Provider Enrollment Management System (PEMS) 325-26-415-021

The State of North Dakota’s Department of Health and Human Services seeks a vendor to design, develop, implement, host, and provide six‑year maintenance & operations for a Medicaid Provider Enrollment Management System (PEMS). The solution must replace legacy enrollment processes, offer a self‑service portal, integrate with the State’s System Integration Platform (SIP), IBM FileNet ECM, and Azure B2C/Entra ID authentication, and meet stringent HIPAA, WCAG 2.2 AA, and availability (99.9 %) requirements. The contract is firm‑fixed‑price with optional renewal periods and includes extensive deliverables ranging from project kickoff through final acceptance, training, CMS certification, and post‑implementation reporting. • Core functionalities: provider enrollment, revalidation, suspension/termination, appeals, master provider index, and self‑service portal. • Integration: SIP (REST/SOAP/MFT/JMS), IBM FileNet, Azure B2C/Entra ID, and future interfaces to MMIS, eligibility, EDI, HCBS, and PeopleSoft. • Data migration: ~70,000 provider records (~925 GB) and ~350 GB of documents requiring conversion and cleansing. • Deliverables: 19 detailed milestones covering planning, configuration, data conversion, testing, training, documentation, compliance, CMS certification, go‑live, and post‑implementation closeout.