Third Party Medicaid Billing Services
Location:
Texas, United States
Posted on:
Deadline:
Summary:
A Texas school district seeks a vendor to provide comprehensive third party Medicaid billing services, including claims management, cost reporting, and audit support.
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The chosen vendor will provide third party Medicaid billing services for a Texas school district, including Medicaid reimbursement for specific health-related services. The vendor is expected to develop and implement a direct service program demonstrating a comprehensive understanding of Medicaid rate structures, timelines, and regulations pertinent to school districts of comparable size within the state.
Capabilities must include processing both electronic and hardcopy service tickets for claims submission, as well as providing analysis and documentation necessary for the Medicaid cost report, including desktop audits and addressing any potential appeals. Additionally, the vendor will assist and prepare district responses during audits of the program, cost reports, and ARD (admission, review, and dismissal) paperwork.
The initial contract period will be for one year, with all questions regarding the RFP to be submitted by April 2, 2026.
Best-fit vendors:
• Experience with Medicaid billing for school districts in Texas
• In-depth knowledge of Medicaid regulations, rate structures, and school-based claiming
• Capability to process both electronic and hardcopy service tickets
• Expertise in preparing cost reports and supporting audit responses
• Proven track record with similar districts in scope and size
