Third-Party Medicaid Billing Services

Overview

Financial, Legal, HR & Staffing

Austin, Texas, United StatesPosted 3 days agoDeadline: May 26th, 2026

Fit Score

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SUMMARY

Texas-based solicitation for a third-party provider to manage Medicaid Administrative Claiming and SHARS billing services for 500 to 600 students. The work includes billing administration, audit support, compliance, claims reconciliation, and a secure web-based platform integrated with Frontline.

KEY REQUIREMENTS

BUDGET

Estimate

$50,000 – $150,000

CONTRACT DURATION

12 months

TIMELINE

RFP Issue Date: May 5th, 2026

Questions Due: May 13th, 2026; 3:00PM CT

Agency Written Answers Provided: May 20th, 2026; 3:00PM CT

Proposal Due Date: May 26th, 2026; 3:00PM CT

Anticipated Commencement Date: July 1st, 2026

QUESTION DEADLINE

May 13th, 2026

Issuing Agency

Texas School For The Deaf

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DESCRIPTION

The issuing organization is seeking a vendor to provide third-party Medicaid billing services in Texas. The selected provider will support Medicaid Administrative Claiming (MAC) and School Health and Related Services (SHARS) through both in-person service delivery and a secure web-based Medicaid billing platform. The scope is intended to support an estimated 500 to 600 students.

Required services include administrative support, assistance with claim data entry, support for tracking parent consents for billing, and assistance with calculating the direct medical services individualized education program (IEP) ratio. The vendor will also be expected to provide reporting support and a secure web-based claim entry system integrated with the Frontline special education management system.

The provider must maintain full support during internal and external audits, including practice audits, documentation of processed claims, and preparation of necessary reports and correspondence. Additional responsibilities include tracking and reconciling paid claims, following up on denied or held claims, resubmitting rejected or denied claims, and ensuring compliance with legislative and other applicable requirements. Questions are due by May 13, 2026, and the contract term is one year.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.