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NC eVP · North Carolina

RFP Sourcing Event - Provider Data Management_Credentialing Verification Office RFP

Due Aug 28, 2026·31 days left·General ConstructionView official posting ↗
Issuing agency
DEPARTMENT OF HEALTH AND HUMAN SERVICES - DHHS
Method
RFP
Category
Cloud-based software as a service
PIN
Doc2075995037
Location
North Carolina
Posted
Jun 12, 2026
Takeaways by LightRFP AI
  • The North Carolina Department of Health and Human Services is issuing an RFP for a Provider Data Management/Credentialing Verification Organization (PDM/CVO) solution.
  • The procurement is for a cloud-based software as a service to support the Medicaid Integrated Modular Solution (MIMS) project.
  • The RFP number is #30-2026-017-DHB and was posted on 2026-06-12.
  • Proposals are due on 2026-08-28 at 2:00 p.m. EST.
  • The contract type is Open Market and the commodity number is 811620 - Cloud-based software as a service.
  • The issuing agency is the Department of Health and Human Services, Division of Health Benefits.
  • The place of performance is North Carolina (NC).
  • The procurement method is RFP.
  • Inquiries regarding this RFP should be directed to Tyler Ragor, Contract Specialist, at Medicaid.Procurement@dhhs.nc.gov or Tyler.ragor@dhhs.nc.gov.
  • The offer must remain valid for at least 240 calendar days from the date of proposal opening.

AI-generated, verify all details against the official documents.

Description

The Purpose of this Request for Proposal (RFP) is the for the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB or Department), to solicit offers for the acquisition for the Provider Data Management Credentialing Verification Organization (PDM/CVO). Medicaid Integrated Modular Solution (MIMS) NCDHHS is replacing the Department’s Medicaid Management Information System (MMIS) with a Medicaid Enterprise System (MES), also referred to as the Medicaid Integrated Modular Solution (MIMS). MIMS will be implemented through a multi-phase initiative, the MMIS Replacement Project.

The MMIS Replacement Project will implement a series of interrelated modules. These modules will have functionality designated by the Centers for Medicare and Medicaid (CMS) in support of obtaining compliance with Medicaid Information Technology Architecture (MITA) 3.0 Framework and CMS certification for each module. The future PDM/CVO solution is envisioned as a centralized Provider Data Management/Credentialing Verification Organization (PDM/CVO) solution that will support the Agency’s provider data management functions including data intake, data management, enrollment, credentialing, data sharing and data archiving throughout the provider life cycle.

The solution will also meet National Committee for Quality Assurance (NCQA) standards and enhance provider credentialing through centralized CVO features that include a Credentialing Committee and delegated enrollment and credentialing. The PDM/CVO solution will consist of the below high-level items: Consolidate all provider data to reduce administrative redundancy for providers. Simplify enrollment, data maintenance and revalidation processes.

Facilitate centralized credentialing on behalf of NCDHHS payers and health plans. Potentially mitigate reimbursement errors caused by outdated provider data. Allow for delegated enrollment and credentialing.

Aligning North Carolina’s credentialing process with NCQA standards. Establish a representative centralized Credentialing Committee with representatives from NCDHHS payers and health plans. The NC MIMS system will modernize and transform North Carolina Medicaid and its sister divisions, including the Division of Mental Health (DMH) and Division of Public Health (DPH).

NC MIMS will improve the Provider and Medicaid beneficiary experience across the enterprise.

Documents5
RFP #30-2026-017-DHB.pdfPDF
PreviewDownload
RFP 30-2025-008-DHB - Attachment H - Before fields.pdfPDF
PreviewDownload
Attachment H - Past Performance Signable Form.pdfPDF
PreviewDownload
NCDHHS DAP RFP - #30-2026-017-DHB_Addendum 1.pdfPDF
PreviewDownload
NCDHHS PDMCVO RFP - #30-2026-017-DHB_Addendum 1.pdfPDF
PreviewDownload

