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Third Party Medicaid Billing Services

Overview


Financial, Legal, HR & Staffing
McAllen, Texas, United StatesPosted about 2 months agoDeadline: April 7th, 2026

Fit Score


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SUMMARY


A Texas school district seeks a vendor to provide comprehensive third party Medicaid billing services, including claims management, cost reporting, and audit support.

KEY REQUIREMENTS


BUDGET

Estimate

$224,546 – $449,093

CONTRACT DURATION


48 months

TIMELINE


Issue Date: March 13th, 2026

Questions Deadline: April 2nd, 2026 10:00 AM (CT)

Response Deadline: April 7th, 2026 11:00 AM (CT)

Mandatory presentations will be held at a date to be determined after evaluation of respondent's submittals.

Award information will be available within ninety (90) days of opening.

QUESTION DEADLINE


April 2nd, 2026

Issuing Agency


McAllen Independent School District

Organization overview and procurement intelligence available on paid plans.

DESCRIPTION


The chosen vendor will provide third party Medicaid billing services for a Texas school district, including Medicaid reimbursement for specific health-related services. The vendor is expected to develop and implement a direct service program demonstrating a comprehensive understanding of Medicaid rate structures, timelines, and regulations pertinent to school districts of comparable size within the state.

Capabilities must include processing both electronic and hardcopy service tickets for claims submission, as well as providing analysis and documentation necessary for the Medicaid cost report, including desktop audits and addressing any potential appeals. Additionally, the vendor will assist and prepare district responses during audits of the program, cost reports, and ARD (admission, review, and dismissal) paperwork.

The initial contract period will be for one year, with all questions regarding the RFP to be submitted by April 2, 2026.

Source attribution

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

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