Billing and Data Collection Services

The State of Missouri Office of Administration, Division of Purchasing, is requesting proposals on behalf of the Department of Elementary and Secondary Education for billing and data collection services supporting Missouri School for the Severely Disabled, Missouri School for the Deaf, and Missouri School for the Blind, with proposals due October 14, 2026 at 2:00 p.m. Central Time.

The contractor serves as the third-party MO HealthNet billing agent, submitting all claims for direct therapy services, School District Administrative Claiming, and non-emergency medical transportation to MO HealthNet. The scope requires an electronic web-based data system for collecting billing information, claim submission in MO HealthNet-required formats, quarterly eligibility verification, and monthly progress reports detailing claims filed, pending status, paid and denied claims with reasons, and services provided. The contractor must comply with HIPAA, E-Verify requirements, and Missouri business registration requirements and maintain detailed financial records for five years. A designated primary lead must have three years of experience in billing, data collection, school-based services, Medicaid rules, leadership, and project management.

Minimum qualifications include five years providing billing and data collection services; preferred qualifications include three years in MO HealthNet billing and three years serving Missouri state-operated schools. Compensation is structured as a firm fixed percentage of claims received and a price for quarterly eligibility determinations per Exhibit C Pricing Pages. In FY25, MO HealthNet program revenue for state-operated schools totaled approximately $9.1 million. The contract term is one year from the effective date with two optional one-year renewal periods. The incumbent contractor can be reviewed under bid number IFB23DESE1005 and contract number CS192767002. Contractors must comply with federal funding requirements including OMB Uniform Administrative Requirements, Byrd Anti-Lobbying Amendment, Drug Free Workplace Act, and Pro-Children Act; contractors employing 50 or more persons must maintain written affirmative action programs.