Third Party Administrator (TPA) to bill State Medicaid for Correctional Healthcare Services

Description

The Solano County Sheriff’s Office (SCSO) is initiating a Request for Qualifications (RFQ) to identify and contract with a third-part administrator (TPA) of billing services who, on behalf of SCSO, will bill California’s Department of Health Care Services (DHCS) for specific healthcare services provided to inmates participating in the CalAIM JI Reentry Initiative.  SCSO seeks a TPA capable of delivering the scope of services summarized in the RFQ. The RFQ will be distributed to potential partners in February 2025.  SCSO will invite 2-3 respondents to participate in interviews and provide demonstrations of their capabilities during the latter half of March 2025 or early April 2025.  Based on RFQ responses, interviews, and demonstrations, SCSO will chose a vendor and begin contracting with the vendor by the end of April 2025 with the expectation that a contract will be finalized by the end of June 2025.  The chosen vendor is expected to begin engaging in planning and preparation activities in July 2025 to support SCSO’s Justice-Involved Reentry Initiative targeted launch date of September 29, 2026.