RFI_SD-25-00033_Correctional_Health_Care_Provider_Network.pdf

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SD-25-00033 Correctional Health Care Provider Network
Solicitation number
0000038133
Issued by
California

About this file

RFI Summary: Correctional Health Care Provider Network

This is a Request for Information (RFI) issued by the California Department of Corrections and Rehabilitation, California Correctional Health Care Services (CDCR/CCHCS), soliciting information from interested parties regarding the establishment of a Health Care Provider Network (HCPN) of community-based specialty medical services providers and a Third-Party Administrator for healthcare claims processing. The HCPN will serve approximately 90,000 incarcerated persons across 31 CDCR institutions and 13 Reentry Programs (REPS) facilities throughout California, with network coverage extending to Oregon, Nevada, and Arizona for nearby facilities. Requested services encompass a comprehensive scope including hospital services, specialist and physician services, ambulatory surgery centers, medical transportation, dental specialty services, mental health services, medical imaging, clinical laboratory services, pathology services, telemedicine services, medicated assisted treatment, and reentry program primary care services. The contractor must establish a customizable web-based provider network directory, manage credentialing and privileging of providers, and operate an electronic prior authorization system with reporting and utilization management capabilities. The RFI was released on February 20, 2026, with responses due by March 13, 2026, at 4:00 p.m. PST. Participating organizations must submit a cover memo with contact information, a brief description of organizational history and relevant business experience, and a work plan with timeframes outlining their ability to fulfill the requested services and deliverables.

This RFI is issued solely for information and planning purposes and does not constitute a formal competitive bidding solicitation or create any obligation for CDCR/CCHCS to enter into a contract. The state reserves the right to revise, withdraw, or cancel the RFI at any time and is not liable for any use of submitted information. Responses constitute participant acknowledgment of this disclaimer. No specific pricing terms, funding amounts, or award dates are disclosed in this RFI document, as this is an informal information-gathering phase preceding potential future formal procurement activities. The scope of services and prior authorization requirements are detailed in the attachments, which include a comprehensive list of 31 participating CDCR institutions and 13 REPS facility locations across California with corresponding contact information and geographic maps.

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Request For Information Notice To Interested Parties

Correctional Health Care Provider Network (CHCPN)

RFI #SD-25-00033

RFI Point of Contact: Ekta Sahay Email Address: m_CHCPNRFP@cdcr.ca.gov

February 20, 2026

A. PURPOSE

The California Department of Corrections and Rehabilitation, California Correctional Health Care Services (CDCR/CCHCS), invites interested parties to provide information for a Health Care Provider Network of community-based specialty medical services providers and a Third-Party Administrator for healthcare claims processing services for CDCR/CCHCS.

This RFI is issued solely for information and planning purposes. This RFI shall not be construed in any manner to create an obligation on the part of CDCR/CCHCS to enter any contract or serve as a basis for any claim whatsoever for reimbursement of costs for efforts expended.

Furthermore, the scope of this RFI may be revised at the option of CDCR/CCHCS at any time, or this RFI may be withdrawn or canceled by CDCR/CCHCS at any time.

Notwithstanding any other provision of this RFI, Participants are hereby specifically advised that this RFI is an informal solicitation of information only and is not intended to be, nor is it to be construed as, engaging in formal competitive bidding pursuant to any statute, code, ordinance, rule, or regulation. Therefore, CDCR/CCHCS shall not be obligated by any responses received by CDCR/CCHCS or by any statements or representations, whether oral or written, that may be made by CDCR/CCHCS, and CDCR/CCHCS reserves the right to reject any or all information submitted hereunder for any reason whatsoever. CDCR/CCHCS shall be held free from any liability resulting from the use or implied use of the information submitted in any response to this RFI. Submission of response shall constitute the Participant's acknowledgment of this notice and the Participant's acceptance of this disclaimer.

B. BACKGROUND

CDCR is currently responsible for health care services to approximately 90,000 incarcerated persons in thirty-one (31) CDCR institutions (refer to Attachments B and C) and thirteen (13) Reentry Programs (REPS) facilities (refer to Attachments D and E) throughout the state. The scope of the health care mission includes primary, urgent, acute, emergency, and long-term mailto:m_CHCPNRFP@cdcr.ca.gov

California Department of Corrections and Rehabilitation RFI Number SD-25-00033 California Correctional Health Care Services Correctional Health Care Provider Network care, as well as preventative care and chronic care management. Cases requiring specialty medical consultation, treatment, or complex specialty management are seen remotely by telemedicine or referred to community-based medical service providers.

