Solicitations Archive

    RFO 2014-01 SaaS LMS

    Covered California is looking to migrate the content and User information from the current Learning Management System (LMS) to a new LMS. There are no system integrations required for this solution.

    RFP 2013-16 Change Management Consulting for Enrollment Functionality Improvements

    Covered California is currently reviewing its end to end consumer experience as it relates to the software and expertise operations systems. Covered California is looking to implement new functionality and enhance the existing functionality of the enterprise operations systems, to prepare for the next phase of health care insurance open enrollment in the fall of 2014. Covered California is looking for consulting firm with strong expertise in project and change management to quickly confirm Covered California's requirements for system and business changes for next Open Enrollment, and to facilitate design sessions to drive these changes through to documentation for other vendors to implement.

    RFI - Learning Management System (LMS) and/or Training Design, Development, Deliver

    The purpose of this Request for Information (RFI) is two-fold:
    1. To determine feasibility and costs of partnering with vendors who have the capacity to provide instructional design, development and delivery of Covered California blended-learning solutions.
    2. To review the Learning Management Systems (LMS) that are available, and determine if Covered California University should transition from our current system to an alternative system.

    RFP 2013-09 Actuarial Services

    Covered California is seeking health insurance actuarial services to support a range of activities related to Plan Management.

    You are invited to review and respond to this Request for Proposal (RFP). To submit a proposal to provide the requested services, you must comply with the instructions contained in this document as well as the requirements stated in the Scope of Work (SOW), Contractor Response Guidelines, and Attachment 2-D: Cost Worksheet. By submitting an offer, your company agrees to the terms and conditions stated in this RFP.

    RFP 2013-05: Enterprise-Wide Consumer Protection Assessment

    Covered California has decided to not award this contract.

    Qualified Health Plans Solicitation

    In January 2013, bids from health issuers proposing to sell Qualified Health Plans through the Exchange will be due to the Exchange. This QHP solicitation is the FINAL release of the information that the Exchange will be requesting from QHP bidders in order for the Exchange to make the final selections of which QHPs will be offered to the public in which geographic areas in California.

    HBEX26: Request for Proposals for Verbal Telephone Interpretation Services

    Covered California seeks the services of a vendor who will perform verbal telephone interpretation services (in culturally and linguistically appropriate manners for the minimum thirteen (13) Medi-Cal threshold languages. The vendor shall collaborate with all Covered California core business areas to ensure Covered California will provide prompt and clearly understood and accurate interpretation services that align with Covered California’s goal of providing first class customer service.

    HBEX24: Project Management Oversight, Small Business Health Options Program (SHOP)

    The purpose of this Request for Proposals is to provide Covered California with a qualified firm to provide project management support services and oversight for the Small Business Health Options Program (SHOP). Ideally, this would take the form of a Project Management Office (PMO). The PMO team would provide day-to-day project oversight and management support in order to stand-up the implementation phase and operation of the SHOP.

    HBEX23 - Marketing Recruitment Support

    The purpose of this Request for Proposal (RFP) is to provide Covered California with marketing recruitment services that will secure a marketing team for Covered California.

    HBEX21: Premium Accounting and Reconciliation

    The purpose of this solicitation is to obtain premium accounting and reconciliation support to perform accounting and reconciling of premium payments and associated advance premium tax credits, and establishing proper controls and fraud prevention that will be associated with the implementation of Covered California.

    HBEX20 - Business Process Management Support

    The purpose of this solicitation is to obtain the services of consultants to provide Covered California with business process management support that will align Covered California's business processes with the wants and needs of our enrollees.

    HBEX19 - Request for Offer for Health Care Training variety of audiences; focus group testing of program materials; written translations of program materials and readability of materials

    The purpose of this Request for Offer (RFO) is to obtain the services of a contractor who can work with Covered California to scope, develop, and deliver a comprehensive training program that leverages multiple sources of content into cohesive training packages for use throughout the needs of Covered California.

    HBEX18 – Tribal Community Mobilization Program

    Covered California is seeking proposals from qualified vendors to provide consultant services to inform and develop Covered California’s policies as they relate to American Indian and Alaska Native communities. A complete response to this solicitation is due March 13, 2013 by 4PM PST. Addenda may be released as needed.

