RFP 27-3001 - Workers Compensation Third Party Administrator
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27-3001State & Local
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The California Department of Social Services is soliciting proposals for a Third Party Administrator to provide statewide workers compensation claims administration, managed care, and cost containment services. The contract covers four primary programs: In-Home Supportive Services, Waiver Personal Care Services, CalWORKs, and CalFresh Employment and Training. The envisioned agreement consists of a three-year base term beginning December 1, 2027, with an optional three-year extension. The selected contractor must maintain at least one office in California and utilize a paperless claim file system capable of seamless data transition from existing systems.
Qualified proposers must demonstrate at least five years of experience administering workers compensation claims for California public entities within the last eight years and hold a California Workers Compensation Self-Insurance Administrator Certificate. Bidders are required to meet a minimum 3 percent Disabled Veteran Business Enterprise participation goal and provide comprehensive insurance coverage, including professional liability of 3 million dollars and cyber liability of 2 million dollars. Proposals must be submitted in PDF format to Salman Amin by November 30, 2026, at 2:00 PM PST, and must include a detailed cost proposal and various mandatory certifications regarding business standing and legal compliance.
General Info
CDSS seeks a Third Party Administrator for statewide workers compensation claims administration services.
HighAI Summary for Attachment 14 - Contractor Certification Clause (RFP 27-3001): A certification form for the California Department of Social Services (RFP 27-3001) requiring bidders to certify compliance with various state laws and regulations, including non-discrimination, drug-free workplace requirements, NLRB compliance, pro bono legal services, and conflict of interest rules.
PDF
PDF, High priority: read this firstrfp
HighAI Summary for CDSS RFP 27-3001: Workers’ Compensation Program Administration: The California Department of Social Services (CDSS) is seeking competitive proposals from qualified third party administrators (TPA) to provide statewide workers’ compensation claims administration, managed care, and cost containment services for the IHSS/WPCS, CalWORKs, and CalFresh programs. The contract is envisioned for a three-year term with a possible three-year extension. The document outlines the scope of work, minimum qualifications, proposal requirements, and evaluation process.
PDF
PDF, High priority: read this firstcontract-document
HighAI Summary for Exhibit 7 - Sample Agreement - IHSS/WCPS: A sample standard agreement (STD 213) between the California Department of Social Services (CDSS) and a TBD contractor for the provision of Third-Party Administrator (TPA) workers' compensation administration services for the IHSS and WPCS programs. The document includes a detailed Scope of Work (Exhibit A) outlining objectives, applicable laws, and specific contractor responsibilities regarding caseload management and claim file set-up.
PDF
PDF, High priority: read this firstcontract-document
HighAI Summary for Exhibit 8 - Sample Agreement - CalFresh: A sample standard agreement (STD 213) between the California Department of Social Services (CDSS) and a TBD contractor for the provision of Third-Party Administrator (TPA) workers' compensation administration services for the CalFresh Employment and Training (E&T) Program. The document includes a sample contract form and a detailed Scope of Work (Exhibit A) outlining objectives, applicable laws, and caseload management requirements.
PDF
PDF, High priority: read this firstcontract-document
HighAI Summary for Exhibit 9 - Sample Agreement - CalWORKs: A sample standard agreement (STD 213) and accompanying Scope of Work (Exhibit A) between the California Department of Social Services (CDSS) and a TBD Contractor. The document outlines the requirements for a Third-Party Administrator (TPA) to provide workers' compensation administration services for participants in the CalWORKs program, including caseload management and compliance with California Labor and Insurance Codes.
PDF
PDF, High priority: read this firstbidder-declaration
HighAI Summary for GSPD-05-105 Bidder Declaration (RFP 27-3001): A State of California Department of General Services (DGS) Bidder Declaration form (GSPD-05-105, REV 08/09) for solicitation RFP 27-3001. The document requires prime bidders to disclose California certifications (MB, SB, NVSA, DVBE), identify the use of subcontractors, and provide a detailed list of subcontractors including their certifications and the specific work or goods they will provide.
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PDF, High priority: read this firstchecklist
HighAI Summary for RFP 27-3001 Attachment 1 - Required Attachment Checklist: A required submission checklist for RFP 27-3001 issued by the California Department of Social Services. It lists 17 mandatory attachments and additional documentation (Business Licenses and Workers' Compensation certificates) that proposers must submit to ensure their bid package is responsive.
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PDF, High priority: read this firstsupporting-documents
HighAI Summary for RFP 27-3001 Attachment 3: Minimum Qualifications Certification: This document is a certification form for RFP 27-3001 issued by the California Department of Social Services. It requires proposers to provide evidence and certification of meeting eight minimum qualifications (C.1 through C.8), including TPA experience in California, business licensing, physical office presence in-state, paperless system capabilities, payment process compliance, and self-insurance administrator certification.
PDF
PDF, High priority: read this firstproposal-form
HighAI Summary for RFP 27-3001 Attachment 4 - Proposal / Proposer Certification Sheet: A mandatory certification form for RFP 27-3001 issued by the California Department of Social Services. It requires proposers to provide company details, tax identification, business entity type, and certification status for Small Business (SB) and Disabled Veteran Business Enterprise (DVBE) programs. The document includes specific completion instructions for each field and emphasizes that an unsigned sheet may cause for rejection.
