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Medicaid Reimbursement Implementation Services

Overview


Management Consulting & Admin Support
Verona, Virginia, United StatesPosted about 1 month agoDeadline: April 10th, 2026

Fit Score


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SUMMARY


Virginia seeks a vendor to design, implement, and support Medicaid reimbursement processes for Peer Recovery Specialist services, including documentation systems, staff training, and compliance reviews.

KEY REQUIREMENTS


BUDGET

Verified

$42,500

CONTRACT DURATION


9 months

TIMELINE


Phase 1: Assessment and Planning (April - May 2026)

Phase 2: System Design and Development (June - August 2026)

Phase 3: Training and Pilot Implementation (September - October 2026)

Phase 4: Finalization and Readiness (November - December 2026)

QUESTION DEADLINE


April 6th, 2026

Issuing Agency


Augusta County, Virginia

Organization overview and procurement intelligence available on paid plans.

DESCRIPTION


This RFP seeks a vendor to design and implement a comprehensive Medicaid reimbursement infrastructure specifically for certified Peer Recovery Specialist (PRS) services in Virginia. The selected provider will be responsible for developing a Medicaid Reimbursement Implementation Plan that includes identification and benchmarking of comparable peer–service billing agencies, designing compliant documentation standards and workflows, and developing a billing-ready documentation system aligned with Medicaid requirements.

Additionally, the vendor will deliver training to peer staff on documentation and reimbursement compliance, conduct a trial-period documentation review with corrective feedback, and perform a comparable agency analysis. The scope also includes preparing a workflow integration plan, facilitating a training program for peer staff, as well as conducting a thorough documentation audit and compliance review to ensure ongoing adherence to Medicaid regulations.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.

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