010_PUR_2027 Mediciad Reimbsurement Managemen.pdf

This is Addendum No. 1 to RFP 010-PUR-2027 issued by the Dougherty County School System in Albany, Georgia, regarding Medicaid Reimbursement Management Services. The addendum clarifies key solicitation details and provides responses to vendor questions. The District is seeking proposals for comprehensive Medicaid reimbursement management services, including Fee-for-Service billing for direct services such as speech-language pathology, occupational therapy, physical therapy, and nursing services; Administrative Claiming for Education (ACE) reimbursement support; compliance monitoring and documentation review; staff training and audit assistance; and revenue maximization consulting. Sealed proposals are due June 25, 2026, at 11:00 a.m. EST, with public bid opening on the same date. The contract term runs July 1, 2026, through June 30, 2027. Vendor questions were due June 11, 2026, at 3:00 p.m. Bidders must submit one original print copy and one digital copy on a labeled thumb drive to the Dougherty County School System Logistical Services Department at 601 Flint Avenue, Albany, Georgia 31701.

The compensation structure is contingency-based, with the contractor receiving a percentage of actual Medicaid reimbursements received by DCSS for both FFS and ACE services. Proposers must submit separate percentage fees for each reimbursement category and disclose any additional fees or costs. All Medicaid payments flow directly to DCSS, and the contractor invoices only after the district receives reimbursement. The addendum clarifies that while the RFP references experience with Georgia school-based Medicaid reimbursement programs including CISS and ACE, the District will consider firms with extensive Medicaid reimbursement management experience in other healthcare settings provided the proposed team includes personnel with demonstrated expertise in Georgia school-based Medicaid programs. Evaluation criteria weight experience and qualifications in Georgia school-based Medicaid programs at 35 points; quality and completeness of proposed services and technical approach at 30 points; cost proposal and percentage fee structure at 20 points; and references, past performance, and responsiveness to district needs at 15 points.