Other Health Coverage Identification & Recovery (OHCIR) (IFP #23-060)

The California Department of Health Care Services (DHCS) is releasing an Invitation for Proposal (IFP) for the Other Health Coverage Identification & Recovery (OHCIR) procurement. The purpose of the IFP is to solicit proposals from eligible organizations that are able to be responsible for the identification and verification of previously unknown other health coverage (OHC) belonging to Medi-Cal members, for the recovery of reimbursable Medi-Cal fee-for-service (FFS) expenditures, Medi-Cal Managed Care, and from the OHC carrier for services rendered to Medi-Cal members. The key aspects of this opportunity include: • Identification and verification of other health coverage for Medi-Cal members • Recovery of reimbursable Medi-Cal fee-for-service expenditures • Recovery from OHC carriers for services rendered to Medi-Cal members • Eligible organizations must be able to provide these services