School Health and Related Services (SHARS) Medicaid Reimbursement Services

Spring Independent School District (Spring ISD) in Harris County, Texas, is issuing a Request for Proposals (RFP #26-001) for School Health and Related Services (SHARS) Medicaid Reimbursement Services. The procurement seeks a vendor to provide comprehensive claims processing, documentation, and reimbursement services for Medicaid-eligible special education services across the district's 42 campuses. Key deliverables include electronic documentation system management, claims submission, system support, implementation, staff training, and potential cost report preparation. The district requires vendors to maintain at least 99% claims accuracy, maximize Medicaid reimbursement revenue, and validate billing requirements. The evaluation process will assess proposals across five critical areas: purchase price (30 points), quality of vendor services (25 points), alignment with district needs (25 points), vendor reputation (10 points), and past relationship with the district (10 points). Critical dates include July 17, 2025, for question submissions, July 25, 2025, for proposal due date, with an anticipated contract start of September 11, 2025, through September 10, 2026, and potential for four additional one-year renewal terms.

The RFP does not explicitly specify set-aside designations or restrictions for disadvantaged enterprises. The solicitation serves a district with nearly 34,000 students, of which over 4,000 are special education students, with more than 50% qualifying for Medicaid. Historical claims data indicates significant Medicaid reimbursement potential, ranging from approximately $934,000 to $1.69 million between 2019 and 2022. The total estimated contract value exceeds $50,000 annually, with actual reimbursement depending on district needs and successfully processed claims. Vendors must provide comprehensive pricing covering percentage of Medicaid payments received, system support costs, implementation expenses, training costs, and optional annual cost report preparation. The district will conduct thorough vendor evaluations, potentially including onsite interviews, system demonstrations, and direct negotiations to select the most qualified provider for SHARS Medicaid reimbursement services.