CalHEERS SDMO RFP #73040873

The State of California, through the Office of Technology and Solutions Integration (OTSI), is releasing Request for Proposal (RFP) #73040873 for System Development, Maintenance & Operations (SDMO) for the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS). The procurement seeks a comprehensive solution to support and enhance the CalHEERS project, which serves both Covered California and the Department of Health Care Services (DHCS). Key deliverables include maintaining system capabilities for account creation, consumer application processing, eligibility rules management, and health plan selection for insurance affordability programs. The system must interface with Statewide Automated Welfare Systems (SAWS) for Modified Adjusted Gross Income (MAGI) Medi-Cal eligibility, enrollment, and reporting, and provide data connectivity for programs like non-MAGI Medi-Cal, CalFresh, and CalWORKS. A mandatory in-person Bidders Conference is scheduled for October 15, 2025, at 9:30 a.m., with proposals due by October 31, 2026. Potential respondents must demonstrate technical expertise in healthcare system integration, eligibility management, and complex state-level technology solutions.

While specific set-aside designations are not detailed in the provided information, the complexity of the project suggests a need for highly qualified and experienced technology contractors with proven capabilities in healthcare system development and maintenance. The RFP appears to be structured for large-scale technology service providers with robust infrastructure and demonstrated experience in government healthcare technology solutions. The system requires integration with existing state welfare and healthcare platforms, indicating a preference for vendors with prior experience in complex, multi-system government technology environments. Although specific budget ranges are not disclosed in the initial documentation, the scale and complexity of the CalHEERS project suggest a substantial contract value commensurate with the comprehensive system development, maintenance, and operational requirements. Potential respondents should be prepared to demonstrate extensive technical capabilities, compliance with state technology standards, and a track record of successful large-scale system implementations in government healthcare technology domains.