Medical Staff Credentialing

The State of Nevada is seeking a vendor to provide medical staff credentialing services. The contractor will be responsible for providing credentialing services for a minimum of 120 healthcare providers and allied health professionals affiliated with the Department of Human Services/Division of Public and Behavioral Health. The scope of work includes initial credentialing, re-credentialing, ongoing monitoring, provider enrollment, data management, and reporting. The contract term is expected to be four years, with an anticipated start date of June 10, 2026, and an end date of June 30, 2030. Some key requirements include: • Providing secure access to a cloud-based credentialing and enrollment portal • Maintaining an automated system for tracking license, DEA, CSR expirations • Monitoring sanctions, exclusions, and disciplinary actions monthly • Providing automated alerts for upcoming renewals and compliance gaps • Integrating directly with CAQH • Granting provider’s CAQH Username and Password to ingest information from CAQH • Validating the accuracy and completeness of data ingested from CAQH • Tracking enrollment status and healthcare, providing reporting weekly until enrollment is approved by healthcare providers