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Request for Proposal #20-10354

Fiscal Intermediary – Dental Business Operations

The Department of Health Care Services (DHCS) is releasing this RFP #20-10354 on behalf of the DHCS Medi-Cal Dental Services Division (MDSD). The purpose of the RFP is to solicit proposals from firms that are able to provide administrative business services for the Medi-Cal Dental Program. This RFP solicits proposals for the takeover and operation of business services related to the operation of the Medi-Cal Dental fee-for-service Program, including the effective and efficient adjudication of suspended claims, Treatment Authorization Requests (TARs) and related documents, while improving upon a wide range of customer services to members and providers.

DHCS intends for the selected proposer to take over these business services while utilizing the existing California Dental Medicaid Management Information System (CD-MMIS) to meet State and federal regulations and requirements of Medi-Cal and other dental-related programs, as described in this RFP. Programs that currently utilize CD-MMIS claims/TARs processing and other related services include Medi-Cal, California Children’s Services Program (CCSP), the Genetically Handicapped Persons Program (GHPP) and Regional Center Consumers. The selected proposer will be required to work collaboratively with the dental Fiscal Intermediary Contractor, responsible for maintaining the CD-MMIS mainframe and automated adjudication processes, in order to meet mutual contract responsibilities.

Questions regarding this RFP should be submitted via email to:  CDRFP3@dhcs.ca.gov.

Procurement Status

Notice of Intent to Award Released

Calendar

You may view and/or download the RFP from the Cal eProcure / Fi$Cal website using the instructions referenced below.

Date Released

Event
Comment
07/01/2022
Notice of Intent to Award
Notice of Intent to Award released. – View the NOIA document
02/07/2022
Administrative Bulletin
Administrative Bulletin 9, Official Responses 4 and Addendum 4, released.
01/05/2022
Administrative Bulletin
Administrative Bulletin 8, Addendum 3, released.
12/23/2021
Administrative Bulletin
Administrative Bulletin 7, Official Responses 3, released.
12/10/2021
Administrative Bulletin
Administrative Bulletin 6, Official Responses 2, released.
12/06/2021
Administrative Bulletin
Administrative Bulletin 5, Official Responses 1, released.
11/02/2021
Administrative Bulletin Administrative Bulletin 4, Addendum 2, released.
10/25/2021 Administrative Bulletin Administrative Bulletin 3 released.
10/25/2021
Administrative Bulletin
Administrative Bulletin 2 released.
10/13/2021
Administrative Bulletin Administrative Bulletin 1, Addendum 1, released.
10/04/2021 RFP Release
The Contracts Division announces the release of Request for Proposal 20-10354.
05/21/2021
Draft RFP Release The Contracts Division announces the release of Draft Request for Proposal 20-10354.

IMPORTANT:  This RFP has been officially released to the California State Contracts Register (CSCR) using the Cal eProcure/Fi$Cal website. Please use the instructions provided below to navigate to, and download, the RFP. All subsequent document releases for this RFP will also be made to the Cal eProcure/Fi$Cal website. As noted on the CD home page, it is highly recommended that all vendors wishing to contract with the State of California complete registration for the Cal eProcure/Fi$Cal system as it is the official location for RFP/IFB releases. Registration will also allow vendors to receive automatic notifications when contracting opportunities are posted for business categories of their choosing. If selected as a contractor, this system will be used for payments covered by the contract.

Fiscal Intermediary – Dental Business Operations RFP Cal eProcure/Fi$Cal Event Code: 20-10354

Step 1:  Visit the Cal eProcure website
Step 2:  Select “View Event Package”
Step 3:  Select “View” next to each element of the procurement package that you wish to download
Step 4:  Select “Download Attachment” that appears at the top of the webpage to begin your download

For website assistance, please contact the Contracts Division at (916) 552-8006 or by email at CDRFP0@dhcs.ca.gov

Go to the Contracts Division homepage.