Credentialing and Enrollment Services

The government authority located in League, Texas, requires comprehensive credentialing and enrollment services for its behavioral health and healthcare workforce. The agency is seeking a vendor to deliver full-service credentialing, payer enrollment, provider data management, regulatory compliance support, reporting, monitoring, implementation services, and ongoing operational support. This scope covers initial enrollments, re-enrollments, revalidations, roster management, and maintenance activities for providers. The selected vendor must provide a secure, centralized provider data management platform that supports real-time credentialing operations, reporting, and document management. The platform must feature real-time credentialing dashboards, enrollment tracking, expiration tracking with automated alerts, secure document storage, and robust reporting capabilities. Security and compliance requirements include user-level access controls, audit trail functionality, role-based security access, and adherence to CMS regulations. The agency requires active payer follow-up, escalation management, application tracking, and the resolution of delayed applications, enrollment denials, and discrepancies. The vendor must deliver enrollment application status reports and operational performance dashboards to ensure transparency. Only onshore organizations based in the United States are eligible to bid, and the performance of the work will take place offsite. The agency is looking for proposals to determine the budget for this project. Bidders must submit all questions regarding this opportunity no later than June 18, 2026.