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The Sacramento County Department of Health Services (DHS) is seeking qualified organizations to provide comprehensive Case Management (CM) and Utilization Management (UM) services for individuals enrolled in the County Medically Indigent Services Program (CMISP), including claims adjudication. The selected contractor will be responsible for ensuring medically indigent residents receive timely, appropriate, and coordinated care while promoting responsible stewardship of limited public resources. Key services include care coordination, utilization review, prior authorization, and medical necessity determinations. The contractor must also demonstrate experience with data management systems and the ability to align with the County's Results-Based Accountability framework. Some key points to consider: • The contractor must have experience providing CM and UM services for public or safety-net programs. • The contractor must employ appropriately licensed clinical staff and maintain sufficient operational infrastructure to support CM and UM functions. • The contractor must demonstrate the ability to securely exchange data with County EHR systems and submit encounter, authorization, and utilization data in County-approved formats. • The contractor must be willing to participate in multidisciplinary care team meetings and engage in cross-system coordination. • The contractor must have the ability to track, monitor, evaluate, and report progress toward meeting multiple contract deliverables.