Medicaid Billing Software and Related Items

The Cleveland Independent School District is seeking a cloud-based Medicaid Billing Software solution for K-12 in Texas. The software must adhere to Texas Health and Human Services Commission (HHSC) regulations and have proven familiarity with Texas Medicaid Provider Procedures Manuals. Key requirements include secure data handling, System and Organization Controls (SOC)2, International Organization for Standardization (ISO) 27001, Individualized Education Program (IEP) integration, and robust audit trails for audits. The contract term will be for one year with four additional one-year optional renewals. The District is looking for a pricing solution that addresses the software as a service (SaaS), plus initial implementation, training, and customer support. Some of the key features required include: • End-to-End SHARS Automation • Real-Time Documentation & Validation • SHARS Compliance & Audit Readiness • Automatic Eligibility & Claim Validation • Data Entry Efficiency & User Experience • Administrative Claiming (MAC) & RMTS • Claims Management & Financial Reporting • SIS Integration • Vendor Partnership & Support