Medicaid Reimbursement and Billing Compliance

The contract requires the development and implementation of an operational model specifically designed to qualify for enhanced Medicaid reimbursement, with a focus on meeting all state and federal compliance standards. This includes designing, testing, and deploying billing systems that accurately capture, document, and submit claims in accordance with Medicaid regulations, ensuring seamless integration with existing healthcare and juvenile justice service delivery frameworks. The work must align with Kentucky’s specific Medicaid guidelines and federal mandates to maximize reimbursement potential while maintaining full audit readiness and data integrity. The subcontract is posted under NAICS code 541990 and is managed by the Kentucky Department of Juvenile Justice, with performance centered in Frankfort. Respondents must submit proposals by the deadline of July 22, 2026, and must demonstrate prior experience in Medicaid billing infrastructure, compliance systems, and experience working within state juvenile justice or behavioral health systems. The contract does not specify a set-aside status and is not open to public bidding, indicating it is likely targeted toward qualified subcontractors with relevant expertise in healthcare reimbursement and regulatory compliance.