10-SHE1230921-1 Addendum 1.pdf

This is an Addendum to a Request for Bids (RFC) issued by Salt Lake County, on behalf of the Sheriff's Office Jail Health Services Division, for Medicaid claim submission and management services under the 1115 Medicaid Waiver (Solicitation #SHE130921-1). The amendment extends the bid closing date to July 29th, 2026, at 1:00 PM Mountain Time. The selected contractor will prepare, submit, and manage eligible Medicaid claims for incarcerated individuals who received Medicaid-covered services or medications during their final 90 days of incarceration. Initial implementation will focus on approximately 90 Medication-Assisted Treatment (MAT) participants with planned expansion to all inmates receiving Medicaid-eligible medical care. The contractor must interface with the County's Saphire Health EHR system, comply with all County IT standards and security policies, provide staff training on Medicaid-eligible claim identification and validation, and designate a dedicated Account Manager with supporting billing specialists as needed.

The contractor must submit monthly reports detailing claim submissions, reimbursements, denials, and resolution timelines, attend quarterly performance review meetings with Health Services representatives, and provide an annual compliance audit summary with process improvement recommendations. Salt Lake County will supply inmate demographic, booking, custody, release data, and facilitate secure access to jail medical records and EHR systems necessary for eligibility verification and claims processing. All terms and conditions of the original RFC not modified by this amendment remain unchanged.