Medical Survey Consultant Support

The California Department of Managed Health Care (DMHC) is seeking information to establish a vendor pool for health plan medical survey and clinical consulting services. The DMHC is interested in services to assess and analyze health plans' compliance with the Knox-Keene Health Care Service Plan Act of 1975, provide clinical consulting, and support the DMHC's medical survey process, including pre-onsite preparation, onsite work, and reporting of deficiency findings. The DMHC is seeking responses that detail the proposed contracted services, qualifications, and content by the due date of April 30, 2024. The DMHC reserves the right to revise, withdraw, or cancel the Request for Information (RFI) at any time, and to verify all information provided by respondents.

The RFI does not specify any set-aside designations or restrictions on the types of organizations that can respond. It also does not list any incumbent vendors or current contractors, nor does it provide any information on existing infrastructure or technology that requires integration. Additionally, the RFI does not include any details on possible award values or budget ranges.