SLED Opportunity · CALIFORNIA · COUNTY OF SACRAMENTO

    Draft - not Use, for parts

    Issued by County of Sacramento
    countyRFPCounty of SacramentoSol. 266352
    Closed
    STATUS
    Closed
    due May 28, 2026
    PUBLISHED
    May 21, 2026
    Posting date
    JURISDICTION
    County of
    county
    NAICS CODE
    621610
    AI-classified industry

    AI Summary

    Sacramento County DHS requests proposals for case management and utilization management services under the Medically Indigent Services Program to ensure coordinated care for uninsured low-income adults, emphasizing fiscal accountability and timely claims processing.

    Opportunity details

    Solicitation No.
    266352
    Type / RFx
    RFP
    Status
    open
    Level
    county
    Published Date
    May 21, 2026
    Due Date
    May 28, 2026
    NAICS Code
    621610AI guide
    Agency
    County of Sacramento

    Description

    The Sacramento County Department of Health Services (DHS) is seeking qualified organizations to provide comprehensive Case Management (CM) and Utilization Management (UM) services for individuals enrolled in the County Medically Indigent Services Program (CMISP), including claims adjudication. This initiative is intended to ensure medically indigent residents receive timely, appropriate, and coordinated care while promoting responsible stewardship of limited public resources.

    The CMISP model emphasizes:

    • Evidence-based care coordination and utilization review (UR)
    • Strong integration with County clinics, hospitals, and community partners
    • Fiscal accountability and performance-based outcomes

    Background

    CMISP provides access to medically necessary health care for uninsured, low-income adults who do not qualify for Medi-Cal or other coverage. Recent federal policy changes House Resolution 1 (H.R. 1) may increase demand for CMISP as some residents lose Medi-Cal eligibility.
    The County’s objective is to preserve continuity of care for medically vulnerable populations while maintaining fiscal sustainability.

    Key goals include:

    • Preserving access to medically necessary care
    • Preventing avoidable emergency department utilization and hospitalizations
    • Implementing effective utilization controls and cost containment strategies
    • Executing timely claims adjudication, payment processing, and the Explanation of Benefits (EOB)
    • Provide subject‑matter expertise to develop protocols and establish guidelines

    Project Details

    • Reference ID: Test1
    • Department: Health Services
    • Department Head: Tim Lutz (Director)

    Important Dates

    • Questions Due: 2026-05-26T07:00:00.000Z
    • Pre-Proposal Meeting: 2026-05-25T20:00:00.000Z — Zoom

    Addenda

    • Addendum #1 (released 2026-05-21T22:48:19.562Z) —

      Please use the See What Changed link to view all the changes made by this addendum.

    Evaluation Criteria

    • Minimum Qualifications

      Respondent meets all of the minimum qualifications as outlined in Section 3.

    • Financial Evaluation

      All required financial documents submitted and demonstrates financial stability.

    • Insurance Evaluation

      Insurance requirements are met by submission of an insurance certificate(s) demonstrating current coverage or submission of a letter from an insurance broker indicating that a policy for the level of coverage required can be issued.

    • Proposal Questions

      PROGRAM UPDATE THIS SECTION

    • Budget and Budget Narrative (10 pts)

      Use the budget template provided in Section 16. Attachment B to illustrate a budget proposal that clearly outlines costs for services provided.

      Budget

      Allocated funding for these services is in an amount up to $XXXXXXX.

      1. Overall reasonableness of the budget, including the FTEs for each listed position.
      2. Budget amount is within the provided Fiscal Year amounts. 

      Budget Narrative

      1. Provide detailed information for each line item in the budget, including types and levels of staffing.
      2. Justification of expenses listed for each line item.
      3. Define what is included in the indirect overhead expenses line item.

    Submission Requirements

    • Business Legal Name and Physical Address (required)

      Enter the following information:

      1. Legal Name of Business
      2. Physical Street Address, City, State, & Zip Code
      3. Mailing Address (if different from physical address)
    • Point of Contact Name and Title (required)

      Enter the name and title of the person to contact regarding this RFP. 