In 2014, CCHCS contracted with a Health Care Provider Network (HCPN) to develop and implement a network of community-based healthcare providers to provide services to incarcerated persons within CDCR and REPS that are not available in the CDCR institutions or REPS facilities. The network consists of hospitals, onsite and offsite specialty care, and a full scope of ancillary services.

C. SCOPE OF WORK AND REQUIREMENTS

CCHCS is requesting information from qualified contractors that can provide a HCPN to our patient population. The organization will enter into contracts with sufficient numbers, types and geographic locations of participating Providers to ensure that all covered services will be available and accessible to CDCR and REPS incarcerated persons, in accordance with CCHCS’ requirements. It will establish and expand the number of cost-effective provider contracts within the statewide HCPN for off-site and on-site health care to CDCR and REPS patients. The network must also include provider services in Oregon, Nevada, and Arizona for nearby CDCR institutions or facilities. The organization must contract with select hospitals, physicians, and other Providers identified by CCHCS if the Provider meets organization’s network standard and pricing guidelines. The HCPN shall include, but is not limited to, the services found in Attachment A – Scope of Services and Attachment A-1 – Prior Authorization. The organization will be required to interface or data share with both CCHCS and a Third-Party Administrator for claims administration.

D. RFI KEY ACTION DATES AND TIMES

Listed below are the key activities, actions, dates, and times by which the activities must be taken or completed for this RFI. If the State finds it necessary to change any of these dates, it will be accomplished via an addendum to the RFI.

Action Item Anticipated Date

Release of RFI 2/20/2026 RFI Response Due 03/13/2026 at 4:00 p.m. PST

E. RESPONDING TO THE RFI

The following outline is the expected format and content to be provided by Participants:

1. A cover memo with contact information for a specific person within the organization to answer any questions regarding documents submitted for this RFI.

2. A brief description of the organization’s history and general business experience as relevant to the subject matter of this RFI.

3. A work plan including timeframes outlining the organization's ability to fulfill the requested services, deliverables, activities and/or tasks identified in Attachment A – Scope of Services and Attachment A-1 – Prior Authorization.

Responses to this RFI shall be submitted electronically to the RFI Point of Contact listed below:

RFI Point of Contact: Ekta Sahay Email Address: m_CHCPNRFP@cdcr.ca.gov mailto:m_CHCPNRFP@cdcr.ca.gov

ATTACHMENT A

SCOPE OF SERVICES

A. The Contractor shall have the following services included in the network:

1. Hospital Services Facility Services, Equipment, Personnel or other resources necessary to provide the service accordingly to generally accepted standards of hospital practice for inpatient, outpatient and Emergency Care Services.

a. Medical, Nursing, Surgical, Pharmaceutical and Dietary Services; basic medical supplies and basic diagnostic services, such as laboratory, radiological and X-Ray

b. Surgical procedures requiring overnight observation and treatments

c. Surgical procedures not requiring overnight observations and treatments

d. Full twenty-four (24) hour access to emergency services

e. Full twenty-four (24) hour access to Bed and Board

f. Tertiary/Bone Marrow and Solid Organ Transplant Services

g. Intensive Care and Related Services

h. Telemetry, Sub acute Services, and Acute Rehabilitation Services

i. Follow up appointments with Specialty Care Service Providers

j. Diagnostic and Imaging Services for Computed Tomography (CT), Magnetic resonance imaging (MRI), Ultrasound, Mammography, Neurological specialty in CT and MRI

k. Mental Health Treatment (Emergency Care Services)

l. Off-site Sleep Apnea Diagnostic Evaluation and Testing

m. Mental Health Treatment for Non-Emergency Care Services

2. Specialists/Physician Services

a. Emergency Services

b. Inpatient/Outpatient Medical Service Consultation and Treatment

c. Surgery Inpatient/Outpatient Consultation and Treatment

d. Surgery Center Inpatient Medical Treatment

e. Office Medical Services and Consultations

f. Telemedicine Services - Synchronous and Asynchronous

g. Institution On-site Specialty Physician Medical Services and Clinical

Services at institutions/facilities

h. Institution On-site Mobile Endoscopy and Colonoscopy Services

i. Low vision including medically necessary specialty lenses (e.g.

