Augusta County Granicus #112201-26-01

Consultant Services for Medicaid Reimbursement Implementation for Peer Recovery Specialist Services

Augusta County, Virginia is seeking a qualified consultant to design and implement a Medicaid reimbursement infrastructure for Peer Recovery Specialist (PRS) services under the Virginia Department of Medical Assistance Services (DMAS). - Government Buyer: - Augusta County, Virginia, Finance and Commonwealth's Attorney's Office - Supported by Virginia Community Action (VCA) - Scope of Work: - Develop operational, documentation, compliance, and billing systems for Medicaid-reimbursable PRS services - Conduct regulatory analysis and comparable agency review - Create documentation standards and templates - Integrate billing workflows and provide staff training - Perform compliance reviews and support organizational alignment as Pathways Program transitions to a 501(c)(3) - Deliver a fully functional, audit-ready Medicaid billing framework - Deliverables: - Medicaid reimbursement implementation plan - Comparable agency analysis - Documentation standards and templates - Workflow integration plan - Training program - Compliance review - System recommendations - Organizational alignment support - Final implementation summary - Contract Details: - Up to 530 hours of consulting services - Hourly rate not to exceed $80 - Total compensation capped at $42,500 - Notable Requirements: - Consultant must provide phased deliverables throughout the engagement - Project includes assessment, system design, training, and finalization phases - No specific OEMs or vendors are named; opportunity is open to qualified consulting firms or individuals - Place of Performance and Delivery: - Augusta County, Virginia - County of Augusta, PO Box 590, Verona, VA 24482

Description

Augusta County, Virginia is seeking quotes for a consultant to design and implement a Medicaid reimbursement infrastructure for certified Peer Recovery Specialist (PRS) services under the Virginia Department of Medical Assistance Services (DMAS). The project involves developing operational, documentation, compliance, and billing systems to support Medicaid-reimbursable peer services as the Pathways Program transitions to a 501(c)(3) entity. The consultant will provide services including regulatory analysis, system design, staff training, and compliance review, culminating in a fully functional, audit-ready billing framework. The contract includes a maximum of 530 hours at a rate not to exceed $80 per hour, with a total compensation cap of $42,500.

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