RFP 6871 - Medicaid Reimbursement Services

Johnson City School System is seeking a qualified agency to provide comprehensive Medicaid reimbursement services through RFP 6871, focusing on administrative support for student nursing and therapy services across twelve school sites. The selected vendor must assist with obtaining health licenses, completing insurance company credentialing, and training staff on documentation requirements. Specific deliverables include managing medical charts, tracking parental consent, submitting billing claims, providing monthly reimbursement reports, and ensuring compliance with FERPA and HIPAA regulations. The proposal was due on October 30, 2025, at 2:30 PM Eastern Time, with evaluation criteria emphasizing company qualifications, medical billing oversight, documentation appropriateness, user-friendliness, and cost-effectiveness. The contract is structured as a three-year agreement with potential annual renewals, contingent upon unchanged prices, terms, and conditions. Vendors must provide user training in both English and Spanish, with virtual and in-person options.

No specific set-aside designations or restrictions for disadvantaged enterprises were explicitly mentioned in the documentation. The RFP requires vendors to maintain substantial insurance coverage, including $1 million in Commercial General Liability, Umbrella Liability, Miscellaneous Errors and Omissions, and Cyber Liability/Network Security Liability. While no incumbent vendor was identified, the agency mandates that reimbursement funds must be deposited into a Tennessee-based bank account within three days of receipt. Proposers are required to submit a comprehensive proposal package including a cover letter, company qualifications, specification checklist, references, descriptive literature, project timeline, and a detailed cost proposal. Though specific award values were not disclosed, the comprehensive requirements suggest a substantial and complex service contract with potential significant financial implications for the selected vendor.