CSAC Bulletin Article

Statewide Medi-Cal Procurement: Requests for Proposals Released

In 2020, the Department of Health Care Services (DHCS) notified stakeholders of their intent to begin the procurement process for commercial Medi-Cal managed care plans (MCP) in 2021, with new contracts beginning January 2024. The procurement process provides the state an opportunity to clearly identify the vision and priorities of the state’s Medi-Cal program, outline what is expected of contracted health plans and providers, while strengthening the partnerships with the plans that will provide care to 12 million Medi-Cal beneficiaries throughout the state. While the procurement process will only involve commercial plans a procurement process of this size does not occur frequently and will have a significant impact throughout the state.

Following a series of stakeholder meetings DHCS released their request for proposal (RFP) earlier this month. The RFP is the first official application for commercial plans to request a contract with DHCS with the states, new requirements for these plans. Some of the new and enhanced requirements include: public reporting, quality improvement benchmarks, timely access to care, health equity and disparity outcome measures, and administrative efficiencies.

MCP’s will have until April 11, 2022, to submit proposals. The DHCS expects to issue notices of intent to award in August 2022.

For more information on the procurement process and documents, please visit the state’s procurement page, here.

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