Kern Health Systems Prior Authorization API Solution RFP 2025
Kern Medical CenterPublic Hospital · Bakersfield, CA- Due
- Jan 30, 2026
- Deadline passed
- Posted
- Dec 22, 2025
- Contract term
- 3 years
- Primary contact
- Alonso Hurtado
The 30-second brief
Kern Health Systems (KHS) is seeking proposals for a Prior Authorization API solution that complies with the Federal Final Rule, integrates with QNXT and Jiva, and supports operational needs for Medicare Advantage and Medi-Cal plans.
Prior Authorization APIs per CMS Final Rule, Integration with QNXT and Jiva, Real-time workflows, Security, And compliance, Robust reporting and audit capabilities
Reasonableness of price, experience in the market, capabilities of the bidder, financial stability, completeness of the Proposal response and requested data
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Summary
Kern Health Systems (KHS) is seeking proposals for a Prior Authorization API solution that complies with the Federal Final Rule, integrates with QNXT and Jiva, and supports operational needs for Medicare Advantage and Medi-Cal plans.
EVALUATION CRITERIA
5- Reasonableness of price
- Experience in the market
- Capabilities of the bidder
- Financial stability
- Completeness of the Proposal response and requested data
REQUIRED DELIVERABLES
6- Prior Authorization APIs per CMS Final Rule
- Integration with QNXT and Jiva
- Real-time workflows
- Security
- Compliance
- Robust reporting and audit capabilities
REQUIRED ATTACHMENTS
6- Attachment A: Scope of Services
- Attachment B: Schedule of Fees
- Attachment C: Bidder Eligibility Certification
- Attachment D: Proposal Signature Verification
- Attachment E: Non-Collusion Declaration
- Attachment F: Professional Services Agreement
REQUIRED STAFFING
3- Submit to
- [email protected]
- Reported agency
- Kern Health Systems
Questions about this RFP
How do I respond to this RFP from Kern Medical Center?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is January 30, 2026. The solicitation specifies required deliverables that must be addressed in your response. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: [email protected]. For questions, contact Alonso Hurtado.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Kern Medical Center in CA, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Alonso Hurtado. Questions and answers are typically shared with all prospective bidders.
What staffing is required for this project?
This solicitation outlines specific staffing requirements. The required roles include: Project Manager, Account Manager, key personnel. Proposers should demonstrate relevant qualifications and experience for each required role.
What are the key deliverables?
The solicitation specifies the following deliverables: Prior Authorization APIs per CMS Final Rule, Integration with QNXT and Jiva, Real-time workflows, Security, And compliance, Robust reporting and audit capabilities. Proposals should clearly address how each deliverable will be met.
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What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Reasonableness of price, experience in the market, capabilities of the bidder, financial stability, completeness of the Proposal response and requested data" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Kern Medical Center?
All active and historical solicitations from Kern Medical Center are tracked and searchable. As a public hospital agency, Kern Medical Center regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 3 years. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Attachment A: Scope of Services, Attachment B: Schedule of Fees, Attachment C: Bidder Eligibility Certification, Attachment D: Proposal Signature Verification, Attachment E: Non-Collusion Declaration,. Additionally, proposals should address staffing requirements as outlined in the solicitation. Review the full document from Kern Medical Center for the complete list.