PUSD Renews Medi-Cal Billing Contract With Paradigm
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Description
Pasadena Unified School District approved Contract RC915:26:27 with Paradigm Healthcare Services LLC from July 1, 2026, through June 30, 2027, to provide Medi-Cal LEA billing, CRCS preparation, CYBHI fee schedule claims management, and related software and consulting services. Paradigm will be compensated on a contingency-fee basis capped at 7% of approved claim values for billing services and up to 1% of Total Medi-Cal Maximum Reimbursable Cost for each CRCS workbook, funded from Medi-Cal reimbursements rather than district general funds.
Contract Details
Contract Amount
Not to exceed 7% of Interim Approved Claims for LEA billing plus 1% of Total Medi-Cal Maximum Reimbursable Cost (or $150 per employee, whichever is less) for each CRCS workbook, and not to exceed 7% of Approved Claims for CYBHI Fee Schedule services
Vendor
PARADIGM HEALTHCARE SERVICES LLC
Agency
Pasadena Unified, CA
Contract Type
PROFESSIONAL_SERVICES
Document Date
June 24, 2026
Contract Term
July 1, 2026 – June 30, 2027, with automatic one-year renewals unless either party gives 60 days’ written notice before term end
Renewal Date
2027-06-30
Renewal Info
Initial term runs July 1, 2026, through June 30, 2027, and the agreement automatically renews for successive one-year terms unless either party provides written notice at least 60 days before the end of the then-current term. Paradigm remains entitled to fees on approved claims processed after termination for services rendered prior to termination, for claims submitted within six months after expiration or termination.
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