When is the submission deadline?

Submissions are due June 24, 2026. Questions must be submitted by June 17, 2026.

What is the budget for this RFP?

Settle estimates the budget at $10,000. The issuer has not published an official figure.

It was issued by Salt Lake County. The work is located in Salt Lake City, Utah, United States.

Who is a good fit for this opportunity?

Demonstrated experience managing Medicaid waiver claim submission and billing. Expertise integrating with jail or county inmate management and billing systems. Ability to provide dedicated account management and scalable staffing. Prior work with correctional healthcare or public sector medical billing.

Medicaid Waiver Claim Submission and Management Services (Due June 24, 2026)

Overview

Healthcare Services, Wellness & Biotech

Salt Lake City, Utah, United StatesPosted: May 23rd, 2026Deadline: June 24th, 2026

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SUMMARY

RFP for a vendor to provide full-service Medicaid claim submission and management for incarcerated individuals under Utah's 1115 Medicaid Waiver.

KEY REQUIREMENTS

Must have a minimum of 3 years of experience submitting Medicaid eligible claims
Must be licensed and insured in the state of Utah
Must be able to interface seamlessly with the County's Saphire Health EHR system
Must provide a dedicated Account Manager
Must submit original Bureau of Criminal Investigation (BCI) criminal histories for employees with access to inmate data
Must comply with all County IT standards, security, and privacy policies
Must provide training to County staff on identifying and validating Medicaid-eligible claims
Must provide a minimum of two professional references

BUDGET

Estimate

$10,000

CONTRACT DURATION

72 months

TIMELINE

Virtual pre-bid meeting: June 10th, 2026

Questions due: June 17th, 2026

Submission deadline: June 24th, 2026

QUESTION DEADLINE

June 17th, 2026

Issuing Agency

Salt Lake County

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DESCRIPTION

This RFP seeks a qualified vendor to provide Medicaid waiver services, specifically focusing on the submission and management of Medicaid claims under the 1115 Medicaid Waiver. The chosen contractor will be responsible for preparing, submitting, and overseeing all eligible Medicaid claims for incarcerated individuals who received Medicaid-covered services or medications during their final 90 days of incarceration.

The initial phase will target medication-assisted treatment participants, with services expanding to cover all inmates receiving Medicaid-eligible medical care as the program develops. Key requirements include providing a dedicated account manager to supervise all billing operations and adding billing specialists as claim volumes increase. The vendor must facilitate the provision of inmate demographic, booking, custody, and release data required for eligibility verification and claims processing.

Additionally, the contractor is expected to approve and support necessary technical integrations between county/jail systems and their billing platform, and coordinate with internal departments and healthcare providers to ensure timely, complete transmission of encounter and billing data. Service-level expectations for response times, issue resolution, and data exchange will be established as part of this engagement. The contract will span six years.

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Frequently asked questions

When is the submission deadline?: Submissions are due June 24, 2026. Questions must be submitted by June 17, 2026.
What is the budget for this RFP?: Settle estimates the budget at $10,000. The issuer has not published an official figure.
Who issued this RFP?: It was issued by Salt Lake County. The work is located in Salt Lake City, Utah, United States.
Who is a good fit for this opportunity?: Demonstrated experience managing Medicaid waiver claim submission and billing
Expertise integrating with jail or county inmate management and billing systems
Ability to provide dedicated account management and scalable staffing
Prior work with correctional healthcare or public sector medical billing

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