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SW-44414 - USA (Rhode Island) - Medicaid Cost Recovery Services, Individual Education Plan System and Special Education Management System - Deadline June 16,2021

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Posted Date : May 26,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : SW-44414
Government authority located in Rhode Island; USA, based organization looking for expert vendor for Medicaid cost recovery services, individual education plan system and special education management system.
[A] Budget: looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide Medicaid cost recovery services, individual education plan system and special education management 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
- data collection system utilizing both the Early and Periodic Screening Diagnosis and Treatment (EPSDT) list and the Special Education census data base in order to capture and maximize available revenues for services provided. The vendor must also collect the billing logs from the District, complete the claim and submit the claim to Electronic Data System (EDS) electronically for reimbursement
- system must provide reports regarding the LRE data, out of compliance data for both three re-evaluations
- system must have checks and balances for IEP dates that are all consistent throughout the IEP and have a system of checks and balances
- web-based special education case management system that documents all special education and Section 504 activities including pre-referral, eligibility, IEP development, service documentation, reporting to parents, and billing Medicaid.
- ability to import student demographic information from the district’s current Student Information System
- Be compatible with all major web browsers
- ability to scan in other documentation and link to specific student record
- track student progress on goals and objectives in real-time and provide both narrative and graphic reports
- ability to provide IEP document and forms in multiple languages
- ability to migrate data from our current SIS system and current special education data management system
- claim documentation, submission and monitoring
- 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.
(2) All questions must be submitted no later than May 28, 2021.
[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: June 16,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$

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