Medicaid Claims Processing Services

The Vendor is required to provide for the processing of school health and related services (SHARS) Medicaid claims, annual training of all Medicaid providers, on-going technical consultation on Medicaid regulations and requirements for submissions.
- General specifications
• Remittance and status reports to identify any irregularities in the claims process, or adjustments to reimbursements, and report any finding to the district.
• Documentation for claims submission is not duplicative of any other district required procedures for documentation of SHARS.
• Services will include on-going technical consultation on Medicaid regulations and requirements for submissions.
• Contracts with a billing service
• Estimated number of IEP students eligible for Medicaid is 3600.