Montgomery County Public Schools

The buyer is seeking proposals from qualified vendors to develop and support a third-party billing service for students with disabilities who are Medicaid eligible. The service will process claims for special education services provided to public school students. The contractor will be responsible for initiating and maintaining all components of the billing system, including record keeping, claims submission, and audit reporting. The contract term is for an initial three years with possible extensions.

• 3/19/2025 - Questions Due
• 3/25/2025 - Pre-Proposal Conference
• 4/4/2025 - Proposal Due Date

• 4-5 years experience processing school-based third-party insurance claims in Maryland
• Thorough knowledge of federal and state legislation regarding third-party reimbursements
• Ability to handle large volume submission of claims promptly and accurately

• Develop and support third-party billing system for special education services
• Process claims for Medicaid-eligible students with disabilities
• Enter, edit, and transmit claims to Maryland Medicaid for payment
• Generate audit reports and maintain required client information files
• Act as liaison between MCPS and Maryland regarding Medicaid billing policies