7-SHE130921 Pricing Schedule.pdf

This is a Pricing Schedule document for Salt Lake County Sheriff's Office Jail Health Services Division's Medicaid 1115 Waiver claim submission and management services contract (SHE130921). The contract seeks a qualified contractor to prepare, submit, and manage Medicaid claims for incarcerated individuals who received Medicaid-covered services or medications during the final 90 days of incarceration. Initial implementation will focus on Medication-Assisted Treatment (MAT) participants, approximately 90 inmates, with eventual expansion to all inmates receiving Medicaid-eligible medical care. The contractor must interface with the County's Saphire Health EHR system, comply with County IT standards and security policies, provide training to County staff on claim validation, and supply a dedicated Account Manager with additional billing specialists as needed. Monthly reports detailing claim submissions, reimbursements, denials, and resolution timelines are required, along with quarterly performance review meeting attendance and annual compliance audit summaries with process improvement recommendations.

Bidders must submit pricing as a percentage of the final amount received for each settled claim, with award going to the lowest responsive, responsible bidder offering the lowest percentage of costs. All delivery charges must be included in the bid pricing, and shipments must be FOB Destination with freight prepaid. Bidders are required to complete and submit the Pricing Schedule attachment as part of their formal bid submission.