Medicaid Enterprise Systems - Provider Services Module
Buying from a NASPO ValuePoint Contract? Learn How
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How to Buy from a NASPO ValuePoint Contract
If you’ve identified a portfolio or supplier on the NASPO ValuePoint website and are ready to make a purchase:
The first step is to check whether your state has a Participating Addendum (PA) for that contract. Each PA outlines which entities within the state (such as agencies, counties, cities, public universities, or school districts) are authorized to purchase from the agreement.
If your organization is covered by a PA:
The next step is to follow your state’s or your organization’s established procurement procedures to complete the purchase. NASPO ValuePoint does not issue purchase orders or manage individual transactions, as each state or local entity retains its own procurement authority. These processes can vary widely, some state agencies may be required to use a central procurement platform (for example, an ERP (SAP, Workday, JD Edwards, etc.) or eProcurement System (Ivalua, SOVRA, CGI Advantage, etc.)), while local entities such as public universities or municipalities may have their own systems and approval thresholds.
Because these rules differ from state to state and even between organizations within the same state, NASPO ValuePoint cannot prescribe a single buying process, but encourages purchasers to work within their local procurement guidelines when utilizing NASPO ValuePoint contracts.
Portfolio Snapshot
Everything you need to know about this portfolio's solicitation process.
About the Portfolio
A Medicaid Management Information System (also known as "MMIS") is a mechanized claims processing and information retrieval system that all states are required to have according to section 1903(a)(3) of the Social Security Act defined in Federal Code 42 CFR 433.111.
The Provider Services module will support provider enrollment, re-validation, and maintenance. The Provider Services vendor will provide a configurable, web based, self-service solution that allows healthcare providers to enroll electronically with Healthcare Programs and provide an option for provider self-service updates.
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Below are some highlights of the benefits from the prospective contract awards:
1. Modern Provider Enrollment system that is highly configurable, web based, and automates many of the manual functions occurring in the legacy MMIS (e.g., automated workflows, automatically triggered communication based on key elements within the provider's enrollment record).
2. User centric Provider Management module that includes a number self-service features not currently available today to improve customer interaction with the State's Medicaid Agency.
3. Provider Services solution that is configured "out of the box" to be compliant with current Federal Regulations
Products & Services
- Core Service
- Option A
- Option B
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NASPO ValuePoint makes every effort to maintain the accuracy and completeness of the documents on this website. However, all official records are maintained by the Lead State (or Participating Entity, in the case of participating addenda). In the event of any conflict between the documents on this site and an entity’s official records, the official records govern.
Questions, concerns, and feedback on this website’s content may be sent to [email protected].
What is a Participating Addendum?
A Participating Addendum (PA) is generally used by a state Chief Procurement Official (CPO) to establish a state contract tied to a specific NASPO ValuePoint master agreement. The PA identifies unique terms and conditions specific to a state and identifies state agencies and other eligible entities in the state that are authorized to participate in the agreement. A state CPO may issue PAs that allow participation as follows:
- Statewide provides for participation by all state and local government agencies and other eligible entities within the state
- State only provides for participation only by state agencies.
- Non State entities only provides for participation by local government agencies and other eligible entities, but prohibits participation by state agencies.
Review your state’s Participating Addendum (PA) to determine eligibility. If a PA is not currently in place, contact the state CPO to discuss whether participation may be considered.
For questions related to participation in NASPO ValuePoint master agreements, please contact the Cooperative Contract Coordination team at [email protected].