Contact

Name
Tyler Ragor
Address
North Carolina
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Ownerid
6dedaaca-3b1b-ee11-8f6d-001dd806fe23
Evp Commcode
b9193425-fc86-ed11-81ad-001dd807270d
Evp Opendate
Aug 28, 2026
Ownerid Name
Tyler Ragor
Evp Posteddate
Jun 12, 2026
Evp Commcode Name
Cloud-based software as a service
Ownerid Entityname
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Owningbusinessunit
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Evp Solicitationnbr
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Evp Commcode Entityname
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Owningbusinessunit Name
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Sol Type
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Cloud-based software as a service
Contact Name
Tyler Ragor
Description
The Purpose of this Request for Proposal (RFP) is the for the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB or Department), to solicit offers for the acquisition for the Provider Data Management Credentialing Verification Organization (PDM/CVO). Medicaid Integrated Modular Solution (MIMS) NCDHHS is replacing the Department’s Medicaid Management Information System (MMIS) with a Medicaid Enterprise System (MES), also referred to as the Medicaid Integrated Modular Solution (MIMS). MIMS will be implemented through a multi-phase initiative, the MMIS Replacement Project. The MMIS Replacement Project will implement a series of interrelated modules. These modules will have functionality designated by the Centers for Medicare and Medicaid (CMS) in support of obtaining compliance with Medicaid Information Technology Architecture (MITA) 3.0 Framework and CMS certification for each module. The future PDM/CVO solution is envisioned as a centralized Provider Data Management/Credentialing Verification Organization (PDM/CVO) solution that will support the Agency’s provider data management functions including data intake, data management, enrollment, credentialing, data sharing and data archiving throughout the provider life cycle. The solution will also meet National Committee for Quality Assurance (NCQA) standards and enhance provider credentialing through centralized CVO features that include a Credentialing Committee and delegated enrollment and credentialing. The PDM/CVO solution will consist of the below high-level items: Consolidate all provider data to reduce administrative redundancy for providers. Simplify enrollment, data maintenance and revalidation processes. Facilitate centralized credentialing on behalf of NCDHHS payers and health plans. Potentially mitigate reimbursement errors caused by outdated provider data. Allow for delegated enrollment and credentialing. Aligning North Carolina’s credentialing process with NCQA standards. Establish a representative centralized Credentialing Committee with representatives from NCDHHS payers and health plans. The NC MIMS system will modernize and transform North Carolina Medicaid and its sister divisions, including the Division of Mental Health (DMH) and Division of Public Health (DPH). NC MIMS will improve the Provider and Medicaid beneficiary experience across the enterprise.
Contact Email
vendor@nc.gov
Status
Open
Desc List
The Purpose of this Request for Proposal (RFP) is the for the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB or Department), to solicit offers for the acquisition for the Provider Data Management Credentialing Verification Organization (PDM/CVO). Medicaid Integrated Modular Solution (MIMS) NCDHHS is replacing the Department’s Medicaid Management Information System (MMIS) with a Medicaid Enterprise System (MES), also referred to as the Medicaid Integrated Modular Solution (MIMS). MIMS will be implemented through a multi-phase initiative, the MMIS Replacement Project. The MMIS Replacement Project will implement a series of interrelated modules. These modules will have functionality designated by the Centers for Medicare and Medicaid (CMS) in support of obtaining compliance with Medicaid Information Technology Architecture (MITA) 3.0 Framework and CMS certification for each module. The future PDM/CVO solution is envisioned as a centralized Provider Data Management/Credentialing Verification Organization (PDM/CVO) solution that will support the Agency’s provider data management functions including data intake, data management, enrollment, credentialing, data sharing and data archiving throughout the provider life cycle. The solution will also meet National Committee for Quality Assurance (NCQA) standards and enhance provider credentialing through centralized CVO features that include a Credentialing Committee and delegated enrollment and credentialing. The PDM/CVO solution will consist of the below high-level items: Consolidate all provider data to reduce administrative