The Vendor is required to provide medicaid billing services and assist with requisite medicaid monitoring and compliance for the purpose of maximizing properly allowable medicaid reimbursement for service rendered to district students.
- Review billings and services eligible for medicaid reimbursement for the period through June 30, 2026 to determine whether the district has billed for and recovered all properly reimbursable medicaid expenses.
- Submit new and/or supplemental claims for reimbursable medicaid expenses for the period through June 30, 2021; this service shall include the following:
• Perform self-audits on all claim submissions prior to transmission.
• Electronically transmit all monthly claims.
• Reconcile all paid, pending and denied reimbursements on a monthly basis.
• Retroactively recover reimbursements for services not previously billed.
• Review all claims and reimbursements monthly with the district’s medicaid compliance officer (or his/her designee) and the director of pupil services.
• Be available during regular business hours (8:30am - 5:00pm Monday-Friday) to respond to any and all questions that the district may have.
• Verify and ensure that no district provider is included or any federal or state excluded from list.
- Contract Period/Term: 1 year
- Questions/Inquires Deadline: May 9, 2025