School Health Services Medicaid Program Administration

The Colorado Department of Health Care Policy and Financing is seeking an experienced organization to administer Colorado's School Health Services Medicaid program, including online cost reporting and time-study systems, audits, training, help desks, outreach, and consulting.

Colorado > Department of Health Care Policy and Financing


General
Open
RFP-UHAA-2026000142
Nov 02, 2026 10:00 PM
Oct 01, 2026 12:00 PM
$6,891,068.00
4 months base + 4 × 1 year options
Service-Disabled Veteran-Owned Business
Request for Proposal (RFP)
State
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Original Solicitation Links
Contact
nancykay.clark@state.co.us
Submission Instructions
Description

The Colorado Department of Health Care Policy and Financing is soliciting proposals from qualified organizations to administer the state's School Health Services program. The contractor will support public schools, BOCES, and state K-12 institutions participating in Medicaid reimbursement for student health services. The scope includes developing and maintaining online cost-reporting, quarterly financial-reporting, and random-moment time-study systems; administering cost reports, interim rates, Medicaid Administrative Claiming, cost reconciliations, eligibility matching, and audits; operating RMTS and cost-report help desks; conducting statewide and online training; producing manuals, newsletters, reports, outreach materials, and work plans; hosting stakeholder meetings; and providing additional Medicaid policy and program consulting. The pricing worksheet identifies a maximum initial start-up amount of $200,000, while the solicitation states a maximum total contract amount of $6,891,068.00. The anticipated start-up period begins March 1, 2027, with operations anticipated to begin July 1, 2027, and the total contract duration not anticipated to exceed five years.

Classification Codes
NAICS923120Administration of Public Health Programs
PSCAN46HEALTH SERVICES - MANAGEMENT AND SUPPORT
Smart Codes
medicaid program administrationschool health services consultinghealthcare cost reporting systems
Specifications
Service
Timeline
Oct 14, 2026 05:00 PM-Inquiry Deadline
Nov 02, 2026 10:00 PM-Proposal Submission Deadline
Dec 16, 2026-Estimated Notice of Intent to Award
Requirements
Required
  • Workers' Compensation
  • General Liability — $1,000,000.00
  • Automobile Liability — $1,000,000.00
  • Protected Information Liability — $1,000,000.00
  • Professional Liability — $1,000,000.00
  • Crime Insurance
Scored
  • Within the last 6 years
No
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