    Details & Downloads:

    KEY ACTION DATES
    Request for Proposal Release Date: February 27, 2013 before 4PM
    Questions Due Date: March 5, 2013 by noon
    Response to Questions Due Date: March 7, 2013 by 4PM
    Proposals Due Date: March 20, 2013 by 4PM
    Notice of Intent to Award: April 5, 2013 by 4PM
    Estimated Term Dates: April 15, 2013 through April  14, 2014

    HBEX17 - General Agents

    Covered California is seeking to contract with qualified Health Insurance General Agents who are interested in providing General Agent services to Covered California’s Small Business Health Options Program (SHOP).

    HBEX16 - Supplemental Vision Benefits Solicitation (“Vision Plan Solicitation”)

    Any health issuer licensed to offer, market and sell vision plans in the individual or small group markets interested in offering supplemental vision services must respond to this Vision Plan solicitation. A complete response to this solicitation is due by March 1, 2013 at 12:00 PST. Addenda may be released as needed.

    Details & Downloads:

    Bidders' Library:

    March 29, 2013 NOTICE to Supplemental Benefit Bidders:

    Covered California is pleased to announce the extension of the Supplemental Dental Benefit Plan and Supplemental Vision Benefit Plan proposal deadline.

    Supplemental solicitation material can be submitted through May 1st, 2013. All components of the supplemental dental and vision solicitation responses must be submitted to Covered California by May 1 in order to be considered for supplemental benefits.

    Supplemental Dental and Supplemental Vision Bidders who have already submitted their proposals to Covered California may send any additional or modified documents to the Exchange by the May 1 deadline. Otherwise, if no changes are submitted, the original documents received by the Exchange will be considered for evaluation.

    Note: This notice applies only to carrier offerings for Supplemental Dental and Supplemental Vision Benefits.

    March 18, 2013 NOTICE to Supplemental Dental & Vision Plan Bidders:

    Covered California is pleased to announce the release of the revised Supplemental Dental and Vision Benefit Plan Designs. Bidders are expected to submit bids for the plans listed as well as adhere to the copayment amount limits for procedure categories where noted, though Covered California is not mandating exact copay amounts for individual procedures within each procedure category.

    All components of the dental solicitation response must be submitted to Covered California by April 2 in order to be considered.

    HBEX15 - Supplemental Dental and Pediatric Dental Essential Health Benefit Solicitation (“Dental Plan Solicitation”)

    Any health issuer licensed to offer, market and sell dental plans in the individual or small group markets interested in offering stand-alone dental services must respond to this Dental Plan solicitation. A complete response to this solicitation is due by March 1, 2013 at 12:00 PST. Addenda may be released as needed. Bidders may bid to offer the Pediatric Dental Essential Health Benefit Plan or the Supplemental Dental Benefit Plan or both.

    Details & Downloads:

    July 23, 2013 - Pediatric Dental EHB Model Contract Webinar

    Only those comments made in the provided template will be accepted. All comments are due to the Exchange at 5:00pm PST on June 28th. Send all comments to QHP@covered.ca.gov.

    Bidders' Library:

    March 29, 2013 NOTICE to Supplemental Benefit Bidders:

    Covered California is pleased to announce the extension of the Supplemental Dental Benefit Plan and Supplemental Vision Benefit Plan proposal deadline.

    Supplemental solicitation material can be submitted through May 1st, 2013. All components of the supplemental dental and vision solicitation responses must be submitted to Covered California by May 1 in order to be considered for supplemental benefits.

    Supplemental Dental and Supplemental Vision Bidders who have already submitted their proposals to Covered California may send any additional or modified documents to the Exchange by the May 1 deadline. Otherwise, if no changes are submitted, the original documents received by the Exchange will be considered for evaluation.

    If bidders responding to the Supplemental Dental Solicitation have already submitted all required Standalone Pediatric Dental EHB solicitation components by the mandatory Standalone Pediatric Dental EHB deadline, they are not required to resend duplicate documents for the purpose of the Supplemental solicitation. If bidders wish to amend these documents only for the purpose of the Supplemental Benefit solicitation, they may do so by the May 1 Supplemental Benefit deadline.

    Note: This notice applies only to carrier offerings for Supplemental Dental and Supplemental Vision Benefits.

    March 15, 2013 NOTICE to Pediatric Standalone Dental Plan Bidders:

    Covered California is pleased to announce the release of the revised Standalone Dental Standard Benefit Plan Designs. The DHMO and Dental PPO Low plans have been adjusted to meet the actuarial value requirement of 70% in accordance with final federal rules issued February 20, 2013. If submitting bids for the DHMO plans, standalone dental plan bidders are expected to adhere to the average copayment amounts for each procedure category where noted, though Covered California is not mandating exact copay amounts for individual procedures within each procedure category.

