New York State Contract Reporter #RFP 009-2026

Cloud-Based Provider Credentialing Software Solution for Nassau Health Care Corporation

Nassau Health Care Corporation (NHCC) is seeking proposals for a comprehensive, cloud-based Provider Credentialing, Privileging, and Enrollment software solution to support its healthcare operations. - Government Buyer: - Nassau Health Care Corporation (NuHealth System), including Nassau University Medical Center, A. Holly Patterson Extended Care Facility, Nassau County Correctional Center, and Community Health Practices - Managed by Department of Legal Affairs and Purchasing Office - OEMs and Vendors: - HealthStream, Inc. is referenced as a previous vendor for similar solutions - Products/Services Requested: - Cloud-based credentialing, privileging, and provider enrollment software platform - Features: secure credentialing/re-credentialing database, web-based credentialing applications, automated primary source verification (state licenses, board certifications, DEA, SSDMF, SAM, OIG, Medicare Opt Out, Medicaid eligibility/exclusions, federal sites, hospital affiliations) - Evidence-based privilege library with ICD/CPT code maintenance - Peer review routing, performance tracking (FPPE/OPPE), provider portal - Managed care contracting and enrollment modules, CAQH integration, online payer enrollment (PECOS, Medicaid, commercial) - Custom workflows, onboarding/tracking, advanced task management, document management, provider directory - System integration (APIs, HL7 FHIR R4 preferred), 24/7 access, notifications, reporting, implementation, training, and ongoing support - Unique/Notable Requirements: - Security: SOC 2 Type II certification required (HITRUST CSF preferred), all data processing and storage must occur within the US, identification of all subprocessors, and execution of a HIPAA Business Associate Agreement - Diversity goals: 6% Service-Disabled Veteran-Owned Business (SDVOB) and 20% Minority/Women Business Enterprise (MWBE) participation - No specific part numbers or purchase quantities provided, as this is a software and services procurement - Five-year contract term with ongoing support and updates

Description

Nassau Health Care Corporation is soliciting proposals for a comprehensive, cloud-based Credentialing, Privileging, and Provider Enrollment software solution. The contract term is five years. The software must include features such as a secure cloud-based credentialing database, web-based applications, primary source verification, privilege library, peer review capabilities, performance tracking, provider portal, managed care and enrollment modules, CAQH integration, online payer enrollment, custom workflows, task management, document management, provider directory, and system integration with NHCC's clinical systems. The vendor must comply with security certifications, data processing within the US, and HIPAA requirements.

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