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Provider Credentialing & Eligibility Software (SaaS)

Active
State & Local

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Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract for Provider Credentialing and Eligibility Software (SaaS) involves the supply and maintenance of a software system designed for prime contractors working on Ohio Department of Medicaid provider oversight projects. The system is tasked with implementing tracking for initial and revalidation applications, integrating CAQH standard provider credentialing forms, and automating the verification process for malpractice insurance, board certifications, and licensing. To ensure a fully functional and integrated credentialing platform, the software must be compatible with the Ohio Medicaid Enterprise Solution and maintain strict HIPAA compliance. The project falls under NAICS code 513210 and is managed by the Ohio Medicaid Director. Interested parties should note the response deadline of December 4, 2026.

General Info

SaaS subcontract for Ohio Medicaid provider credentialing software; response deadline December 4, 2026.

Place of Performance

OH, USA

Set-Aside

NONE

Documents

This scope was carved out of ODMR 2627-0011.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

ODMR 2627-0011 Provider Oversight RFI

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Organization & Contact Information

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AgencyOhio → Mcd000001 Medicaid Director Mcdlz5
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Supplies and maintains a software system for prime contractors on Ohio Department of Medicaid (ODM) provider oversight projects. Implements tracking for initial and revalidation applications, integrates CAQH standard provider credentialing forms, and automates verification of licensing, board certifications, and malpractice insurance. Requires integration with the Ohio Medicaid Enterprise Solution (OMES) and HIPAA compliance. Delivers a functional, integrated credentialing platform.

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