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SW-61771 - USA (Nevada) - Electronic Visit Verification System - Deadline October 11,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: SW-61771

Government Authority located in Nevada; USA based organization looking for expert vendor for electronic visit verification system.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide electronic visit verification system.
- Ease of use for all providers not requiring multiple logins to provide services across PAs, procedure and observation codes, and other variables.
- Allow for beginning and end dates and information for various time periods to be held by the system including but not limited to recipient eligibility, provider enrollment, prior authorizations, and billing rates. For example, PAs are not end-dated, creating issues when recipient eligibility changes from FFS to MC and vice versa.
- Support changes to provider information including but not limited to addresses, ownership and termination without manual intervention.
- Provide a flexible solution for automatically identifying PAs that are authorized for a provider agency regardless of provider type. Agencies enroll in medicaid under various provider types. currently, PAs are linked to the agency and provider type within the EVV through the agency’s zip code. When provider addresses change, this causes system issues which currently require manual correction and causes delays for providers.
- Provide a robust solution to handling provider billing that is flexible and efficient. If the proposed EVV system bills on behalf of providers, it shall offer robust billing functionality including the ability to resubmit paid, adjusted, voided and denied claims and handle rate changes. The EVV system shall offer functionality that allows providers to seamlessly integrate their billing processes with EVV and the services provided.
- Verify the data in the EVV System remains in sync with the MMIS through processes such as monthly reconciliation.
- Propose adequate system environments to meet all contractual requirements, and shall include at a minimum, development, system testing, user acceptance testing, training and production environments.
- Create, maintain and update the EVV website, ensuring all branding and content is developed in collaboration and approved prior to posting.
- Maintain a help desk to support the EVV System.
(2) All question must be submitted no later than October 03, 2022.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Tuesday, 11 October, 2022

Question Answer Deadline : Monday, 3 October, 2022

Category : Software, System and Application

Country : USA

State : Nevada

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