Keratoconus)

j. Gender assignment surgery evaluations and procedures

k. Bariatric Services

3. Ambulatory Surgery Centers and Specialty Service Centers

4. Medical Transportation Services – Emergency/Non-Emergency

a. Emergency and Non-Emergency Air and Ground Ambulance Transports

b. Basic Life Support

c. Advanced Life Support

d. Other medically necessary transportation services including long-distance transports.

5. Dental Specialty Services

a. Oral Surgeon Services

b. Maxillofacial

c. Periodontal

6. Mental Health Services

a. Providers of acute community hospitals must have the availability of mental health services when the attending physician team indicates it is clinically necessary.

b. Inpatient Acute Psychiatric Hospital Services

i. Medical, Nursing, Pharmaceutical and Dietary Services;

ii. Full twenty-four (24) hour access to Bed and Board;

iii. Diagnostic and Therapeutic Services as required;

iv. Basic medical supplies;

v. Basic diagnostic services, such as laboratory, radiological and X-

Ray;

vi. Mental Health Treatment (Emergency Care Services – which means medically necessary crisis intervention for situational crisis or acute episodes of mental illness); and

vii. Mental Health Treatment for Non-Emergency Care Services when treating team determines services are needed.

c. Psychiatrist(s) and hospital(s) to evaluate CDCR patient(s) and/or perform Electro Convulsive Therapy, as needed. Services must be provided upon request.

7. Medical Imaging Services

a. Off-site Medical Imaging Services

i. Including technical and professional component as designated in each section for general diagnostic procedures such as X-Rays, fluoroscopy, Ultrasound, Mammography, CT, MRI, Positron Emission Tomography (PET), and any other radiology services, etc.

b. Off-site Radiology Services

i. Physician interpreting off-site CDCR patient medical imaging exams shall provide professional and technical components for general X-rays, fluoroscopy procedures, diagnostic/breast Ultrasound, and diagnostic/biopsy Mammography, CT, MRI, and PET.

c. On-site Medical Imaging/Mobile Imaging Services

i. Services shall include technical and professional component as designated in each section for general diagnostic procedures such as X-Rays, fluoroscopy, Ultrasound, Mammography, CT, MRI, PET, radiologic procedures, etc.

ii. Mobile echocardiography services performed by a qualified technician and qualified physician interpreters.

d. Imaging Read and Interprets

i. Radiologist(s) to interpret medical imaging exams

e. Radiology Supervisor/Operator Services

8. Clinical Laboratory Services

a. STAT and Routine Testing:

b. Courier services

c. Electronic Lab Reporting System/Laboratory Information System

9. Pathology Services

10. Telemedicine Services – Synchronous

11. Telemedicine Services - Asynchronous

a. eConsult

b. Store and Forward

12. Onsite and Offsite Medicated Assisted Treatment (MAT) Services

13. Reentry Program Contractor shall provide primary care services in the community for patients from the MCRP and the CCTRP, collectively known as REPS. Services shall include:

a. Physician Services (Primary Care)

b. Optometry Services

c. Dental Services

14. Centers of Excellence (Centers of Excellence are defined as those centers for which there are specific credentialing criteria for the facility and physicians), to perform highly specialized, high-cost procedures such as transplants, burns, cancer treatment, and coronary artery bypass grafts, etc.

B. Provider Network Directory

1. Customizable web-based portal, or

2. Provider data file

C. Credentialing and Privileging of Providers

California Department of Corrections and Rehabilitation RFI Number SD-25-00033

Correctional Health Care Provider Network

ATTACHMENT A-1

PRIOR AUTHORIZATION

I. The Contractor is responsible to furnish all necessary personnel, materials, facilities, and other services (unless otherwise specified) to accomplish delivery of the Services described in this exhibit. The Contractor shall be able to perform the tasks associated with providing the above services and assume full responsibility for the provision of these services. Any and all services performed outside the scope of this Exhibit will be at the sole risk and expense of the Contractor.

