# California eProcure #26-70009-000

Statewide healthcare provider network and administration services for California DSH

**Posted:** November 02, 2026
**Respond By:** December 08, 2026
**Identifier:** 26-70009-000
**NAICS:** 524292

The California Department of State Hospitals is seeking an integrated statewide healthcare provider network and administration program for its five hospitals and patients.
- **Buyer:** California Department of State Hospitals (DSH), Procurement and Contract Services Section.
- **Requested service:** One integrated HCPN/TPA/PA/UM program, including a community-based provider network, third-party administration, utilization management, and prior authorization. No part number is specified.
- **Scope:** Develop and credential medical, behavioral health, specialty, hospital, and ancillary providers; administer claims and payment coordination; conduct prior authorization and medical reviews; and provide supporting systems, portals, reporting, audits, training, implementation, and help-desk support.
- **Key requirements:** Support access in rural and urban areas; prioritize Medicare-first billing; maintain claims accuracy and timeliness; enable electronic authorization and claims matching; protect health information; and meet enforceable performance guarantees.
- **OEMs and named vendors:** No product OEMs or commercial vendors are identified. No hardware is requested.

### Description

The Department of State Hospitals is seeking proposals to provide a Health Care Provider Network of community-based specialty medical services providers. The scope includes Third Party Administration, a Utilization Management system, and Prior Authorization services. The anticipated contract term is up to three years, with up to two optional one-year extensions, for a maximum total duration of five years.

[View original listing](https://caleprocure.ca.gov/event/4440/0000040837)