS) and submits the results to CMS as supporting documentation with the State-based\nMarketplace Annual Reporting Tool (SMART). This audit will be based on financial expenditures and\nprogrammatic operations from July 1, 2021 -\u2014 June 30, 2022 (SFY 2022).\n\n2. .Provide a.brief justification for the selected vendor to o.supplement the response in \u201aPart R Reference\nthe RFP number; if applicable.\n\nAfter the difficult experience OHIM had with the previous vendor for SFY2021 audit- This vendor was\nselected because if their specific experience with the State of Maine financial operations, and their\nextensive experience performing programmatic and financial audits for 7 other State-based Marketplaces,\nmeeting the requirements of SMART, The vendor was also selected because they are willing to meet the\ndue date set by CMS of April 1*, 2023. After which these services will be procured through an RFP.\n\n.-3.. Explain how the negotiated cosis or rates are fair and reasonable; or how the funding was allocated\n-..to grantee.\n\nThe cost was determined based on estimated hours to complete an audit given experiences with previous\nMarketplaces, and the hourly rate is consistent with the Office\u2019s prior experience with these services. The\nfirm and costs are being sole sourced through the authority of the Comptroller's office to\n\ncontract for audit services.\n\n4. Describe the plan for future competition for the goods or services.\n\nThe Department intends to competitively procure these services (OHIM20231) with a contract start date of\n971/23.\n\nPART IV: AMERICAN RESCUE PLAN ACT {ARPA) / MAINE JOBS & RECOVERY PLAN IaBE]\nDoes this request utilize ARPA/MJRP funds?\n[1 Yes - If Yes, please attach the approved Business Case(s).\n\nNo -IfNo, proceed to Part V.\n\nREV 11/18/2021 Page 2 0f3\n" "PART V: APPROVALS\n\nThe signatures below indicate approval of this procyrement request,\n\nSignature of requesting\nDepartments Commissioner\ner\n\nu... Signature of DAFS nn \u2014c Au D,\nProcurement Official: warn\n\nTyped Name: Kathy Paquette\n\nREV 11/18/2021\n\nProcurement Justification Form (PJF)\n\n3/10/2023\n\nPage 3 of 3\n"