    Product filings and rate filings can be submitted to regulators through April 2. All components of the dental solicitation response, including Attachment 5 Product Filings and Attachment 8 Proposed Premiums – Pediatric Dental EHB, must be submitted to Covered California by April 2 in order to be considered. Standalone dental plan bidders are encouraged to submit responses prior to April 2 as the review of responses received is already underway.

    HBEX13 - Request for Proposals for Outside Legal Counsel

    The Exchange is seeking proposals from qualified vendors to provide legal counsel to assist with Affordable Care Act implementation, including interpretation and anticipation of federal guidance.

    HBEX12 Request for Offer - County Based Service Center

    The California Health Benefit Exchange is releasing a Request for Offer (RFO) to counties that already expressed interest in providing Service Center functions for the Exchange. At the August 23, 2012 Board Meeting, the Exchange issued a “Term Sheet for County Participation,” which identified all key terms for the Exchange’s Service Center needs. By September 2012, counties were required to express their interest in providing Service Center functions. Only counties who have already expressed interest are eligible to respond to this RFO.

    Details & Downloads:

    In order to address the questions about the RFO submitted on November 1st, the California Health Benefit Exchange will host a Bidders Conference and is also amending some of the Key Action Dates identified in the RFO.

    HBEX12 - County Service Center RFO Addendum 2 includes changes to Exhibit B - Budget Detail Payment Provisions. No other portions of the RFO are amended.

    The California Health Benefit Exchange is extending the Notice of Intent to Award date in the Key Action Dates identified in the RFO.

    HBEX11 - Administration of the Small Business Health Options Program (SHOP) Solicitation

    The Exchange is seeking proposals from qualified Vendors to provide for the Administration of the Small Business Health Options Program (SHOP). The Exchange seeks to contract with a Vendor for the following sales and operational services: Sales Support and Fulfillment, Agent and General Agent Management, Eligibility and Enrollment, Financial Management, Customer Service, and Information Technology Services. The Vendor is expected to support the business functions of the Exchange for SHOP in order to begin enrollment in health insurance coverage by the start of initial open enrollment in October 2013.

    Details & Downloads:

    Please note the following:

    • The Model Contract for the Administration of SHOP Solicitation is in development and will be posted as an Addendum.
    • The Exchange reserves the right to formally modify the Solicitation with an Addendum during the Solicitation process.
    • The last day to submit (a) Questions for Clarification of the Solicitation and (b) Notice of Intent to Bid is 10/17/12 at 12:00pm PST.
    • Please submit all correspondence to:
      • Kelly Long
        Associate Governmental Program Analyst
        California Health Benefit Exchange
        560 J Street, Suite 290
        Sacramento, CA 95814
        Email: HBEXSolicitation@hbex.ca.gov
        Exchange Office: (916) 323-3539
    • Stakeholder or Vendor comments can be sent to the email above using Attachment 25 – Inquiries of the solicitation document.

    Administration of SHOP Solicitation (posted 10/12/12)

    Addendum # 1 (posted 10/16/12)

    Addendum # 2 (posted 10/22/12)

    Addendum # 3 (posted 10/25/12)

    Addendum # 4 (posted 10/29/12)

    Addendum # 5 (posted 11/1/12)

    Notice of Intent to Award (posted 1/28/13)

    HBEX10 - Solicitation Support Consultant Services: Qualified Health Plan Management

    The Exchange is seeking proposals from qualified Vendors to provide support services for the Qualified Health Plan (QHP) solicitation. The ideal Vendor will develop, in consultation with the Exchange, an approach to evaluation of QHP bids that is organized, systematic, effective, and thorough and that will support selection of QHPs which will drive the Exchange’s vision of health care delivery system reform and affordability for California consumers in 2013.

    Details & Downloads:

    HBEX10 - Soliciation Support Consultant Services: Qualified Health Plan Management - Addendum # 1

    HBEX10 - Updated KEY ACTION DATES (11/21/2012)
    Release Addendum 1 Date: November 2, 2012 before 4PM
    Questions Due Date: November 7, 2012 by noon
    Response to Questions Due: November 15, 2012 by 4PM
    Proposals Due Date: November 30, 2012 by 4PM
    Estimated Interview Dates: December 11 – 13, 2012
    Notice of Intent to Award: December 14, 2012
    Estimated Term Dates: December 26, 2012 - July 31, 2013

    HBEX9 - Procurement Assistance Consultant Services Request for Offer

    The California Health Benefit Exchange (Exchange) seeks the assistance of a consultant, under the direction of the Exchange, to provide strategic and tactical support for developing and assessing of Service Center alternative approaches and the development of solicitation documents.

