Medicaid School Based Administrative Claiming

The Kentucky Department of Education is seeking a qualified individual or company to assist in the continuation of the Medicaid School-Based Administrative Claiming (SBAC) Program. The program provides a method of federal reimbursement for a portion of health-related administrative outreach activities currently performed by Kentucky's 173 school Local Education Agency (LEAs). The successful vendor will be responsible for implementing and maintaining an online Random Moment Time Study (RMTS) and Cost Data for LEAs to access the reimbursable federal contribution. The vendor will also provide semester compliance emails to KDE and school districts, collect quarterly financial data, and prepare claims to be submitted to KDE for submission to the Department for Medicaid Services (DMS). Some key requirements include: * Implementing and maintaining an online RMTS and Cost Data for LEAs * Providing semester compliance emails to KDE and school districts * Collecting quarterly financial data and preparing claims for submission to DMS * Providing ongoing technical assistance to LEAs, including a toll-free line, email technical assistance, live virtual online chat, and region on-site technical assistance * Calculating Medicaid Eligibility Rate (MER) for LEAs * Providing semester claim reports to all participating LEAs