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  5. ›RFP 6871 Medicaid Reimbursement Services

Awarded contract·City of Johnson City·Tennessee

RFP 6871 Medicaid Reimbursement Services

Won by Stellar Therapy Services$4MSingle Award
Contract source

Awarded vendors

  • Stellar Therapy Services

Description

This three‑year contract awards Stellar Therapy Services the responsibility for providing a comprehensive Medicaid reimbursement program to the Johnson City School System. The vendor must credential and enroll the district and its staff with TennCare and all Managed Care Organizations, handle all billing and claim submissions, manage student medical records and parental consents, and deliver training and ongoing technical support. A web‑based, FERPA/HIPAA‑compliant platform (English and Spanish) is required, along with monthly financial reporting and a help‑desk for customer service. Key elements include: • Full‑service Medicaid billing, claim processing, and rapid fund deposit (within 3 days). • Credentialing, licensing, and enrollment of school nurses/therapists as in‑network providers. • Training, documentation, and bilingual technology platform with ongoing support. • Annual renewal option with a base 3‑year term and strict implementation deadline (service operational within 30 days of award).

Attached files

Key dates

Bids closed
10/30/2025
Duration
3 years

Last updated

Details

Award type
Single Award
Procurement
Full and Open Competition
Industry
Healthcare and Medical Services
NAICS
541511
Solicitation №
RFP 6871

Contract value

$4,000,000

The RFP does not disclose a budget, but we can approximate based on the scope. Johnson City School System serves roughly 12 schools; assuming an average of 1,200 Medicaid‑eligible students per school, total eligible students ≈ 14,400. If average Medicaid reimbursement per student is about $1,200 annually, the total reimbursements processed could be near $17 million per year. Vendors typically charge a management fee of 5‑10 % of the reimbursements they process, plus fixed fees for credentialing and platform support. Using a 7 % fee on $17 M yields roughly $1.2 M annually. Adding a fixed platform/implementation fee of $200 K gives an estimated annual contract value of ~$1.4 M. Over a three‑year base term, the contract would be roughly $4.2 M. Rounding for simplicity, a ball‑park estimate is $4 million total.

AI estimate from the award documents

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