redundancy for providers. Simplify enrollment, data maintenance and revalidation processes. Facilitate centralized credentialing on behalf of NCDHHS payers and health plans. Potentially mitigate reimbursement errors caused by outdated provider data. Allow for delegated enrollment and credentialing. Aligning North Carolina’s credentialing process with NCQA standards. Establish a representative centralized Credentialing Committee with representatives from NCDHHS payers and health plans. The NC MIMS system will modernize and transform North Carolina Medicaid and its sister divisions, including the Division of Mental Health (DMH) and Division of Public Health (DPH). NC MIMS will improve the Provider and Medicaid beneficiary experience across the enterprise.
Enriched
Yes
Opendate
8/28/2026 2:00 PM
Cat Review
At
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Method
openrouter
Taxonomy
construction
Attributes
Evp Name
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Statecode
Active
Statuscode
Open
Evp Opendate
8/28/2026 2:00 PM
Evp Posteddate
6/12/2026
Evp Description
The Purpose of this Request for Proposal (RFP) is the for the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Benefits (DHB or Department), to solicit offers for the acquisition for the Provider Data Management Credentialing Verification Organization (PDM/CVO). Medicaid Integrated Modular Solution (MIMS) NCDHHS is replacing the Department’s Medicaid Management Information System (MMIS) with a Medicaid Enterprise System (MES), also referred to as the Medicaid Integrated Modular Solution (MIMS). MIMS will be implemented through a multi-phase initiative, the MMIS Replacement Project. The MMIS Replacement Project will implement a series of interrelated modules. These modules will have functionality designated by the Centers for Medicare and Medicaid (CMS) in support of obtaining compliance with Medicaid Information Technology Architecture (MITA) 3.0 Framework and CMS certification for each module. The future PDM/CVO solution is envisioned as a centralized Provider Data Management/Credentialing Verification Organization (PDM/CVO) solution that will support the Agency’s provider data management functions including data intake, data management, enrollment, credentialing, data sharing and data archiving throughout the provider life cycle. The solution will also meet National Committee for Quality Assurance (NCQA) standards and enhance provider credentialing through centralized CVO features that include a Credentialing Committee and delegated enrollment and credentialing. The PDM/CVO solution will consist of the below high-level items: Consolidate all provider data to reduce administrative redundancy for providers. Simplify enrollment, data maintenance and revalidation processes. Facilitate centralized credentialing on behalf of NCDHHS payers and health plans. Potentially mitigate reimbursement errors caused by outdated provider data. Allow for delegated enrollment and credentialing. Aligning North Carolina’s credentialing process with NCQA standards. Establish a representative centralized Credentialing Committee with representatives from NCDHHS payers and health plans. The NC MIMS system will modernize and transform North Carolina Medicaid and its sister divisions, including the Division of Mental Health (DMH) and Division of Public Health (DPH). NC MIMS will improve the Provider and Medicaid beneficiary experience across the enterprise.
Evp Solicitationid
a7091f39-6b66-f111-a824-001dd803db57
Owningbusinessunit
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Evp Solicitationnbr
Doc2075995037
Posteddate
6/12/2026
Categorized By
llm
Document Links
https://evp.nc.gov/_entity/annotation/d73e1745-6b66-f111-a824-001dd803db57/863ea987-6d3e-ed11-9daf-001dd805ec0b?fn=RFP%20%2330-2026-017-DHB.pdf, https://evp.nc.gov/_entity/annotation/643f1745-6b66-f111-a824-001dd803db57/863ea987-6d3e-ed11-9daf-001dd805ec0b?fn=RFP%2030-2025-008-DHB%20-%20Attachment%20H%20-%20Before%20fields.pdf, https://evp.nc.gov/_entity/annotation/05859d8c-7275-f111-ab0d-001dd800b811/863ea987-6d3e-ed11-9daf-001dd805ec0b?fn=Attachment%20H%20-%20Past%20Performance%20Signable%20Form.pdf, https://evp.nc.gov/_entity/annotation/0cd327a5-1882-f111-ab0f-001dd80bcb64/863ea987-6d3e-ed11-9daf-001dd805ec0b?fn=NCDHHS%20DAP%20RFP%20-%20%2330-2026-017-DHB_Addendum%201.pdf, https://evp.nc.gov/_entity/annotation/6e434844-2282-f111-ab0f-001dd80bcb64/863ea987-6d3e-ed11-9daf-001dd805ec0b?fn=NCDHHS%20PDMCVO%20RFP%20-%20%2330-2026-017-DHB_Addendum%201.pdf

Source: North Carolina eVP (solicitation NC_EVP-a7091f39-6b66-f111-a824-001dd803db57), retrieved via the North Carolina Electronic Vendor Portal. View the official posting — always confirm requirements and deadlines with the issuing agency.

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