010-PUR-2027 medicaid reimbursement management services

The Dougherty County School System is requesting proposals for comprehensive Medicaid reimbursement management services under RFP 010-PUR-2027, with proposals due June 25, 2026 at 11:00 a.m. and questions due June 11, 2026 at 3:00 p.m. The solicitation targets vendors with demonstrated experience administering Medicaid reimbursement for Georgia public school systems and knowledge of Children's Intervention School Services program requirements.

The scope encompasses Fee-for-Service billing for medically necessary direct services including speech-language pathology, occupational therapy, physical therapy, and nursing services; Administrative Claiming for Education reimbursement support; compliance monitoring and documentation review; staff training and audit assistance; and revenue maximization consulting. The contractor must maintain DCSS ownership of all student data and billing records, delivering data in acceptable format upon contract termination.

Compensation is contingency-based: the contractor receives 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; the contractor invoices only after the district receives reimbursement.

The contract term runs July 1, 2026 through June 30, 2027. Evaluation weighs 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. Sealed proposals open publicly on June 25, 2026 and will be livestreamed via Zoom. Bidders must submit one original print copy and one digital copy on a labeled thumb drive, along with vendor information forms, debarment certifications, compliance affidavits, and references. Bid location is Dougherty County School System Logistical Services Department, 601 Flint Avenue, Albany, Georgia 31701.