PDF
PDF, High priority: read this firstpast-performance
HighAI Summary for RFP 27-3001 Attachment 5.1 - Subcontractor References: A mandatory submission form for RFP 27-3001 issued by the California Department of Social Services. This document requires bidders to provide three business references for each proposed subcontractor to verify their experience with services similar to the scope of work.
PDF
PDF, High priority: read this firstpast-performance
HighAI Summary for RFP 27-3001 Attachment 5 - Proposer References: A mandatory reference form for RFP 27-3001 issued by the California Department of Social Services. Proposers must provide three verifiable references for similar services performed within the last eight years, including a CDSS reference if applicable.
PDF
PDF, High priority: read this firstspecifications
HighAI Summary for RFP 27-3001 Attachment 6 - Cost Proposal: This document is the Cost Proposal template (Attachment 6) for RFP 27-3001 issued by the California Department of Social Services. It provides the structured pricing tables for third party claims administration services, including annual flat rates for IHSS/WPCS, CalWORKs, and CalFresh E&T programs, as well as rate schedules for Managed Care services such as Bill Review, Nurse Case Management, Field Case Management, and Physician/Medical Director reviews. It specifies the evaluation cost as the Grand Total [Box (C)].
PDF
PDF, High priority: read this firstsupporting-document
HighAI Summary for RFP 27-3001 Attachment 9 - DVBE Subcontractor Agreement: A template for a Disabled Veteran Business Enterprise (DVBE) Subcontractor Agreement associated with RFP 27-3001 for the California Department of Social Services. The document outlines the required terms for the agreement between a Proposer and a DVBE subcontractor, including performance dates, payment terms, and the requirement to commit at least 3% of the contract value. It also includes a DVBE Program Requirements Supplier Checklist for bidder use.
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PDF, High priority: read this firstspecifications
HighAI Summary for RFP 27-3001 Exhibit 1: Written Proposal Evaluation Scoring Sheet: This document is Exhibit 1 for RFP 27-3001 issued by the California Department of Social Services. It provides the detailed scoring methodology and evaluation matrices used by the committee to rate technical proposals. It includes weighted scoring criteria across multiple categories, including Management Personnel, Claims Administration, Workers' Compensation Program Management, Data Security, and Managed Care Services.
PDF
PDF, High priority: read this firstspecifications
HighAI Summary for RFP 27-3001 Exhibit 2 - DVBE Incentive Instructions: This document provides instructions for bidders regarding Disabled Veteran Business Enterprise (DVBE) incentives for RFP 27-3001 issued by the California Department of Social Services. It outlines the requirements for qualifying for DVBE incentives, the role of the DVBE Business Utilization Plan (BUP), resources for locating certified DVBE suppliers, and the legal definition of a 'commercially useful function' per California Code of Regulations.
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PDF, High priority: read this firstsow
HighAI Summary for RFP 27-3001 Exhibit 3 - IHSS Program Description: Exhibit 3 of RFP 27-3001 provides a detailed program description for the California Department of Social Services' In-Home Supportive Services (IHSS). It outlines the various program components (PCSP, IPO, IHSS-R, and CFCO), eligibility requirements, funding structures, and the legal mandates for workers' compensation coverage under the Welfare and Institutions Code and AB 632. Additionally, it describes the different Employer of Record modes (Public Authority, Contract Mode, Nonprofit Consortium, and Homemaker Mode) and provides population data for providers as of November 30, 2025.
PDF
PDF, High priority: read this firstsow
HighAI Summary for RFP 27-3001 Exhibit 4: Waiver Personal Care Services Program Description: Exhibit 4 of RFP 27-3001 for the California Department of Social Services, detailing the program description for Waiver Personal Care Services (WPCS). It defines the role of WPCS providers in assisting participants with activities of daily living (ADL) and adult companionship to prevent social isolation for individuals enrolled in HCBS or HCBA Waivers.
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PDF, High priority: read this firstsow
HighAI Summary for RFP 27-3001 Exhibit 5: CalWORKs Program Description: Exhibit 5 of RFP 27-3001 provides a detailed description of the California Work Opportunity and Responsibility to Kids (CalWORKs) program. It outlines the program's role as the state's version of TANF, its administration by County Welfare Departments, and the specific Welfare-to-Work (WTW) activities—including work experience, community service, and subsidized employment—that require workers' compensation coverage for approximately 70,832 monthly participants.
PDF
PDF, High priority: read this firstsow
HighAI Summary for RFP 27-3001 Exhibit 6: CalFresh Program Description: Exhibit 6 of RFP 27-3001 provides a program description of CalFresh (SNAP) and the CalFresh Employment and Training (E&T) program. It outlines the roles of the California Department of Social Services and counties, details E&T components such as job search and education, and addresses workers' compensation coverage for participants. It notes participation data for 35 counties from October 1, 2024, through September 30, 2025.
