Reimbursement Consulting Support Services

The County of San Mateo is soliciting proposals for Reimbursement Consulting Support Services to support San Mateo Medical Center (SMMC), a public hospital and clinic system serving San Mateo County. This Request for Proposals (RFP) seeks consulting expertise to design, prepare, and support Medicare and Medi-Cal Cost Reports, Medi-Cal FQHC PPS Reconciliation Reports, HCAI Annual and Quarterly Financial Disclosure Reports, Workbook Annual Financial Reports, AB85 Realignment Reports, AB915 Claiming Reports, and LTC Supplemental Claiming Reports, along with general support services including projections and analysis of federal and state regulatory changes, ad-hoc receivables and liabilities analysis, scenario analysis for enrollment structures, and audit support. Proposers must demonstrate minimum qualifications including 20 years of experience with California Public Hospital Reimbursement Department Reports, Audits, and Filings, legal authorization to conduct business in California, and System for Award Management (SAM) registration. The anticipated contract term is five years, with work estimated between 0.5 and 1.0 full-time equivalents distributed throughout the year due to fixed filing schedules imposed by federal and state agencies. Evaluation criteria allocate 54.5% of points to California Public Healthcare Reimbursement Reporting and Auditing Experience, 13.6% to General Public Healthcare Finance, Accounting, and Auditing Experience, and 22.7% to Price. The RFP deadline for questions and comments is May 26, 2026, at 1:00 p.m., and proposals are due by June 15, 2026, at 1:00 p.m., submitted electronically via the eProcurement portal. No pre-proposal conference or site visit is scheduled.

Local Business and Local Non-Profit enterprises are eligible for preferential points ranging from 5% to 10%, with additional incentive points available for Small or Micro Business designations. The County reserves the right to accept other than the lowest priced offer and intends to award to the responsive, responsible proposer offering the overall best value. Contractors must maintain comprehensive insurance coverage including General Liability of $1,000,000 per occurrence, Automobile Liability of $1,000,000 per accident, Workers' Compensation as required by California, and Cyber Liability and Technology Errors and Omissions coverage where applicable. All contractors are subject to strict compliance requirements including HIPAA Business Associate Agreement obligations for handling Protected Health Information, compliance with the Corporate Compliance Code of Conduct prohibiting kickbacks and requiring violation reporting within fifteen days, and full cooperation with audits and regulatory oversight. Contractors must also comply with the Living Wage Ordinance, Section 504 of the Rehabilitation Act, fingerprinting certification requirements for any child contact, vendor access policies for network and facility security, and assignment of all work product intellectual property to the County. No incumbent vendor or specific budget range has been identified in the procurement documents.