Day Treatment Intensive Services for Adult Medi-Cal Beneficiaries

The County of Orange Health Care Agency is soliciting proposals through a fully electronic Request for Proposals (RFP) process to provide Day Treatment Intensive (DTI) services for adult Medi-Cal beneficiaries with serious mental illness aged 18 and older residing in Orange County. DTI services must be delivered as structured, multidisciplinary therapeutic programs providing between three and 24 hours of daily services, with the County preferring providers that offer both full-day (more than four program hours daily) and half-day (minimum three program hours daily) services operating at least six days per week. Qualified respondents must verify they are not listed on federal or state exclusion lists, have no pending criminal charges or sanctions, and must submit comprehensive documentation including articles of incorporation, financial statements, and audit reports, along with all required compliance certifications and disclosures prior to award. The evaluation process will employ a two-phase approach with written proposals scored against a maximum of 800 points and optional presentations/interviews scored up to 200 points, with the final contract term beginning October 1, 2026, through June 30, 202X. Critical deadlines include a question submission deadline of March 31, 2026, at 4:00 PM and a proposal submission deadline of April 7, 2026, at 4:00 PM, with all submissions required through the County's online eProcurement Portal only; the anticipated Board of Supervisors approval date is August 11, 2026.

The procurement includes preference designations for certified Orange County Local Small Businesses (OCLSB) and Disabled Veteran Business Enterprises (DVBE), with a five percent preference applied to OCLSB or DVBE certified respondents and an eight percent preference for those certified as both; respondents using subcontractors to qualify for these preferences must allocate at least 20 percent of the total bid amount to such subcontractors. Compensation will be structured as fee-for-service reimbursement based on 2026-27 California Department of Health Care Services (DHCS) rates for DTI full-day and half-day services, funded through Medi-Cal Full Financial Participation, with the County providing no start-up funds; contractors will be reimbursed monthly in arrears for eligible services, subject to an Amount Not to Exceed across three contract periods. Contractors must maintain substantial insurance coverage including commercial general liability of $1,000,000 per occurrence and professional liability insurance of $1,000,000on a claims-made basis, and are responsible for monthly Medi-Cal billing through the IRIS system and undergoing monthly sanction screening. The County reserves the right to make multiple awards and may extend the initial contract term contingent upon available funding, contractor performance, need for services, and County policies; no specific award values or budget ranges are disclosed in the solicitation materials provided.