PDF
PDF, High priority: read this firstproposal-template
HighAI Summary for RFP 27-3001 Proposal Cover Letter and Statement of Intent: Attachment 2 for RFP 27-3001, issued by the California Department of Social Services. This document serves as the required Proposal Cover Letter and Statement of Intent for bidders seeking to provide Workers’ Compensation Third Party Administrator services. It includes fields for proposer identification and a signature block confirming intent to comply with RFP requirements. Proposals are due by 2:00 PM PT on November 30, 2026.
PDF
PDF, High priority: read this firstrfp
HighAI Summary for RFP 27-3001 Workers’ Compensation Third Party Administrator: The California Department of Social Services (CDSS) is seeking competitive proposals from qualified third party administrators (TPA) to provide statewide workers’ compensation claims administration, managed care, and cost containment services for programs including In-Home Supportive Services (IHSS) and Waiver Personal Care Services (WPCS). The proposal due date is November 30, 2026, with a minimum 3% DVBE participation requirement.
PDF
PDF, High priority: read this firstsupporting-document
HighAI Summary for STD 830 Target Area Contract Preference Act Request - RFP 27-3001: A California Department of General Services (DGS) form (STD 830, Rev 05/2022) used by bidders for RFP 27-3001 to request preferences under the Target Area Contract Preference Act (TACPA). The document outlines eligibility for worksite preferences (5%) and workforce preferences (1% to 4%) for California-based firms on contracts exceeding $100,000, requiring certification of labor hours performed in designated distressed areas.
PDF
PDF, Low prioritycertification
LowAI Summary for California Civil Rights Law Certification (Attachment 12): A mandatory certification form (DGS OLS 04, Rev. 01/17) required for contracts of $100,000 or more with California state agencies. The document requires the bidder to certify compliance with the Unruh Civil Rights Act and the Fair Employment and Housing Act, as well as disclose policies regarding sovereign nations, as part of RFP 27-3001 for the California Department of Social Services.
PDF
PDF, Low prioritycertification
LowAI Summary for Darfur Contracting Act Certification DGS PD 1: This document is the Darfur Contracting Act Certification (DGS PD 1, Rev. 12/19) required by the State of California for companies bidding on state contracts. It certifies whether a company is a scrutinized company under Public Contract Code Sections 10475-10481, which applies to companies with business activities outside the U.S. within the last three years. The form provides two options: Option 1 certifies the company is not scrutinized, and Option 2 allows a scrutinized company with written permission from the Department of General Services to submit a bid. The document includes spaces for company name, Federal ID, authorized signature, and date.
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PDF, Low priorityother
LowAI Summary for DGS OBAS Form 201 - Commercially Useful Function Evaluation Form: A certification form (rev. 10/14) used by the State to ensure that Small Businesses, Micro-Businesses, and Disabled Veteran Business Enterprises perform a 'commercially useful function' (CUF) per GC 14837. It requires certifications from both the supplier and the buyer to verify the supplier meets five specific operational criteria.
PDF
PDF, Low prioritysupporting-document
LowAI Summary for DGS PD 526 Bidder's Summary Form: A California Department of General Services (DGS) form (PD 526) used by bidders to report projected employee labor hours. The document specifically supports the Target Area Contract Preferences Act (TACPA) to evaluate if a bidder qualifies for preferences based on labor performed in economically distressed areas.
PDF
PDF, Low prioritydvbe-declaration
LowAI Summary for DGS PD 843 - Disabled Veteran Business Enterprise Declarations: State of California Department of General Services form (DGS PD 843, Rev. 9/2019) used by Disabled Veteran Business Enterprises (DVBE) to declare their status as a non-broker or agent, or to disclose broker relationships, for materials, supplies, services, or equipment provided under a solicitation or contract.
PDF
PDF, Low prioritycertification-form
LowAI Summary for Iran Contracting Act Verification Form: State of California DGS PD 3 (Rev. 12/19) form requiring vendors bidding on contracts of $1,000,000 or more to certify they are not engaged in investment activities in Iran or provide proof of an exemption per Public Contract Code sections 2202-2208.
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PDF, Low priorityother
LowAI Summary for STD 204 Payee Data Record: State of California Department of Finance form STD 204 (Rev. 03/2021), used to collect payee tax identification and residency information for payment processing in lieu of IRS W-9 or W-7 forms.
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State of California RFP 27-3001 - Workers Compensation Third Party Administrator Tender # 0000040419 Closing Date : 11/30/2026 at 14:00 PM Originating Department: State of California Contact: Contact: Salman Amin Phone: 916/657-1889 Email: contact@example.gov Details: RFP 27-3001 - Workers Compensation Third Party Administrator Disclaimer: This bid is researched and provided for information purposes only. To participate in this bid opportunity, interested vendors are sometimes required to register on the State of California's website. Please refer to the originating organization for any information relating to this. Direct all queries pertaining to the language, the content or any missing or inaccurate information within this abstract to its originator, as indicated in the advertisement. Note: When you click on the link below, a new window will open to the site where you can locate more information regarding this bid. You may need to search the site to locate the bid. View Bid Information Biddingo.com is not responsible for the contents of the third party site and does not make any representations regarding the content or accuracy of materials on such third party web sites. If you decide to access them, you do so at your own risk.
