AMOUNT $390,000
The County of Rockland Department of Health (RCDOH) is considering the issuance of a Sole Source award to James McGuinness Consultants for the provision of Services and Software for Medicaid Reimbursement and eSTACs.
This award may be made on a sole source basis in accordance with the Rockland County Procurement Policy.
TERM: January 1, 2025 to December 31, 2026
This notice is issued for informational purposes only and is NOT a request for competitive quotes.
Any agency that believes they are qualified to provide the services detailed above and is ready, willing and able to provide the services; shall respond to this notice no later than 3 PM on June 20, 2024, (14 days after advertisement). The response should provide specific details regarding the agency’s interest in providing such services as well as their prior experience in providing the same or similar services. In addition, the response should detail the agency’s connections to the Rockland County community.
Responses to this notice must be sent via facsimile to 845-364-3809 or email to purchasing@co.rockland.ny.us. NO PHONE CALLS WILL BE ACCEPTED.
SCOPE
The County of Rockland Health Department is currently using the software Preschool Launch and Committee for Preschool Education Portal to track Medicaid reimbursement. A fixed fee of 5% of the Medicaid reimbursement will be paid to the consultant.
The Rockland County Department of Health is looking to expand the services and add Full-Service Medicaid reimbursement, unlimited support, the use of Medicaid service bureau through the CPSE Portal.
PROGRAM SERVICES FOR MEDICAID REIMBURSEMENT AND CLAIMING SERVICES:
- Scheduled meetings with Preschool Coordinators to address questions and concerns as well as correct any Medicaid denials
- Ensure all claims meet Medicaid compliance and are eligible for reimbursement. Which will include all documents are uploaded and maintained.
- Training webinars for Providers. All trainings are to be recorded and available to all registrants. Training is to include:
- IEP Discrepancies
- Prescription Issues both hard copy and digital
- Unmatched Children and enrollments
- Document verification
- OPRA
- Annual Review Process
- HELP DESK is to be available for providers.
- Prescription verification which will include verifying forms and returning for correction to meet Medicaid compliance.
- Credential verification including Ordering/Prescribing/Referring/Attending (OPRA) numbers required for Speech and Language Pathologist (SLP)
- Digital Speech Recommendations upon implementation, and upon any changes in the mandate, for ESY services and annually
- Medicaid -Compliant Written orders for OT and PT upon implementation, and upon changes in the mandate, for ESY services and annually
- Verification of all Physicians prescriptions for Medicaid Compliance
- Obtain corrected prescriptions from the providers
- Verification of all Digital Orders
- Obtain corrected digital orders from the SLP
- Verification of Medicaid Consent forms for all children evaluated by School Districts regardless of their Medicaid status or parent refusal.
- Obtain corrected consents from parent with the assistance of the Preschool Coordinator
- Medicaid reimbursement for transportation – for ESY and School Year adhering to Medicaid Regulations
- Meetings with the RCDOH Finance Team upon request
A determination by the County not to compete the proposed contract is solely within the discretion of the County.
