North Carolina eVP #Doc2075995037

NC DHHS Seeks Cloud-Based Data Analytics Platform for Medicaid Provider Management and Credentialing

North Carolina Department of Health and Human Services (DHHS), Division of Health Benefits, is seeking a comprehensive cloud-based Data Analytics Platform for Medicaid Provider Data Management and Credentialing Verification Organization (PDM/CVO) functions. - Government Buyer: - North Carolina Department of Health and Human Services (DHHS) - Division of Health Benefits - OEMs and Vendors: - No specific OEMs or vendors are named in the solicitation - Products/Services Requested: - Cloud-based Data Analytics Platform (SaaS) for Medicaid Data Management and Credentialing Verification - Must support provider enrollment, credentialing, revalidation, delegated enrollment, and ongoing monitoring - Includes web-based self-service portal, provider call center, credentialing committee operations, business rules repository, document and correspondence management, reporting, and integration with Medicaid Enterprise System modules - Implementation, integration, training, and ongoing support services - Unique or Notable Requirements: - Solution must comply with NCQA standards and CMS certification - Must enable efficient extraction, analysis, and reporting of Medicaid data - Robust security, business, technical, and reporting requirements - Centralized credentialing committee and delegated enrollment capabilities - Integration with existing Medicaid Enterprise System modules - Operations and maintenance required throughout contract term - Contract Details: - Definite quantity, open market contract - Initial term of 5 years with two optional 1-year extensions - Ongoing support, maintenance, and enhancements required

Description

This solicitation is a sourcing event to acquire a modern Data Analytics Platform for the Department of Health and Human Services. The platform will enable efficient extraction, analysis, and reporting of Medicaid data to support program oversight, policy evaluation, and informed decision-making. The solution aims to improve transparency, operational efficiency, reporting accuracy, and healthcare outcomes while ensuring compliance with federal and legislative requirements.

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