    • Point of Contact Email Address (required)
    • Name of Authorized Signer (required)
    • Financial Documents (required)

      Please upload financial documents here as outlined in Section 6.1 Financial Screening. 

    • Insurance Dcouments (required)

      Please upload Certificate of Insurance or insurance letter from broker as outlined in Section 6.2 Insurance Screening.

    • Confidential Company Information (if applicable)

      The County will treat all information submitted in a proposal as available for public inspection once the County has selected a contractor. If you believe that you have a legally justifiable basis under the California Public Records Act (Government Section 6250 et. seq.) for protecting the confidentiality of any information contained within your proposal, you must identify any such information, together with the legal basis of your claim in your proposal, and present such information in this section as part of your response package. Click "File Upload" below to upload your confidential documents.

    • Contractor Certification of Compliance (required)

      WHEREAS it is in the best interest of Sacramento County that those entities with whom the County does business demonstrate financial responsibility, integrity and lawfulness, it is inequitable for those entities with whom the County does business to receive County funds while failing to pay court-ordered child, family and spousal support which shifts the support of their dependents onto the public treasury.

      Therefore, in order to assist the Sacramento County Department of Child Support Services in its efforts to collect unpaid court-ordered child, family and spousal support orders, the following certification must be provided by all entities with whom the County does business:

      CONTRACTOR hereby certifies that either:

    • Contractor Certification of Compliance Cont... (required)

      New CONTRACTOR shall certify that each of the following statements is true:

      1. CONTRACTOR has fully complied with all applicable state and federal reporting requirements relating to employment reporting for its employees; and
      2. CONTRACTOR has fully complied with all lawfully served wage and earnings assignment orders and notices of assignment and will continue to maintain compliance.

      NOTE: Failure to comply with state and federal reporting requirements regarding a contractor's employees or failure to implement lawfully served wage and earnings assignment orders or notices of assignment constitutes a default under the contract; and failure to cure the default within 90 days of notice by the County shall be grounds for termination of the contract. Principal Owners can contact the Sacramento Department of Child Support Services at 1-866-901-3212, by writing to P.O. Box 269112, Sacramento, 95826-9112, or via the Customer Connect website at www.childsup.ca.gov.

    • Non-Collusion Affidavit (required)

      I state that I am authorized to make this affidavit on behalf of my firm, and its owners, directors, and officers. I am the person responsible in my firm for the price(s) and the amount of this proposal.

      I state that:

      1. The price(s) and amount of this proposal have been arrived at independently and without consultation, communication or agreement with any other contractor, bidder or potential bidder, except as disclosed below in the exceptions field (accept with exceptions).
      2. That neither the price(s) nor the amount of this proposal, and neither the approximate price(s) nor approximate amount of this proposal, have been disclosed to any other firm or person who is a bidder or potential bidder, and that they will not be disclosed before proposal opening.
      3. No attempt has been made or will be made to induce any firm or person to refrain from submitting a proposal on this contract, or to submit a proposal higher than this proposal, or to submit any intentionally high or noncompetitive proposal/bid or other form of complementary proposal.
      4. The proposal by my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary or other noncompetitive proposal.
      5. My firm, its affiliates, subsidiaries, officer, directors and employees are not currently under investigation by any governmental agency and have not in the last five years been convicted of or found liable for any act prohibited by State or Federal law in any jurisdiction, involving conspiracy or collusion with respect to bidding on any public contract.
      6. No current or previous employee of the County of Sacramento (employed by County of Sacramento within the last calendar year) has been involved or is currently involved in any manner, directly or indirectly, with bidder’s response or considerations in responding to this request.

