This solicitation will be issued through BidNet's Maryland Purchasing Group (https://www.bidnetdirect.com/maryland/montgomerycounty). In the spirit of continuous improvement, Montgomery County utilizes this platform to post solicitations and accept electronic responses from vendors. Registration is required and FREE for all Montgomery County solicitations by selecting the "Limited" option upon registration. IF YOU NEED HELP REGISTERING, please call BidNet Direct’s Support Department at 800-835-4603.5.2.1. The county seeks proposals from qualified, experienced entities to provide a Commercial Off the Shelf (COTS) EHR system as well as system development, configuration, modifications, and updates, specify processes and requirements for additional software or services not included in the COTS system, that is certified, cloud-based, Health Insurance Portability and Accountability Act (HIPAA) compliant and compliant with all local, State, and Federal laws. The successful Offeror, herein after referred to as ‘Contractor’ must also provide medical claims clearinghouse services. The system must respond to the county’s efforts of maximizing care, sustainability and process improvement.5.2.2. All compensation payable under any Contract resulting from this solicitation is subject to and contingent upon the County’s appropriation and encumbrance of funding for this program described in this solicitation. This solicitation will result in one Contract.5.2.3. Offerors may submit joint proposals and/or include sub-contractors in their proposals. Joint proposals must reflect formal commitments between/among the identified parties. Sub-contractors and their roles must be identified in the proposal, including a description of how services will be delivered. In these cases, Offerors are encouraged to include Letters of Intent in their proposals. The County will contract with the lead organization who will be responsible for the sub-contractor’s/partner’s work. If the Offeror proposes to supply any sub-contractors to provide certain program services, the Offeror must indicate the name(s) of any sub-contractors and provide a plan for how any sub-contractors will be utilized. All sub-contractors are subject to County review and approval.