Napa County Jail/Juvenile Hall Medical Billing Forensic Billing and Revenue Cycle Management RFP 2025
Napa County, Napa County, CA·County
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- Primary Contact
- Daniel Sanchez · (707) 253-4825
- Contract Term
- 3 years
- Scope Location
- Napa, CA
- Submission Address
- 1195 Third Street Ste. 310, Napa, CA, 94503
SUMMARY
Napa County is soliciting proposals for forensic billing and revenue cycle management services for its Health and Human Services Agency (HHSA), Department of Corrections (NCDC), and Probation Department. The selected vendor will manage billing for physical health, mental health, substance use treatment, pharmacy, durable medical equipment, and CalAIM pre-release services for incarcerated adults and juveniles. Key responsibilities include coding, claims administration, denials, appeals, credentialing, utilization review, and timely claims adjudication for Medi-Cal covered benefits. The County intends to award a three (3) year contract with two (2) one-year renewal options. Proposals are due by January 23, 2026, at 1195 Third Street Ste. 310, Napa, CA, with a Notice of Interest deadline of January 8, 2026.
EVALUATION CRITERIA
Achievements and compliance with stated objectives, experience in Medi-Cal outpatient and pharmacy processing, professional/ethical/efficient operations, cost-effectiveness
REQUIRED DELIVERABLES
Cost Proposal breakdown, Pricing proposal, Utilization review program, Revenue cycle management reports
REQUIRED ATTACHMENTS
Cost Proposal breakdown, pricing proposal
This was decided in a budget meeting long before the RFP was public. Civic IQ had it then. The next one doesn't have to get away.
Work in government? Get Civic IQ free →Frequently asked questions
Common questions about this solicitation, answered from the record.
How do I respond to this RFP from Napa County?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is January 23, 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: 1195 Third Street Ste. 310, Napa, CA, 94503. For questions, contact Daniel Sanchez.
What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Achievements and compliance with stated objectives, experience in Medi-Cal outpatient and pharmacy processing, professional/ethical/efficient operations, cost-effectiveness" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from Napa County?
All active and historical solicitations from Napa County are tracked and searchable. As a county agency, Napa County 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: Cost Proposal breakdown, pricing proposal. Review the full document from Napa County for the complete list.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including Napa County 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 Daniel Sanchez at (707) 253-4825. Questions and answers are typically shared with all prospective bidders.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: Napa, CA. Review the full solicitation for detailed scope requirements.
What are the key deliverables?
The solicitation specifies the following deliverables: Cost Proposal breakdown, Pricing proposal, Utilization review program, Revenue cycle management reports. Proposals should clearly address how each deliverable will be met.
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