Third-Party Medicaid Billing

Key Dates
Due Date

-

Posted Date

-

Agency & Value
Agency

772

Contract Value

Not provided

Codes & Classification
Solicitation Number

6-811-001

NAICS

Classification Code

Additional Details
Set Aside

None

Place of Performance

TX

SourceSLED
Documents2
The State of Texas, under contracting entity 772, has issued a procurement notice seeking qualified providers for Third-Party Medicaid Administrative Claims (MAC) and School Health and Related Services (SHARS) Reimbursement Claim Services. This opportunity is designed to support Texas school districts and educational entities in maximizing Medicaid reimbursement for eligible health-related services provided to students. The scope of this procurement encompasses comprehensive third-party billing services, specifically targeting Medicaid administrative claims and SHARS reimbursement processes. The selected contractor will be expected to facilitate the accurate and timely submission of claims, ensure compliance with all relevant Medicaid regulations, and provide ongoing support to optimize reimbursement outcomes. Key deliverables include claim preparation, submission, tracking, and resolution, as well as guidance on regulatory changes and best practices in Medicaid billing for school-based health services. The contracting entity, identified as 772, is a state-level organization operating within Texas. All services will be performed within the state, and the procurement is classified under state government purchasing protocols. The notice is posted on the Texas SmartBuy platform, with further details accessible via https://www.txsmartbuy.gov/esbd/6-811-001. Interested contractors should note the following timeline: the notice was posted on May 5, 2026, with responses due by May 26, 2026. The procurement identifier for this opportunity is 6-811-001. While the notice does not specify set-aside requirements or special considerations, contractors should be prepared to demonstrate expertise in Medicaid billing, familiarity with Texas school health programs, and the capacity to deliver reliable, compliant claim management services. This procurement represents a stable, ongoing need for specialized administrative support in Medicaid and SHARS reimbursement, with requirements and objectives likely to remain consistent throughout the contract lifecycle. Contractors with proven experience in third-party Medicaid billing and school health service reimbursement are encouraged to review the full notice and consider submitting a response.