RFI 23-072 Fiscal Intermediary Maintenance and Operations (FI-M&O)

Background
DHCS is developing a Request for Proposal (RFP) for a Fiscal Intermediary Maintenance and Operations (FI-M&O) Contractor to provide maintenance and operations services in support of the California Medicaid Management Information System (CA-MMIS). The FI-M&O Contract, formerly known as the Fiscal Intermediary - Information Technology Maintenance and Operations (FI-ITM&O) Contract, is part of a suite of DHCS business service contracts that collectively represent Fiscal Intermediary (FI) services for the Medi-Cal program.

Work Details
The FI-M&O Contractor will manage and deliver maintenance and operations services, working collaboratively and cooperatively with DHCS, the FI Business Operations (BusOps) Contractor, and other service contractors and/or business partners, to operate and update the CA-MMIS, as needed, to ensure payments and electronic transactions are processed timely, accurately, and in accordance with applicable State and federal laws and policies governing the Medi-Cal program.

Period of Performance
The FI-M&O RFP is expected to be released on or around the 3rd calendar quarter of 2024. The current FI-M&O Contractor (International Business Machines, IBM, Contract No. 18-95357) is delivering maintenance and operations services along with the FI Business Operations (BusOps) Contractor, Gainwell Technologies. DHCS' contract with Gainwell Technologies runs through June 30th, 2028. DHCS is expecting a contract execution date of 3rd calendar quarter of 2025 with the new FI-M&O contractor followed by a takeover period ending 3rd calendar quarter of 2026.

Place of Performance
California Medicaid Management Information System (CA-MMIS)