RFP 26-10 Medicaid Billing (Annual Contract)

The Savannah-Chatham County Public School System (SCCPSS) has issued Request for Proposals (RFP) 26-10 for an annual Medicaid Billing contract, seeking a qualified vendor to provide comprehensive web-based, fee-for-service Medicaid billing services. The procurement is specifically targeting a provider to facilitate the district's participation in the Medicaid reimbursement program, with a focus on billing for health-related services provided to students with disabilities under the Individuals with Disabilities Education Act (IDEA). The district currently serves 4,556 students with service plans and 901 students on 504 Plans. Proposal submissions are due by September 23, 2025, at 11:00 a.m. ET through the SCCPSS Bonfirehub e-procurement portal. Vendors must provide 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 evaluation criteria include 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). Key vendor qualifications include at least five years of continuous Medicaid billing services experience and strong technical capabilities.

The RFP does not explicitly mention specific set-aside designations or restrictions for disadvantaged enterprises. The contract will be for one year with potential renewal options, and vendors will be compensated based on a percentage of net receivables. While no incumbent vendor is specifically identified, the district emphasizes the need for a vendor that can maximize revenue while maintaining strict compliance with HIPAA, FERPA, and other confidentiality requirements. The successful offeror must demonstrate robust technical infrastructure capable of integrating with existing district systems and managing the complex Medicaid billing process. Although a specific budget range is not disclosed, the compensation structure will be percentage-based, suggesting the potential contract value will be directly tied to the revenue generated through Medicaid billing services. Potential vendors must register on the e-procurement portal at https://sccpss.bonirehub.com and are advised to pre-register to avoid submission delays. Any questions must be submitted through the Vendor Discussions section of the project portal, with all communication directed exclusively to the Purchasing Department.