Hospital Value Strategy (RFI #25-082)

The Department of Health Care Services (DHCS) has issued Request for Information (RFI) #25-082 to collect insights from qualified entities to aid in the creation of a comprehensive value strategy for Medi-Cal hospital service reimbursement. This strategy aims to establish a sustainable hospital payment framework that improves access to quality inpatient and outpatient services for Medi-Cal beneficiaries, encourages appropriate and efficient care delivery, and enhances health outcomes. The initiative aligns with Medi-Cal's overarching quality goals, relevant federal Medicaid guidelines, and the program's financial stewardship objectives, seeking to implement balanced, enduring solutions for hospital reimbursement. Entities interested in responding must follow detailed submission guidelines through the Vendor Application portal, ensuring timely and complete responses ahead of the April 18, 2026 deadline. DHCS will use the information gathered to develop a value-based payment strategy that balances fiscal responsibility with the need to maintain high standards of care delivery. Questions about the RFI are to be directed to DHCS Procurement and Contracting Division via the provided email. The effort reflects California DHCS’s commitment to modernizing Medi-Cal hospital reimbursement in a manner that supports both providers and beneficiaries statewide.