About this opportunity
AI summaryThe buyer requires comprehensive statewide workers’ compensation claims administration, managed care, and cost containment services. The selected vendor must administer all new and existing claims, manage services effectively under the agreement's requirements, and ensure a thorough transition from the existing administrator. Additionally, the contractor must ensure claimants receive prompt, quality medical and rehabilitative care to promote recovery and return to work, deliver timely services to minimize legal representation and appeals board decisions, and implement strategies to enhance service delivery while reducing costs. Eligibility is limited to onshore US organizations, and the contractor will perform the work offsite. The contract covers a three-year period. The buyer is seeking proposals for the budget and allows digital response submissions via email or online. Bidders must submit all questions no later than November 30, 2026.
Buyer and opportunity details
- Client
- California Department of Social Services
- Solicitation No.
- 27-3001
Scope of work
- Statewide workers' compensation claims administration
- Managed care services
- Cost containment services
- Transition and implementation from the existing TPA
- Utilization review and nurse case management
- Medicare Section 111 mandatory reporting and tracking
How proposals are evaluated
| Criterion | Weight / scoring |
|---|---|
| Phase II: Evaluation of the Written Submission – Technical Proposal | 420 points |
| Phase III: Proposed Cost – Cost Proposal | 180 Points |
Minimum qualifications
- California Workers' Compensation Self-Insurance Administrator Certificate
- Paperless claims/risk management system
- Operating system capable of enabling State access
- Account Manager with a minimum of five (5) years experience managing a large workers' compensation program
- Ability to comply with the State's and SCO's payment process
Documents to include with your response
- Attachment 1 Required Attachment Checklist
- Attachment 2 Proposal Cover Letter and Statement of Intent to Meet RFP Requirements
- Attachment 3 Minimum Qualifications Certification
- Attachment 4 Proposal/Proposer Certification Sheet
- Attachment 5 Proposer References
- Attachment 6 Cost Proposal
- Attachment 7 GSPD-05-105, Bidder Declaration
- Attachment 10 Darfur Contracting Act Certification
- Attachment 12 California Civil Rights Laws Certification
- Copy of City/County Business License(s)
Key dates
- Questions due
- October 8, 2026, 2:00 p.m. PT
- Proposals due
- November 30, 2026, 2:00 p.m. Pacific Time (PT)
How to submit
- Method
- Digital via Email or Online
- Instructions
- Submit proposals to [email protected] by November 30, 2026, 2:00 p.m. PT adhering to specified format and required attachments.
Contract details
- Term
- Three (3) year period with one (1) additional three (3) year optional extension at the discretion of the State.
- Set-aside / preference
- Minimum 3% DVBE participation required; Small Business Enterprise 5% preference available.
- Place of performance
- Offsite
- Insurance and bonding
- Commercial General Liability ($1,000,000 per occurrence / $2,000,000 aggregate), Automobile Liability ($1,000,000), Workers' Compensation and Employers Liability ($1,000,000), Professional Liability.
- Funding
- Medicare Secondary Payer Act / MMSEA