RFP #25-10-01 - SHARS - Medicaid & Student Health Related Billing Services

Hutto Independent School District (Hutto ISD) is soliciting proposals for a comprehensive SHARS (School Health and Related Services) Medicaid Claims Processing Services contract located in Williamson County, Texas. The primary objective is to secure a third-party medical billing service provider capable of processing Medicaid claims and offering related consultation services for the school district. Key deliverables include complete Medicaid claims management, billing documentation, consultation, and compliance with all state and federal healthcare billing regulations. The request for proposal (RFP #25-10-01) requires vendors to demonstrate extensive expertise in educational Medicaid billing processes, technological capabilities for claims processing, and a proven track record of successful medical claims management. Proposal submissions are due by November 7, 2025, with potential vendors required to complete multiple forms including residency certificates, conflict of interest questionnaires, and non-collusive certifications. Evaluation criteria will likely include pricing, technical capabilities, compliance documentation, and demonstrated experience in school-related Medicaid billing services.

The procurement appears to have standard non-discrimination and equal opportunity requirements, with multiple forms indicating prohibitions against discriminatory practices and mandatory compliance certifications. Vendors must complete suspension verification documents, anti-lobbying certifications, and provide evidence of residency status. While specific set-aside designations are not explicitly detailed in the provided documents, the comprehensive form requirements suggest a rigorous vendor qualification process. No incumbent vendor information is directly disclosed in the procurement documents. The RFP includes forms related to felony conviction notifications and prohibitions on boycotting energy companies, which may further restrict potential respondents. While specific budget ranges are not provided, the comprehensive nature of the SHARS billing services suggests a substantial contract value commensurate with the district's Medicaid claims processing needs. Interested vendors must carefully review all attached documentation, complete the required forms, and demonstrate comprehensive capabilities in Medicaid claims processing for educational institutions.