1-RFC Bidder Cover Summary Fillable PDF (2).pdf

This is a Request for Bids (RFC) cover summary form for Salt Lake County, Utah, specifically for the Sheriff's Office Jail Health Services Division. The County is seeking a qualified contractor to provide Medicaid claim submission and management services under the 1115 Medicaid Waiver program. The selected vendor will prepare, submit, and manage eligible Medicaid claims for incarcerated individuals who received Medicaid-covered services or medications during the final 90 days of their incarceration. Initial implementation will focus on approximately 90 Medication-Assisted Treatment (MAT) participants with planned expansion to include all inmates receiving Medicaid-eligible medical care. The contractor must interface seamlessly with the County's Saphire Health EHR system, comply with County IT standards and security policies, provide staff training on claim identification and validation, and designate a dedicated Account Manager with additional billing specialists as needed based on claim volume.

The contractor is required to submit monthly reports detailing claim submissions, reimbursements, denials, and resolution timelines, attend quarterly performance review meetings with Health Services representatives, and provide annual compliance audit summaries with process improvement recommendations. Salt Lake County will provide inmate demographic, booking, custody, release data, and secure access to jail medical records and EHR systems necessary for eligibility verification and claims processing. The final funding for any service is contingent upon funding levels and approval by the Salt Lake County Mayor, with the contract term and pricing structure to be determined upon execution of the agreement between the County and the selected supplier.