RFP 26_10 Medicaid Billing (Annual Contract) .pdf

This is a Request for Proposals (RFP) issued by the Savannah-Chatham County Public School System (SCCPSS) for an annual Medicaid Billing contract for the 2025-2028 period. The RFP seeks a fee-for-service Medicaid billing provider to facilitate the district's participation in the Medicaid reimbursement program, specifically focusing on billing for health-related services provided to students with disabilities under the Individuals with Disabilities Education Act (IDEA). The solicitation was released on August 24, 2025, with proposal submissions due by September 23, 2025, at 11:00 a.m. ET through the SCCPSS Bonfirehub e-procurement portal. The contract term will be for one year, with potential renewal options, and the district is currently serving 4,556 students with service plans and 901 students on 504 Plans.

The RFP requires vendors to provide comprehensive Medicaid billing services, including obtaining Medicaid documents, submitting billing information to the Georgia Department of Community Health, preparing for audits, reconciling claims, and ensuring compliance with federal and state regulations. The successful offeror will be compensated based on a percentage of net receivables, with the proposal evaluation considering factors such as business profile (10 points), experience and capability (25 points), project understanding and methodology (30 points), other relevant information (5 points), and revenue percentage (30 points). The district emphasizes the need for a vendor with at least five years of continuous experience in Medicaid billing services, strong technical capabilities, and the ability to maximize revenue while maintaining compliance with HIPAA, FERPA, and other confidentiality requirements.