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This Subcontract opportunity from Pennsylvania was posted on July 18, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Medicaid Billing and Claims Facilitation Platform

Closed
State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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The Pennsylvania Department of Human Services is seeking a subcontractor to develop or operate a secure Medicaid Billing and Claims Facilitation Platform. The primary objective of this initiative is to enable non-traditional providers, specifically community-based organizations, to submit Medicaid claims and integrate seamlessly with Managed Care Organization systems to ensure the delivery of timely payments. This opportunity was posted on July 18, 2024, with a response deadline of August 19, 2024. The project falls under NAICS code 518210, focusing on the technical infrastructure required to bridge the gap between community providers and the established Medicaid reimbursement ecosystem.

Documents

This scope was carved out of Keystones of Health TPA RFI.

The full solicitation package (3 documents), including the RFP, is on the prime solicitation, not on this scope.

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Keystones of Health TPA RFI

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyPennsylvania → Department of Human Services "prior DPW"
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Develop or operate a secure platform to enable non-traditional providers (CBOs) to submit Medicaid claims, integrate with MCO systems, and ensure timely payments.

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