Department of Health Care Services

Buyer is seeking an entity to provide managed care enrollment broker services for California's Medicaid program (Medi-Cal). The contractor will take over, operate, and eventually turn over the Health Care Options (HCO) Program. Services include enrolling and dis-enrolling Medi-Cal members from managed care plans while improving services to members and system users. This is currently an RFI to alert potential bidders of an upcoming RFP release.

• 4/15/2025 - Published Date
• 5/15/2025 - Proposal Due Date

• Takeover existing HCO Program operations
• Enroll Medi-Cal members into managed care plans
• Dis-enroll members from managed care plans
• Improve services to Medi-Cal members
• Support federal and State of California users accessing HCO Program
• Meet HCO Program business requirements
• Achieve specified performance outcomes
• Operate the HCO Program efficiently
• Prepare for eventual turnover of the program
• Implement managed care enrollment broker services