School Health and Related Services (SHARS) Medicaid Reimbursement Services

Spring Independent School District (SISD), serving approximately 34,000 students, is seeking a qualified firm to provide School Health and Related Services (SHARS) Medicaid Reimbursement Services under a contract spanning an initial year with the possibility of four additional one-year renewals. The primary objective is to ensure effective and compliant Medicaid reimbursement for medically necessary services provided to eligible students, in accordance with guidelines established by the Texas Health and Human Services Commission (HHSC). The selected vendor will be responsible for developing and managing a user-friendly claims submission system compliant with TMHP requirements, assisting with implementation and staff training, providing ongoing technical and regulatory support, facilitating accurate cost report submissions and audit responses, and validating all claims for accuracy and eligibility criteria. Additional responsibilities include ongoing support, compliance training for district personnel, and delivering detailed billing and reporting. Vendors must demonstrate previous experience in SHARS service provision for school districts of comparable size, possess at least three years of relevant K-12 experience, and commit a dedicated account manager to the contract. The contract work will take place across various SISD sites in Houston, Texas, and all fees for services must be disclosed in the proposal. Estimated contract value ranges from $500,000 to $2,000,000.