Medicaid Reimbursement Management Services

The district is seeking a qualified vendor to provide comprehensive Medicaid reimbursement management services for its school-based Medicaid program. The district needs to maximize legally allowable Medicaid reimbursements while ensuring full compliance with program regulations. To solve this problem, the district requires a partner to deliver all labor, personnel, supervision, technical expertise, software, training, reporting, and administrative support necessary for program administration. The scope of work covers fee-for-service Medicaid billing services and administrative claiming for education services. The selected vendor must handle compliance monitoring, documentation review, staff training, audit assistance, reporting, and reimbursement analysis. Additionally, the district requires revenue maximization consulting, data security, confidentiality protocols, and billing and reimbursement collection support. Eligible bidders must be onshore organizations based in the United States. The district requires the performance of all contracted work to take place offsite. Bidders must submit any questions regarding this opportunity no later than June 11, 2026. The district is requesting proposals to determine the budget and pricing structure for these services. The contract period will span one year from the date of award. The district will evaluate proposals based on the vendor's ability to provide the requested software, training, compliance, and administrative support.