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D-SNP Core System Request for Proposal

CenCal Health is seeking to partner with a Core System Vendor (Vendor) expected to support CenCal Health’s intent to operate a fully integrated, exclusively aligned enrollment dual eligible special needs plan (EAE D-SNP).

CenCal Health seeks a Vendor to provide a high-quality, responsive Core System platform that CenCal Health can utilize to achieve its goal of effectively administering the EAE D-SNP. CenCal Health currently has approximately 23,000 dual-eligible members within its Medi-Cal line of business. Our initial enrollment target for 2026 is to capture around 8% of our dual-eligible population (1,664 members) into our D-SNP line of business, with an estimated D-SNP net enrollment growth of approximately 1,800 members per year through 2031 where we are targeting a 50% capture rate of our dual-eligible members into our D-SNP by 2031. CenCal Health’s current Medi-Cal membership is 241,000. CenCal Health intends to migrate all Medi-Cal membership to the Core System after the D-SNP implementation.

Click here to learn more about CenCal Health’s D-SNP Core System Request for Proposal.

Payment Integrity-Fraud, Waste, and Abuse Request for Proposal

CenCal Health is in the market for a collaborative engagement with a vendor offering comprehensive services in Payment Integrity, including Fraud, Waste, and Abuse management. This partnership will be pivotal in the establishment of a solid Payment Integrity Program that integrates extensive Fraud, Waste, and Abuse prevention components. 

Click here to learn more about the CenCal Health Payment Integrity – Fraud, Waste, and Abuse Request for Proposal. 

Roof Replacement Request For Proposal 

CenCal Health is on a quest for a reliable and qualified vendor that can deliver first rate services in Commercial Roofing to complete a full roof replacement at 4050 Calle Real, Santa Barbara, CA 93110. This partnership will be pivotal in CenCal Health’s re-roofing project.

Click here to learn more about the CenCal Health Roof Replacement Request for Proposal.