11. Electronic Prior Authorization System

A. Web Portal

B. Reporting capabilities by institution, CDCR patient-inmate, requesting / referring physician, etc.

C. Prior Authorization and claims matching

D. Utilization Management collaboration

E. Case Management Guidelines

F. Change Management Services

G. Implementation and Development of system

H. Customization Capabilities

Page 1of

ATTACHMENT B

LIST OF PARTICIPATING CDCR INSTITUTIONS

Institution Avenal State Prison (ASP) 1 Kings Way Avenal, CA 93204-9708

(559) 386-0587 Ext. 7426; Fax (559) 386-7450

Centinela State Prison (CEN) 2302 Brown Road Imperial, CA 92251

(760) 337-7900 Ext. 7045; Fax (760) 482-3004

California Correctional Institution (CCI) 24900 Highway 202 Tehachapi, CA 93561-5558

(661) 822-4402 Ext. 3289

California Health Care Facility – Stockton (CHCF) 7707 Austin Road Stockton, CA 95215-8312

(209) 467-2500

California Institution for Men (CIM) 14901 Central Avenue Chino, CA 91710-9500

(909) 597-1821 Ext. 6533; Fax (909) 606-7009

California Institution for Women (CIW) 16756 Chino-Corona Road Corona, CA 92880-9508

(909) 597-1771 Ext. 3702; Fax (909) 606-4925

California Medical Facility (CMF) 1600 California Drive Vacaville, CA 95687

(707) 448-6841 Ext. 2601

California Men’s Colony (CMC) Highway 1 San Luis Obispo, CA 93409-0001

(805) 547-7675; Fax (805) 547-7520

Institution California Rehabilitation Center (CRC) 5th Street & Western Norco, CA 92860

(951) 737-2683; Fax (951) 273-2326

California State Prison – Corcoran (COR) 4001 King Avenue Corcoran, CA 93212-9611

(559) 992-8800 Ext. 6924; Fax (559) 992-9423

California State Prison – Los Angeles County (LAC) 44750 60th Street West Lancaster, CA 93536-7619

(661) 729-2000 Ext. 7879; Fax (661) 723-8331

California State Prison – Sacramento (SAC) 100 Prison Road Represa, CA 95671-3000

(916) 985-8610 Ext. 6554

San Quentin Rehabilitation Center (SQ) 1 Main Street San Quentin, CA 94964

(415) 721-3506

California State Prison – Solano (SOL) 2100 Peabody Road Vacaville, CA 95687-6639

(707) 451-0182 Ext. 5333; Fax (707) 454-3202

California Substance Abuse Treatment Facility and State Prison, Corcoran (SATF) 900 Quebec Avenue Corcoran, CA 93212-9715

(559) 992-7100 Ext. 5734; Fax (559) 992-7542

Calipatria State Prison (CAL) 7018 Blair Road Calipatria, CA 92233-9633

(760) 348-7000 Ext. 5450

Institution Central California Women’s Facility (CCWF) 23370 Road 22 Chowchilla, CA 93610-8504

(559) 665-5531 Ext. 7714; Fax (559) 665-8199

Correctional Training Facility (CTF) Highway 101 North Soledad, CA 93960

(831) 678-3951 Ext. 4103; Fax (831) 678-5882

Folsom State Prison (FSP) 300 Prison Road Represa, CA 95671-3001

(916) 985-2561 Ext. 4760; Fax (916) 351-3001

High Desert State Prison (HDSP) 475-750 Rice Canyon Road Susanville, CA 96130

(530) 251-5100 Ext. 5456

Ironwood State Prison (ISP) 19005 Wiley’s Well Road Blythe, CA 92225-2287

(760) 921-3000 Ext. 6713

Kern Valley State Prison (KVSP) 3000 West Cecil Avenue Delano, CA 93215-1821

(661) 721-6300 Ext. 5988; Fax (661) 721-6377

Mule Creek State Prison (MCSP) 4001 Highway 104 Ione, CA 95640

(209) 274-4911 Ext. 6656; Fax (209) 274-5024

North Kern State Prison (NKSP) 2737 West Cecil Avenue Delano, CA 93215-1821

(661) 721-2345 Ext. 6012

Institution Pelican Bay State Prison (PBSP) 5905 Lake Earl Drive Crescent City, CA 95532-0001

(707) 465-1000 Ext. 7002; Fax (707) 465-9127

Pleasant Valley State Prison (PVSP) 24863 West Jayne Avenue Coalinga, CA 93210-9502

(559) 935-4900 Ext. 5720; Fax (559) 935-4977

Richard J. Donovan Correctional Facility (RJD) 480 Alta Road San Diego, CA 92179-0001

(619) 661-6500 Ext. 8670; Fax (619) 661-7502

Salinas Valley State Prison (SVSP) 31625 Highway 101 Soledad, CA 93960-9529

(831) 678-5500 Ext. 6058; Fax (831) 678-5504

Sierra Conservation Center (SCC) 5100 O’Byrnes Ferry Road Jamestown, CA 95327-9102

