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Provider Processing & Support Services

Active

State & Local

Response Deadline11/09/2026, 07:00:00 PM UTC

Contract Overview

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

AI Contract Overview

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This subcontract for Provider Processing and Support Services supports prime contractors on projects for the District of Columbia Health Care Finance Administration. The scope of work focuses on administrative provider data management, which includes managing provider enrollment data and overseeing the processing of provider records. Key deliverables include the execution of the Annual Screening and Enrollment Plan and the implementation of the Provider Outreach Plan. The contract is categorized under NAICS code 561110, with a response deadline set for November 9, 2026.

General Info

Subcontract for DC Health Care provider data management and enrollment services through 2026.

Agency

District of Columbia → Health Care Finance (DHCF)

NAICS

561110 - Office Administrative Services

Place of Performance

DC, USA

Set-Aside

NONE

Documents

This scope was carved out of Doc847596.

The full solicitation package (24 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFP - Provider Data Management System and Services

AI Contract Breakdown

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Timeline

PostedOct 8

subcontract

Response DeadlineNov 9

Submission deadline

Response Deadline

11/09/2026, 07:00:00 PM UTCin 18 days

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Organization & Contact Information

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AgencyDistrict of Columbia → Health Care Finance (DHCF)

ContactsNo contacts available

OfficeN/A

Organization / AgencyDistrict of Columbia → Health Care Finance (DHCF)

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs administrative provider data management for prime contractors on District of Columbia Health Care Finance Administration (DHCF) projects. Administers provider processing, executes the Annual Screening and Enrollment Plan, and implements the Provider Outreach Plan. Manages provider enrollment data. Delivers the Provider Outreach Plan and processed provider records.

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RFP - Provider Data Management System and Services

Solicitation # Doc847596

The District of Columbia Department of Health Care Finance is soliciting proposals for a Provider Data Management System (PDMS) and associated services under solicitation Doc847596. This firm fixed unit price contract includes a one-year base period for Design, Development, and Implementation (DDI), with a goal for the system to go live within nine months of the kick-off meeting, followed by four one-year option periods for operations, maintenance, and provider support services. The project requires a solution utilizing Service-Oriented Architecture (SOA) and X12 standards, ensuring ADA compliance and strict adherence to HIPAA and HITECH regulations for the protection of health information. The scope encompasses the delivery of 48 operational reports, system certification, and the management of provider processing, with performance measured against specific Service Level Agreements (SLAs) regarding system availability and problem resolution. This procurement is a CBE Designated Category set-aside, requiring prime contractors to perform at least 35 percent of the effort with their own resources and 35 percent of any subcontracting with other Certified Business Enterprises. Evaluation is based on a 100-point scale, weighing technical approach, price, and preference points for SBE and ROB certifications. Offerors must submit proposals electronically via the Ariba E-Sourcing system by November 9, 2026, adhering to a 150-page limit for technical volumes. Mandatory compliance requirements include the District's Living Wage Act, First Source Employment Agreement, and various certifications regarding tax status, equal employment opportunity, and the prohibition of sexual harassment in the workplace.

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