Billing and Data Collection Services

The State of Missouri, on behalf of the Department of Elementary and Secondary Education, is soliciting proposals for a Third-Party MO HealthNet Billing Agent. The selected vendor will be responsible for managing and submitting MO HealthNet claims for direct therapy services, School District Administrative Claiming, and transportation claims for the Missouri School for the Deaf and the Missouri Schools for the Severely Disabled. The contract is for an initial one-year period with the option for two additional one-year renewals. Proposals must be submitted electronically via MissouriBUYS by October 14, 2026. Award decisions are based on a 200-point system, split equally between cost and technical evaluations. The cost evaluation is based on firm, fixed percentages for billing claims and a fixed price for quarterly eligibility rate determinations. Technical scoring focuses on organizational experience, past performance, team qualifications, and the proposed methodology. Bonus points are available for vendors utilizing nonprofit organizations for the blind or those qualifying as Service-Disabled or Honorably Discharged Veteran Business Enterprises. Contractors must adhere to strict federal and state compliance standards, including OMB Uniform Administrative Requirements, the Drug Free Workplace Act, and E-Verify participation. The state reserves the right to require background checks and non-disclosure agreements for personnel and may request the removal of contractor staff without just cause. Payments are processed via electronic funds transfer within 30 calendar days of receiving a valid, itemized invoice.