(209) 984-5291 Ext. 5560; Fax (209) 984-0151

Valley State Prison (VSP) 21633 Avenue 24 Chowchilla, CA 93610-9650

(559) 665-6100 Ext. 6898; Fax (559) 665-8943

Wasco State Prison – Reception Center (WSP) 701 Scofield Avenue Wasco, CA 93280-7515

(661) 758-8400 Ext. 6561; Fax (661) 758-7088

Crescent City

Upper Northern

ATTACHMENT C

CDCR INSTITUTIONS MAP

Pelican Bay State Prison

Susanville High Desert State Prison

Folsom State Prison

California State Prison, Sacramento

California Medical Facility

California State Prison, Solano

San Quentin Rehabilitation Center

California Health Care Facility

Northern California

San Francisco Stockton

Modesto

Mule Creek State Prison

Sierra Conservation Center

Valley State Prison

Salinas Valley State Prison

Central California Women’s Facility Chowchilla

Central Correctional Training Facility

Pleasant Valley State Prison

Avenal State Prison

Salinas Soledad

Valley

Coalinga Corcoran

Avenal

California State Prison, Corcoran

Substance Abuse Treatment Facility

North Kern State Prison

Kern Valley State Prison

Wasco State Prison Central Coast

California Men’s Colony

California Correctional Institution

California State Prison, LA County

California Institution for Men

Los Angeles Basin California Institution for Women

California Rehabilitation Center

Lancaster

Los Angeles Chino

San Bernardino

Riverside

Southern Desert

Ironwood State Prison

Blythe

For more information, visit our website www.cchcs.ca.gov, or contact us: toll-free

Calipatria State Prison

San Diego

Calipatria

El Centro

(877) 793-4473 MedCareers@cdcr. ca.gov Richard J. Donovan Correctional Facility San Diego

Centinela State Prison

Rev. 10/02/2024

WestCare, Inc. (San Diego) CoreCivic (San Diego) Address: 3050 Armstrong Street Address: 2727 Boston Avenue City/State/Zip San Diego, CA 92111 City/State/Zip San Diego, CA 92113

La Cada (Santa Fe Springs) Tri-County Treatment (Butte) Address: 11121 Bloomfield Avenue Address: 2740 Oro Dam Blvd East City/State/Zip Santa Fe Springs, CA 90670 City/State/Zip Oroville, CA 95966

Mental Health Systems / Casa Aurora (Bakersfield) Turning Point (Kern) Address: 1932 Jessie Street Address: 1100 Union Avenue City/State/Zip Bakersfield, CA 93305 City/State/Zip Bakersfield, CA 93307

WestCare, Inc. (Stockton) HealthRight 360 / Walden House (Los Angeles-1) Address: 1609 North Wilson Way Address: 2307 W. 6th Street City/State/Zip Stockton, CA 95205 City/State/Zip Los Angeles, CA 90057

St. John's Program for Real Change (Sacramento) Amity Foundation (Los Angeles-2) Address: 4410 Power Inn Road Address: 3745 S. Grand Avenue City/State/Zip Sacramento, CA 95826 City/State/Zip Los Angeles, CA 90007

Amity Foundation / La Entrada (Los Angeles) GeoGroup (Los Angeles-3) Address: 2756 James M. Wood Blvd. Address: 2233 E. 69th Street City/State/Zip Los Angeles, CA 90006 City/State/Zip Long Beach, CA 90805

Mental Health Systems (Fresno) Address: 2550 W. Clinton Ave City/State/Zip Fresno, CA 93705

ATTACHMENT D

REENTRY(REPS) PROGRAM CONTRACT FACILITY LOCATIONS

FCRP MCRP

AGENDA

1. MCRP Butte

2. FCRP Sacramento

3. FCRP Stockton

4. FCRP Bakersfield

5. MCRP Kern

6. MCRP Los Angeles

7. MCRP Los Angeles-2

8. FCRP Santa Fe Springs

9. FCRP Los Angeles

10. MCRP Los Angeles-3

11. FCRP San Diego

12. MCRP San Diego

13. MCRP Fresno

13 Locations Statewide

ATTACHMENT E

REPS FACILITIES MAP

Attachment C - CDCR Institutions Map.pdf
Untitled
Attachment D - REPS Facilities.pdf
Addresses
Attachment E - REPS Facilities Map.pdf
AGENDA

File details come from the government source that posted it. Updated .