    Details & Downloads:

    HBEX9 - Procurement Assistance Consultant Services Request for Offer - Addendum # 1 (6/5/2012) The following files have been updated as part of Addendum # 1:

    HBEX9 - Procurement Assistance Consultant Services Request for Offer - Addendum # 2 (6/5/2012) The following files have been updated as part of Addendum # 2:

    HBEX9 - Procurement Assistance Consultant Services Request for Offer - Addendum # 3 (6/6/2012) The following files have been updated as part of Addendum # 3:

    HBEX8 - CalHEERS Project Independent Verification & Validation Services RFP

    The California Health Benefit Exchange is soliciting responses from qualified firms able to provide Project Independent Verification & Validation Services for the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS).

    Details & Downloads:

    HBEX8 - CalHEERS Project Independent Verifiction & Validation Services RFP - Addendum # 1 (posted 5/11/2012)

    The following files have been updated as part of Addendum # 1:

    HBEX8 - CalHEERS Project Independent Verifiction & Validation Services RFP - Addendum # 2 (posted 5/30/2012)

    The following files have been updated as part of Addendum # 2:

    HBEX8 - CalHEERS Project Independent Verifiction & Validation Services RFP - Notice of Intent to Award (posted 7/13/2012)

    The following files have been updated as part of the Notice of Intent to Award:

    Q&A Template:

    HBEX7 - CalHEERS PM and Technical Support Consulting Services RFP

    The California Health Benefit Exchange is soliciting responses from qualified firms able to provide Project Management and Technical Support Consulting Services to support State project staff during the Design, Development and Implementation of the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS).

    Details & Downloads:

    HBEX7 - CalHEERS PM and Technical Support RFP - Addendum # 1 (posted 3/7/2012)

    The following files have been updated as part of Addendum # 1:

    HBEX7 - CalHEERS PM and Technical Support RFP - Addendum # 2 (posted 3/9/2012)

    The following files have been updated as part of Addendum # 2:

    HBEX7 - CalHEERS PM and Technical Support RFP - Addendum # 3 (posted 3/16/2012)

    The following files have been updated as part of Addendum # 3:

    HBEX7 - CalHEERS PM and Technical Support RFP - Addendum # 4 (posted 4/4/2012)

    The following files have been updated as part of Addendum # 4:

    HBEX7 - CalHEERS PM and Technical Support RFP - Notice of Intent to Award (Posted 5/11/2012)

    The following file has been updated as part of Notice of Intent to Award:

    HBEX6 - The California Health Benefit Exchange is seeking proposals for the consultation on the design and development of the Small Business Health Options Program (SHOP)

    The California Health Benefit Exchange is the state agency that is building the Federal Patient Protection and Affordable Care Act’s Small Business Health Options Program (SHOP). The SHOP will provide health care coverage to small businesses and their employees in California. This Request for Offer is part of the Exchange’s Level I Grant implementation activities. The Exchange must complete these activities to become a federally qualified and fully operational exchange. Experienced firms that are interested in sharing their qualifications and ideas to assist us in the design and development of the SHOP can find the pertinent information in the link below.

    Details & Downloads:

    The contact persons for this solicitation are and Dennis Gilliam (916-263-0743) and Thien Lam (916-263-4272). Both can be reached via e-mail at HBEXSolicitation@hbex.ca.gov. When submitting inquiries, please reference this Request for Offer number (i.e. HBEX6). The last day to submit vendor inquiries is February 21, 2012, by 5:00 p.m. PST. Reponses to questions will be posted on the Exchange’s Website: www.hbex.ca.gov, under the Solicitations Tab.

    HBEX5 - The California Health Benefit Exchange is seeking proposals for the Consultation on Qualified Health Plan Management and Delivery System Improvement.

    The Exchange is the state agency that is building the Federal Patient Protection and Affordable Care Act’s qualified health exchange for individuals and small businesses in California. This links to a formal solicitation to secure an experienced consultant firm to assist us in establishing standards for participating by Qualified Health Plans in the Exchange and assuring that Exchange programs, as implemented through participating plans, have an impact on delivery system improvements. This procurement is part of the Exchange’s Level I Grant implementation activities. The Exchange must complete these activities to become a federally qualified and fully operational exchange. Firms that are interested in sharing their qualifications and ideas through our Model Contract Solicitation can find the pertinent information here.

