How to bid on Provider Data Management/Credentialing for DHHS North Carolina

What the agency is buying and why it matters

The North Carolina Department of Health and Human Services (NCDHHS) is seeking a Provider Data Management/Credentialing Verification Organization (PDM/CVO) solution. This system will centralize and streamline provider data management, enrollment, and credentialing processes for healthcare providers within the state's Medicaid Integrated Modular Solution (MIMS).

This project aims to modernize North Carolina Medicaid by consolidating provider data, simplifying administrative tasks, and ensuring compliance with National Committee for Quality Assurance (NCQA) standards. A successful vendor will help improve the experience for both providers and Medicaid beneficiaries.

Key dates and what happens at the deadline

This Request for Proposal (RFP) was published on June 12, 2026. The deadline for submitting your response is January 31, 2027, at 11:00 PM ET. All proposals must be submitted by this time.

It is crucial to submit your response well before the deadline to avoid any last-minute technical issues. Late submissions are typically not accepted.

Who this opportunity suits

This opportunity is suitable for technology firms with expertise in healthcare IT, specifically in provider data management, credentialing, and large-scale system integration. Experience with Medicaid Enterprise Systems (MES) or similar government healthcare platforms would be highly relevant.

Vendors should be familiar with Centers for Medicare and Medicaid (CMS) requirements and Medicaid Information Technology Architecture (MITA) 3.0 Framework, as well as NCQA standards. This project falls under the technology category.

How to respond to this solicitation

To access the full solicitation documents and instructions on how to respond, you need to visit the North Carolina electronic Vendor Portal (eVP). The solicitation number is Doc2075995037.

Viewing the posting and its associated documents is public and does not require an account. To submit a response, you will need to register for a free eVP vendor account. Some North Carolina bids use the separate NC eProcurement (Ivalua) tool for responses; otherwise, follow the submission directions provided in the posting before the deadline.

Practical tips for a competitive response

Thoroughly review all sections of the RFP, paying close attention to the scope of work, technical requirements, and evaluation criteria. Clearly demonstrate your understanding of the NCDHHS's needs for a centralized PDM/CVO solution.

Highlight your experience with similar projects, especially those involving state Medicaid systems or large-scale healthcare data management. Emphasize your ability to meet CMS and NCQA compliance standards. Provide concrete examples of how your proposed solution will consolidate data, simplify processes, and improve the provider and beneficiary experience.

Ensure your proposal is well-organized, clearly written, and directly addresses all requirements. Proofread carefully to eliminate any errors.