Posted Date : February 24,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4962
Government Authority located in Rhode Island; USA based organization looking for expert vendor for Medicaid cost recovery services and individual education plan system.
[A] Budget: Looking for Proposal
[B] Scope of Service:
Vendor needs to provide Medicaid cost recovery services and individual education plan system.
- Billing services for Medicaid reimbursement using an automated web-based system to monitor students receiving services, billing activities of providers, and payments billed and received;
- An automated Individualized Education Program (IEP) system which is secure, web based and school interoperability framework (SIF) compliant. The agent must also provide 5 training to train the trainer group which includes transition planning. The proposed IEP system must meet all government and state regulations and provide tools for comprehensive report production. The system must provide reports regarding the LRE data, out of compliance data for both three re-evaluations and IEP on a monthly basis by school and provide out of compliance IEP by school by case manager by month to administration.
- Review of records for Medicaid eligibility of students; develop procedures to identify and verify insurance coverage; provide claim documentation, submission and monitoring; provide the department with all necessary customized medicaid billing forms; track the licensure of all providers associated with potential reimbursable services to determine which providers meet eligibility requirements to claim reimbursements; print, mail and track parent authorization/notification letters relative to third party payment of claims. also required to store these documents; provide information on changes in regulations in a timely and useful manner; implement changes in state or federal laws within 30 days; data entry of claims as needed; electronic claims submission; process timely claims with payments remitted directly to the department; develop a system that automatically alerts service providers if they have not reported all encounters with students; develop a system that adheres to all medicaid federal and state guidelines.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: March 24,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
![]()
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-4962
Government Authority located in Rhode Island; USA based organization looking for expert vendor for Medicaid cost recovery services and individual education plan system.
[A] Budget: Looking for Proposal
[B] Scope of Service:
Vendor needs to provide Medicaid cost recovery services and individual education plan system.
- Billing services for Medicaid reimbursement using an automated web-based system to monitor students receiving services, billing activities of providers, and payments billed and received;
- An automated Individualized Education Program (IEP) system which is secure, web based and school interoperability framework (SIF) compliant. The agent must also provide 5 training to train the trainer group which includes transition planning. The proposed IEP system must meet all government and state regulations and provide tools for comprehensive report production. The system must provide reports regarding the LRE data, out of compliance data for both three re-evaluations and IEP on a monthly basis by school and provide out of compliance IEP by school by case manager by month to administration.
- Review of records for Medicaid eligibility of students; develop procedures to identify and verify insurance coverage; provide claim documentation, submission and monitoring; provide the department with all necessary customized medicaid billing forms; track the licensure of all providers associated with potential reimbursable services to determine which providers meet eligibility requirements to claim reimbursements; print, mail and track parent authorization/notification letters relative to third party payment of claims. also required to store these documents; provide information on changes in regulations in a timely and useful manner; implement changes in state or federal laws within 30 days; data entry of claims as needed; electronic claims submission; process timely claims with payments remitted directly to the department; develop a system that automatically alerts service providers if they have not reported all encounters with students; develop a system that adheres to all medicaid federal and state guidelines.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: March 24,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$