Larimer County Community Corrections

Buyer seeks Medicaid consultation and billing services for residential substance use/behavioral health disorder services in a correctional setting. Services will support both the Men's and Women's facilities in Fort Collins. Buyer wants to expand Medicaid billing opportunities for services they may already be performing. The contractor will assist with managing NPI numbers, credentialing, and contract services with Regional Accountable Entities in Colorado.

• 4/24/2025 - Question Deadline
• 5/12/2025 - Proposal Due Date

• Three years experience working with Colorado HCPF
• Three years of credentialing and contracting experience
• Experience with Colorado Behavioral Health Administration
• Knowledge of HCPF, Medicaid and Criminal Justice System relationship

• Manage Type 1 and Type 2 NPI numbers for two correctional facilities
• Provide credentialing services for Colorado Medicaid programs
• Contract with Regional Accountable Entities (RAE) in Colorado
• Review and develop policies for Medicaid billing compliance
• Perform audit consultation services
• Submit Medicaid claims for substance use/behavioral health services
• Provide online access to billing information and monthly reports
• Assist with Behavioral Health Entity licensing
• Support STIRT, IRT, and RDDT program Medicaid requirements
• Submit claims for multiple ASAM level treatment services