The state's Office of Medi-Cal Procurement is redoing the procurement of a fraud analytics platform for the Medi-Cal program. The reissued procurement documents hit the street on Friday.
The original solicitation and intent to award was canceled in August because of inconsistencies in client reference requirements within the original RFP document.
The canceled contract was awarded in March to OnCore Consulting of Folsom, Calif., and partners Pondera Solutions and LexisNexis. The award was appealed by 21CT Inc. The contract value was capped at a maximum of $10 million per year and a duration of up to five years.
The Medi-Cal Program Integrity Data Analytics (MPIDA) program is designed to detect and link fraud schemes.
"The vendor will produce a set of reports identifying suspicious cases and will create an infrastructure which the state investigators can use to create specific queries to drill down on the provider, beneficiary, claim and geospatial data, with the intent of identifying fraud and abuse in the Medi-Cal program in order to safeguard public funds," according to an Oct. 28 letter from the Department of Health Care Services.
The contractor is expected to use predictive modeling techniques and create a “data mart,” build quarterly reports, and install and maintain all software, hardware and the network.
Responses to the reissued RFP are due Nov. 28. Key action dates are subject to change.
