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Medicare Reporting Specialist

Active
State & Local

Contract Overview

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

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The Medicare Reporting Specialist subcontract involves providing mandatory Medicare reporting and eligibility verification for prime contractors managing liability claims projects for the County of Sacramento. The selected provider will be responsible for determining claimant eligibility, executing required reporting, and managing offsets or liens in strict accordance with federal law and CMS reporting requirements. Key deliverables include the production of Medicare eligibility reports and the submission of necessary compliance filings. This opportunity is categorized under NAICS code 541611 and is managed by Personnel Services for the state of California. The solicitation was posted on August 17, 2026, with a response deadline of October 3, 2026.

General Info

Medicare reporting and eligibility verification subcontract for Sacramento County liability claims projects.

Agency

California → Personnel ServicesView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

CA, USA

Set-Aside

NONE

Documents

This scope was carved out of 2026-RFP-0086.

The full solicitation package (5 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Liability Claims Adjusting Services RFP

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Timeline

Posted

subcontract

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyCalifornia → Personnel Services
ContactsNo contacts available
OfficeN/A
Organization / Agency
California → Personnel Services
View Agency Profile
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs mandatory Medicare reporting and eligibility verification for prime contractors on County of Sacramento liability claims projects. Determines Medicare eligibility for claimants, executes mandatory reporting, and manages offsets or liens. Requires knowledge of CMS reporting requirements and federal law. Delivers Medicare eligibility reports and compliance filings.

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Same NAICS industry code

NAICS: 541611
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OMB - PURCHASING

POSTED

about 17 hours ago

DEADLINE

in almost 5 years
View Details

More opportunities from California → Personnel Services

Same awarding agency

NAICS: 524291
SLED
Liability Claims Adjusting Services RFP
Solicitation # 2026-RFP-0086
Sacramento County is seeking a qualified Third-Party Administrator (TPA) to provide professional liability claims adjusting services from July 1, 2027, through June 30, 2030, with a potential three-year extension. The TPA will manage the investigation, evaluation, processing, and settlement of bodily injury, personal injury, and property damage claims for the County's self-insured liability program, which averages 750 new claims and 100 litigated claims annually. Key responsibilities include litigation coordination, subrogation services, Medicare reporting, and trust checking account management, all while adhering to PRISM Liability Claims Administration and Defense Counsel Standards. The selected contractor must have at least 10 years of experience as a TPA for California public entities and must maintain an office within Sacramento County or within 35 miles of the County Administration building. Personnel requirements are stringent, requiring a principal adjuster with at least 10 years of experience in defending public entity claims and a deep understanding of the California Tort Claims Act. The contract emphasizes strict compliance with California law, including economic sanctions and PHI security safeguards. Award decisions will be based on a weighted evaluation of the bidder's approach and methodology, relative cost, technical capability, responsiveness, and conformance to the RFP and PRISM standards.
Claims Adjusting

POSTED

26 days ago

DEADLINE

in 21 days
View Details

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