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MB-4253 - USA (Missouri) - Third Party Medicaid Claiming Management of Direct Therapy Services and Non-Emergency Medical Transportation Services - Deadline June 24,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4253

Government Authority located in Missouri; USA based organization looking for expert vendor for third party medicaid claiming management of direct therapy services and non-emergency medical transportation services.

[A] Budget: Looking For Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party medicaid claiming management of direct therapy services and non-emergency medical transportation services
- The contractor's system must be compatible with the following browsers: Internet Explorer, Firefox Mozilla, and Safari, and Google Chrome,
- The system should allow the district to download real time data,
- The contractor must provide maintenance and support for the system,
- The contractor must implement any modifications/upgrades in its process and/or systems that are required as the results of any changes in policies and/or procedures concerning Medicaid claiming and special education,
- The contractor shall have on staff or subcontract with a Physician that will write prescriptions for therapy services indicated in the IEP that will be billed for Medicaid reimbursement,
- The contractor should develop and provide a comprehensive training and technical assistance program to ensure a smooth start up and ongoing implementation of the system for administrators, healthcare providers, and other personnel,
- The system should have the ability to transfer data as well as records to other schools,
- The system should allow the district to identify data elements that are required for completion of student identification including name, address, and school, and pre-fill these data elements on the required forms,
- The system should allow for unique identification of students,
- The contractor shall make all such records, books, and other documents relevant to the contract available to the district and/or its designees and/or the State Auditor in an acceptable format and at all reasonable times during the term of the contract, and for five (5) years from the date of final payment on the contract or the completion of an independent audit, whichever is later. If any litigation, claim, negotiation, audit, or other action involving the records has been started before the expiration of the retention period, the contractor shall retain such records until completion of the action and resolution of all issues which arise from it,
- The contractor should have experience processing FFS claims for Missouri school districts. Please provide references for current Missouri school district clients,
- The contract shall provide a mechanism, at the discretion of the District, in which to bill for NonEmergency Medical Transportation (NEMT). The mechanism shall track Medicaid Eligibility, IEP Authorization, Parental Consent, Direct Therapy Services, Ridership and Routing information, and any other information pertinent to NEMT billing.
(2) All questions must be submitted no later than June 15, 2020.

[C] Eligibility:

Onshore (USA Organization Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Wednesday, 24 June, 2020

Question Answer Deadline : Monday, 15 June, 2020

Category : Medical Billing and Coding, Software, System and Application, Transportation Services

Country : USA

State : Missouri

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