Web-Based Data Management Credentialing Verification Solution
Overview
Fit Score
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SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
TIMELINE
June 12th, 2026: RFP Issued
June 16th, 2026: Register for Pre-Proposal Conference
June 17th, 2026: Pre-Proposal Conference
June 26th, 2026: Written Questions Deadline
July 17th, 2026: Agency’s Response to Written Questions / RFP Addendum Issued
August 21st, 2026: Proposals Due
August 24th, 2026: Proposals Evaluation Begins
January 5th, 2027: System Demonstrations
June 1st, 2027: Estimated Contract Award
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
North Carolina Department Of Health And Human Services, Division Of Health Benefits
DESCRIPTION
The agency seeks a vendor to provide a web-based, centralized data management and credentialing verification organization (PDM/CVO) solution to support provider data management activities, including intake, enrollment, credentialing, data sharing, and data archiving throughout the provider lifecycle. The envisioned solution will consolidate provider data, reduce administrative redundancies, and streamline processes such as enrollment, data maintenance, and revalidation. It will enable delegated enrollment and credentialing functions, modernizing and replacing existing Medicaid Management Information System (MMIS) provider management functionalities.
The platform must offer integrated, automated workflows to route data and documentation efficiently to relevant units handling provider application decisions. A self-service portal should serve as the main interface for applicant and provider data entry, accommodating business rules and facilitating robust provider engagement. The vendor is expected to supply the necessary IT solutions, operational staffing, and coordination with multiple payers, health plans, and stakeholders. Functionality must include real-time viewing and reporting of provider affiliations with delegated entities.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 21, 2026. Questions must be submitted by June 26, 2026.
- What is the budget for this RFP?
- Settle estimates the budget at $200,000. The issuer has not published an official figure.
- Who issued this RFP?
- It was issued by North Carolina Department Of Health And Human Services, Division Of Health Benefits. The work is located in Raleigh, North Carolina, United States.
- Who is a good fit for this opportunity?
- Proven experience deploying provider data management and credentialing solutions for government or healthcare agencies
- Expertise in Medicaid Management Information System (MMIS) modernization
- Capable of supplying both technology and staffing operational resources
- Experience integrating with multiple payers, health plans, and complex healthcare ecosystems
- Strong references for large-scale credentialing and provider management projects
Analysis generated by Settle AI from the source RFP.
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