CalHEERS SDMO RFP #73040873

The State of California, through the Office of Technology and Solutions Integration, is soliciting proposals under RFP #73040873 for System Development, Maintenance, and Operations (SDMO) for the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS). This system is critical for Covered California and the Department of Health Care Services, facilitating account creation, eligibility determination, and health plan selection for insurance affordability programs, including MAGI Medi-Cal. The scope of work encompasses five primary functional areas: the CalHEERS technical solution, program support for cyclic needs, comprehensive project management, system changes and enhancements through a formal control process, and a three-phase transition process consisting of Transition-In, Transformation, and Transition-Out. The contract structure includes five base years with five additional one-year options. Award selection is based on a 10,000-point scale, weighted across understanding and approach (5,500 points), cost assessment (3,500 points), and key staff qualifications and references (1,000 points). Bidders must pass a responsiveness gate by meeting all mandatory scorable requirements to avoid disqualification. Proposals are due by January 20, 2026, and must be submitted in three volumes covering administrative requirements, the completed contract, and cost data. Key administrative requirements include the maintenance of professional liability insurance of at least 5 million dollars and commercial general liability of 2 million dollars aggregate. All offshore work must be performed within a dedicated Secure Bay. The State utilizes a rigorous inspection and acceptance process based on Deliverable Expectation Documents and IEEE standards for software verification and validation. Payments are processed within 45 days of receipt of undisputed electronic invoices submitted in PDF format to the designated accounts payable email.