SHARS Medicaid Claims Processing & Reimbursement Management

The contract encompasses end-to-end management of SHARS Medicaid claims for Arlington ISD, requiring full oversight of eligibility verification, documentation validation, claim submission, denial tracking, and payment reconciliation. Service providers must ensure accurate and timely processing in compliance with Texas Medicaid regulations, maintaining strict adherence to billing protocols and audit readiness throughout the contract period. All activities must be performed with a focus on reducing claim denials, improving reimbursement rates, and ensuring seamless coordination between school-based health services and state Medicaid systems. The contract is classified as a subcontract under NAICS code 541990 and is open for response until June 30, 2027. While no specific set-aside provisions or point of contact details are provided, the place of performance and agency location are tied to Texas, with obligations centered on supporting Arlington ISD’s SHARS program. The scope demands robust administrative infrastructure, secure data handling, and continuous monitoring of Medicaid policy updates to maintain compliance and operational efficiency.