(1) Vendor needs to provide medicaid cost recovery services, individual education plan system and special education management system.• Provide 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• Provide assistance ensuring maximum reimbursement within state and federal laws and guidelines• Design a 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.• Provide an automated Individualized Education Program (IEP) system which is secure, web–based and school interoperability framework (SIF) compliant• Provide a 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.• 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• Provide data entry of claims as needed.• Develop a system that automatically alerts service providers if they have not reported all encounters with students.– System must also:– Track student progress on goals and objectives in real–time and provide both narrative and graphic reports– Allow for unlimited users– Provide the ability to migrate data from our current SIS system and current special education data management system.– Include the provision of maintenance– Have 24/7 access for agency staff, students and parents/guardians(2) All questions must be submitted no later than July 19, 2024.(3) The contract period will be for three years.(4) Be compatible with all major web browsers
↧