Medicare Maximization RFP

DSS is requesting proposals from qualified organizations with demonstrated capabilities in projects involving recovery of Medicaid payments due to unwarranted Medicare claims denials or underutilized Medicare coverage. DSS seeks proposals from qualified bidders to provide legal assistance for Medicaid dual eligible clients to assist them in recovering denied Medicare coverage to which they are entitled. The bidders must demonstrate a record of accomplishments in obtaining Medicare coverage through the Medicare appeals process. Specifically, DSS seeks such assistance for Medicaid dual eligible clients inappropriately denied Medicare coverage for Skilled Nursing Facility (“SNF”) services and Home Health (“HH”) services covered by both the Medicare and Medicaid Programs. DSS is also accepting the proposal of other revenue projects to increase cost savings related to Medicare Maximization ("MMX").

Grants and Contracts Procurement Division 55 Farmington Avenue Hartford CT, 06105 United States DSS.Procurement@ct.gov