Maryland Procurement Portal #BPM057087

Insurance Contracting and Credentialing Services for Rural Local Health Departments

This opportunity seeks a contractor to provide insurance contracting and credentialing services for rural Local Health Departments (LHDs) in Maryland, led by the Garrett County Health Department (GCHD). - Government Buyer: - Garrett County Health Department (GCHD), Maryland - Services Requested: - Health insurance contracting and credentialing services for rural LHDs - Support includes: - Insurance provider enrollment - Credentialing with Medicaid Managed Care Organizations (MCOs) and commercial insurance networks - Payer relations and application process management - Improving empanelment and billing processes - Unique/Notable Requirements: - Contractor must have expertise in Medicaid and commercial insurance credentialing - Focus on increasing access to covered health services, early disease detection, and chronic disease management in rural areas - Initiative funded by the Maryland Rural Health Transformation Program (RHTP) - No specific OEMs or named vendors are mentioned in the notice.

Description

Garrett County Health Department (GCHD) seeks proposals from qualified contractors to support rural Local Health Departments (LHDs) in health insurance contracting and credentialing services for clinicians and programs. The initiative, funded by the Maryland Rural Health Transformation Program (RHTP), aims to strengthen rural agencies' capacity for contracting and credentialing with insurance providers to improve empanelment and billing processes. This will increase access to covered services locally, supporting earlier disease detection, improved chronic disease management, and reduced reliance on high-cost acute care. The contractor should have expertise in contracting, insurance provider enrollment and credentialing, payer relations, and contracting with Medicaid Managed Care Organizations and commercial insurance networks.

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