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Medicaid Compliance and Documentation Services

Active
State & Local

Contract Overview

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

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This subcontract for Medicaid Compliance and Documentation Services supports prime contractors on projects for the Fauquier County Department of Social Services. The selected provider will be responsible for performing administrative and clinical documentation necessary to maintain Medicaid eligibility for children, which includes the completion and submission of Care in Progress and Continued Stay Review forms. The role requires close coordination with CSA Coordinators and case managers to ensure all compliance forms are delivered and processed correctly. Qualified candidates must possess a strong understanding of HIPAA compliance and Medicaid billing standards to ensure all documentation meets regulatory requirements. This opportunity is categorized under NAICS code 624210 and is associated with the state of Virginia. Interested parties must submit their responses by the deadline of November 30, 2026.

General Info

Medicaid compliance and documentation services for Fauquier County, Virginia, due November 30, 2026.

Place of Performance

VA, USA

Set-Aside

NONE

Documents

This scope was carved out of CSA -FY27 - Renewals & New CSA Applications - 6th Submission Opportunity.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Fauquier County FY27 Updating Current CSA Renewals Agreements & NEW CSA Vendor Opportunities - 6th Submission Opportunity

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Timeline

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Organization & Contact Information

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AgencyVirginia → Fauquier County
ContactsNo contacts available
OfficeN/A
Organization / AgencyVirginia → Fauquier County
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs administrative and clinical documentation to maintain Medicaid eligibility for children for prime contractors on Fauquier County Department of Social Services projects. Completes and submits 'Continued Stay Review' and 'Care in Progress' forms. Coordinates with case managers and CSA Coordinators. Requires knowledge of Medicaid billing standards and HIPAA compliance. Delivers submitted Medicaid compliance forms.

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Same NAICS industry code

NAICS: 624210
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POSTED

6 days ago

DEADLINE

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More opportunities from Virginia → Fauquier County

Same awarding agency

New
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Fauquier County FY27 Updating Current CSA Renewals Agreements & NEW CSA Vendor Opportunities - 6th Submission Opportunity
Solicitation # CSA -FY27 - Renewals & New CSA Applications - 6th Submission Opportunity
Fauquier County is soliciting updated information for the FY27 renewal of existing approved Community Services Act (CSA) vendors, with a submission deadline of November 30, 2026. The opportunity is also open to new CSA contractors through June 30, 2027. The contract period runs from July 1, 2026, through June 30, 2027, with the buyer retaining the option to renew for four additional one-year periods. All applications and updated documentation must be submitted via the Bonfire application. Selected providers are required to implement treatment models with fidelity, utilizing the Child and Adolescent Needs and Strengths (CANS) instrument for assessments. Key deliverables include treatment, service, and educational plans, monthly and quarterly progress reports, and discharge summaries submitted within 10 business days of service completion. Providers must maintain an accounting system that complies with state and federal requirements and adhere to strict confidentiality standards, including HIPAA. Payment is issued within 45 days of receiving approved invoices, provided they are submitted within 15 days of the end of the service month. Contractors must certify that they are not suspended or debarred from federal procurement and that neither the organization nor its employees have been convicted of felonies or crimes involving the abuse or molestation of children. Compliance with the Federal Civil Rights Act of 1964, the Americans with Disabilities Act, and the Virginia Public Procurement Act is mandatory. Additionally, providers must maintain a valid Certificate of Insurance to avoid the suspension of payments. Administrative oversight is managed by the Fauquier County Department of Social Services.

POSTED

1 day ago

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in about 1 month
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