This Solicitation opportunity from California was posted on May 1, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
RFI 23-088 Third Party Administrator (TPA)
Contract Overview
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AI Contract Overview
The Department of Health Care Services (DHCS) has issued a Request for Information (RFI) to gather input from interested parties regarding the management of a grant program aimed at improving encounter data reporting within Medi-Cal. The focus is on selecting a Third Party Administrator to oversee the Encounter Data Improvement Program, which involves identifying providers needing education and outreach, addressing data quality issues, and standardizing coding and submission practices to support the implementation of CalAIM. This RFI is intended for planning purposes only and does not constitute a formal solicitation or binding offer, with responses including nonbinding budgetary pricing information to assist in planning. The deadline for responses is May 31, 2024. The project emphasizes enhancing the accuracy and consistency of encounter data submitted by providers, ultimately supporting better healthcare data management and compliance with program requirements. The contract, titled "RFI 23-088 Third Party Administrator," is managed by DHCS under NAICS code 492210, and responses are directed to DHCS Procurement and Contracting. The initiative reflects California’s ongoing efforts to improve healthcare data systems and ensure effective oversight of Medi-Cal provider reporting, with the potential to influence future contracting and program implementation strategies.
General Info
Place of Performance
CA, USASet-Aside
Documents
2AI Contract Breakdown
Uniform Contract FormatContract not broken down yet
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Timeline
Submission Closed
Organization & Contact Information
Full Description
DHCS is looking for feedback on a draft Scope of Work (SOW) for a Third Party Administrator to manage the Encounter Data Improvement Project grant program which will: (1) identify providers requiring education and outreach; (2) identify and remediate data quality issues to improve quality in provider-level encounter data submissions; and (3) improve standardization of coding and submission of data for the purposes of implementing the CalAIM Terms and Conditions.
This RFI is issued for information and planning purposes only and does not constitute a solicitation. A response to this RFI is not an offer and cannot be accepted by the State to form a binding contract. Respondents are solely responsible for all expenses associated with responding to this RFI. DHCS asks willing Respondents to share nonbinding budgetary pricing information for each identified solution where requested. Pricing is only for planning purposes. Any pricing provided in a response to this RFI will not be considered an offer on the part of a Respondent.
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