Open Solicitations

Reference #: 25-06361. Name: Subrogation Services for IEHP Covered California and IEHP DualChoice (HMO D-SNP)

Description: Inland Empire Health Plan (IEHP) is seeking information from qualified vendors to provide Subrogation Services for its Covered California and DualChoice (HMO D-SNP) plan members. The scope of service entails analyzing IEHP claim payment data, identifying recoverable Third-Party Liability (TPL) claim payments, pursuing and establishing a lien to allow IEHP recovery rights for historical and future liabilities on behalf of IEHP. Project closes May 21, 2025 2:00 PM PDT.

Reference #: 25-06383. Name: Delegated Risk Bearing Organization (RBO) Limited Medical Risk (LMR) Review Services

Description: Inland Empire Health Plan (IEHP) is seeking a qualified contractor to conduct a comprehensive review of the Medical Loss Ratio (MLR) reports for its delegated risk-bearing organizations (RBOs). The primary objective is to assess the accuracy and reasonableness of reported data specific to the Medi-Cal contract with IEHP and, if necessary, provide actionable recommendations for accurate MLR reporting by the RBOs. The contractor will also provide a detailed report for each RBO MLR file reviewed. This project is crucial for ensuring IEHP meets Department of Health Care Services (DHCS) requirements for reviewing and overseeing delegated RBO MLR reports, as detailed in All Plan Letter 24-018. The contractor will conduct a detailed review of each RBO's MLR filing pertaining to their IEHP line of business to ensure the reports accurately reflect the MLR experience for the calendar year. If material issues are identified, the contractor will advise IEHP and the RBO of the issue and recommend corrective actions. The reports cover the calendar year 2024, and all reviews must be completed by November 30, 2025. Four delegated RBOs are subject to these MLR review and oversight requirements. Project closes May 30, 2025 2:00 PM PDT.

Reference #: 25-06316. Name: Cafeteria Operator Services / Food Management

Description: This RFP contains a list of requirements for Cafeteria Operator Services / Food Management on behalf of IEHP. IEHP’s Procurement Department is soliciting responses from qualified vendors to address the stated requirements of this RFP. A “Qualified Bidder”, for the purpose of this RFP, is one that can reliably and independently provide the required services to IEHP for the entire term of the agreement. Project closes Jun 11, 2025 2:00 PM PDT.