      I understand and my firm understands and acknowledges that the above representations are material and important, and will be relied upon by the County of Sacramento in awarding the contract(s) for which this proposal is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from the County of Sacramento of the true facts relating to the submission of proposals/bids for this contract. Any violation of this certification shall render bidder’s response invalid. In such a case, bidder’s response will be immediately disqualified.

    • Certification Regarding Debarment and Suspension (required)

      CONTRACTOR agrees to comply with 5 U.S.C. 1501-1508, 31 U.S.C. §1352 and 45 CFR Part 76.100 (Code of Federal Regulations), which provides that federal funds may not be used for any contracted services, if CONTRACTOR is debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency.

      I (We) certify to the best of my (our) knowledge and belief, that CONTRACTOR named below and its principals:

      1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;
      2. Have not within a three (3)-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
      3. Are not presently indicted or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (2) of this certification; and
      4. Have not within a three (3)-year period preceding this application/proposal/agreement had one or more public transactions (Federal, State, or local) terminated for cause or default.
      5. Shall notify COUNTY OF SACRAMENTO, CONTRACT & PURCHASING SERVICES DIVISION within ten (10) days of receipt of notification that CONTRACTOR is subject to any proposed or pending debarment, suspension, indictments or termination of a public transaction.
      6. Shall obtain a certification regarding debarment and suspension from all its subcontractors that will be funded through this Agreement.
      7. Hereby agree to terminate immediately, any subcontractor’s services that will be/are funded through this Agreement, upon discovery that the subcontractor is ineligible or voluntarily excluded from covered transactions by any federal department or agency.
    • SAM.gov (required)

      Please enter your legal entity name for SAM.gov verification.

    • The respondent has read the sample terms and conditions and will accept the contract terms and conditions. (required)
    • Under penalty of perjury, the undersigned states that the foregoing statements are true and correct. The undersigned also acknowledges that any person, firm, corporation or entity intentionally submitting false information to the County in an attempt to qualify for local preference shall be prohibited from bidding on Sacramento County products and services for a period of one (1) year. (required)
    • Proposal Questions

      There are no character limits.

      Any additional materials, including external links, and/or documents submitted beyond those requests will not be reviewed or evaluated.

    • Does the respondent meet all minimum requirements as specified in this solicitation? (required)
    • Describe in detail how your agency meets the Minimum Qualifications as outlined in this solicitation. (required)
    • References (required)

      Include three (3) Company references that include the following information here:

      Reference 1

      • Agency/Company Name
      • Project Name
      • Project Size (Cost/Unit & Total Cost)
      • Project Type
      • Year Completed
      • Name of Project Manager
      • Email Address & Phone Number
      • Brief Physical Description of Project
    • References Letters of Support

      Upload letters of support here (if applicable). 

    • Show scoring/weights for the evaluation criteria in RFP? (required)
    • Will this procurement require onsite services or goods to be delivered by the supplier? (required)
    • Are services involved in this project? (required)
    • Include HIPPAA form? (required)
    • Include Good Neighbor Policy? (required)

      Applies to contract when vendor provides a direct service to County constituents and has a potential impact on neighborhoods

    • Is this project going to exceed $1m? (required)

      If project is in excess of $1M, this will Include the Iran Contracting Act Disclosure Form and exclude the local/micro business preferences.

    • Include Web Accessibility Policy? (required)

      Applies contracts with web content

    • Is this project Federally funded? (required)
    • Will this project include software (any type)? (required)
    • Include Prevailing Wage? (required)
    • Do you want to include a question for respondents to confirm that they will accept all County contract terms & Conditions? (required)

      If "YES" Buyer must attach the associated contract or contract language in the Attachments section.

    • Basis for Award (Calendar Days) (required)

      Proposal responses will be considered valid for a period of [##] calendar days after RFP closing date above (Enter a number value only such as "90" or "120").

    • Include Results-Based Accountability language? (required)

    Key dates

    1. May 21, 2026Published
    2. May 28, 2026Responses Due

    AI classification tags

    Frequently asked questions

    SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.

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