HBEX4 - California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) Development and Operations Services Solicitation

The California Health Benefit Exchange awarded a $359 million contract to Accenture LLC to design, build, and operate the statewide CalHEERS platform, which provides a consumer‑friendly web portal, eligibility determination, and enrollment for Medicaid, CHIP, and ACA‑subsidized health plans. The effort is split into a development/implementation phase (July 2013 portal launch, October 2013 enrollment rollout) and a multi‑year operations and maintenance phase lasting through at least 2020. Key deliverables include system architecture, integration with MEDS and other state welfare systems, multilingual user experience, call‑center/service‑center capabilities, and extensive reporting. The contract is a fixed‑price award with optional one‑year extensions. • Design and build a web‑based enrollment portal and eligibility engine for 4.4 million Californians. • Integrate with state Medicaid eligibility data (MEDS), SAWS, and other welfare programs for “no‑wrong‑door” experience. • Provide 5‑year operations and maintenance services, with up to three additional one‑year extensions.