    HBEX4 - California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) Development and Operations Services Solicitation

    California Health Benefit Exchange is pleased to announce the release of its solicitation to acquire the service of a contractor to design, develop and deploy functionality to meet the requirements of the Affordable Care Act relating to the Exchange, Medi-Cal and Healthy Families.

    Details & Downloads:

    CalHEERS Solicitation (posted 1/18/2012)

    Appendices:

    CalHEERS Solicitation - Addendem # 1 (posted 1/26/2012)

    The following files have been updated as part of Addendum # 1:

    Note: Solicitation Single Point of Contact email address is hbexsolicitation@hbex.ca.gov

    CalHEERS Solicitation - Addendem # 2 (posted 2/10/2012)

    The following files have been updated as part of Addendum # 2:

    CalHEERS Solicitation - Addendum # 3 (posted 2/18/2012):

    The following files have been updated as part of Addendum # 3:

    CalHEERS Solicitation - Addendum # 4 (posted 2/22/2012):

    The following files have been updated as part of Addendum # 4:

    CalHEERS Solicitation - Notice of Intent to Award (posted 5/31/2012):

    The following file has been updated as part of Notice of Intent to Award:

    Formal Notice of Intent to Respond

    The California Health Benefit Exchange seeks input from vendors who intend to respond to the CalHEERS solicitation. We encourage vendors who plan to respond to the solicitation to submit a Formal Notice of Intent to Respond by December 30, 2011.

    If you want access to the Bidder's Library, please contact lori.smith@osi.ca.gov and farzad.ghazizadeh@osi.ca.gov.

    https://portal.dhs.ca.gov/sites/calheersbidders/

    Comments on CalHEERS Solicitation

    HBEX3 - Recruitment Services for Exempt Executive Level Positions

    The California Health Benefit Exchange is seeking proposals for recruitment services for exempt executive level positions. The Exchange is the new state agency that is building the Federal Patient Protection and Affordable Care Act’s qualified health exchange for individuals and small businesses in California. This links to a formal solicitation to secure one or more experienced executive recruitment firms to assist us in recruiting eight executive level positions. Firms that are interested in sharing their qualifications and ideas through our Contract Solicitation can find the pertinent information here.

    Details & Downloads:

    The contact person for this solicitation is Dennis Gilliam (916-263-0743)

    Mr. Gilliam may be contacted via e-mail at HBEXSolicitation@hbex.ca.gov

    During the solicitation process, all inquires regarding this solicitation shall be directed to Mr. Dennis Gilliam, who will coordinate responses with other Exchange staff. When submitting inquiries, proposers must reference this solicitation number (i.e. HBEX3). Responses to inquiries will be posted on the Exchange’s website at www.healthexchange.ca.gov.

    HBEX2 - Communications Support for the Outreach and Education Campaign Plan and Assisters Program

    The California Health Benefit Exchange, Department of Health Care Services (DHCS), and the Managed Risk Medical Insurance Board (MRMIB) have been working closely together to collaborate on the planning and implementation of the Affordable Care Act and the important changes that it will bring. This collaboration includes developing a marketing and outreach plan to inform Californians about the full range of affordable health coverage that will be available to millions as of January 2014 and support their enrollment into health care programs.

    Details & Downloads:

    The link below is to a formal solicitation to secure an experienced consultant firm to assist us in the development of outreach, marketing and education campaigns to promote health insurance programs that will be available in 2014, which are administered by the Exchange, DHCS and MRMIB. This includes the design of a comprehensive campaign and the Assisters Program which shall target California’s diverse population.

    This procurement is part of the Exchange’s Level I Grant implementation activities. The Exchange must complete these activities to become a federally qualified and fully operational exchange. Firms that are interested in sharing their qualifications and ideas through our Solicitation and Model Contract can find the pertinent information in the link below.

    The contact persons for this solicitation are Thien Lam (916-263-4272) and Dennis Gilliam (916-263-0743). Both can be reached via e-mail at HBEXSolicitation@hbex.ca.gov. When submitting inquiries, please reference this solicitation number (i.e. HBEX2). The last day to submit vendor inquiries is January 23, 2012, by 5:00 p.m. PST. Reponses to questions will be posted on the Exchange’s Website: http://hbex.coveredca.com/, under the Solicitations Tab.

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