RFP 2015-48 Consulting Services for the 1332 Innovation Waiver Application

This contract awards a consulting firm the responsibility to develop and file California’s Section 1332 State Innovation Waiver for the Covered California health‑benefit exchange. The contractor will perform financial and actuarial analyses, produce required certifications, and provide ad‑hoc participation in discussions with CMS and other federal stakeholders. The work is deliverable‑based, with a maximum contract value of $200,000 and a performance period of roughly one year. The award was made to Health Management Associate, Inc., a Michigan‑based firm, under a single‑award, time‑and‑materials arrangement. • Scope of work includes financial impact analysis, actuarial certifications, and stakeholder engagement on a as‑needed basis. • Fixed‑price ceiling of $200,000; payment contingent on receipt of federal funding and Qualified Health Plan fees. • No full‑time on‑site requirement; work aligns with Covered California staff hours (8 AM–5 PM PT, Mon‑Fri).