SLCo SF26011 Medicaid Billing Services for Incarcerated Individuals Under the 11-15 Waiver

Salt Lake County is issuing a Request for Information (RFI) to identify qualified vendors capable of providing comprehensive Medicaid billing services for incarcerated individuals under the Section 11-15 Medicaid Waiver. The procurement is designed to support the Salt Lake County Sheriff's Office correctional facility, which maintains an average daily inmate population of approximately 1,937 individuals. The services sought encompass Medicaid eligibility verification, claim preparation and submission, denial management, and reporting for offsite medical services provided to incarcerated populations. Vendors must demonstrate expertise in Medicaid billing operations, technical capabilities including HIPAA and CJIS compliance, operational staffing models, customer support structures, and implementation timelines with training and data migration capabilities. The evaluation will assess responses across six service areas: Medicaid Billing Services, Technical Capabilities, Operational Requirements, Vendor Qualifications, Pricing Information, and Implementation & Transition. Submissions are limited to ten pages and must be received by February 19, 2026, at 1:00 PM Mountain Standard Time, directed to memery@saltlakecounty.gov, with format requirements including a cover letter, company overview, detailed service responses, optional supplemental information, and contact details. Following evaluation of this RFI, Salt Lake County intends to proceed with a formal Request for Proposal process.

The RFI does not specify set-aside designations or restrictions limiting eligible respondent types, nor are disadvantaged enterprise requirements identified in the available documentation. Vendors should provide general pricing models such as per-claim fees, percentage of collections, monthly or annual subscriptions, or hybrid arrangements to facilitate budget planning, though detailed pricing is not required at this stage. No incumbent vendors or current contractors are identified, and no specific existing technology infrastructure requiring integration is referenced in the RFI materials. Qualifying vendors should possess substantial experience with correctional facility operations and Medicaid billing under 11-15 waivers, supported by government client references. No specific award value or budget range is disclosed in the RFI; all submitted documents will be treated as protected records under Utah's Governmental Records and Access Management Act and will become public records upon contract execution or after two years from the RFI issuance date if no contract is executed.