Enhanced Care Management

The County of Santa Cruz invites sealed proposals from fully licensed, insured, bonded, and certified CONTRACTORS to furnish all labor, tools, equipment, and incidentals required to provide Enhanced Care Management .

Established in 1850 as one of the state’s original 27 counties, the County of Santa Cruz was originally called Branciforte. The name was later changed to Santa Cruz, which is “holy cross” in Spanish. The County of Santa Cruz geographically is the second smallest county within the State of California yet it has one of the largest unincorporated area populations. The 2020 estimated population for the County of Santa Cruz by the U.S. Census Bureau was 270,861. The County encompasses an urban service area of 440 square miles.

Santa Cruz County’s current agency framework is comprised of a series of disparate systems of record, though many agency partners take part in an informal and limited social service referral delivery matrix. This poses a barrier to internal identification of CalAIM eligible enrollees, establishment of a seamless closed loop referral, and achievement of a true cross-sector collaboration of care as stipulated by CalAIM. CalAIM, or California Advancing and Innovating Medi-Cal, is a five-year initiative to promote broad delivery system, program, and payment reform across Medi-Cal and is funded by Section 1115 and 1915(b) waivers approved by CMS.

CalAIM includes two major service benefits, Enhanced Care Management (ECM) and Community Supports (CS). Some agencies within the County are contracted as ECM or CS providers, however additional agencies interested in pursuing an ECM or CS provider contract lack a proper system of record to support automation of billing and claims processing. As such, this indicated the need for a system of record to support access and integration between the information siloes that exist across the County departments currently. The purpose of this RFP is to identify a vendor that can implement a system of record to support Santa Cruz County’s goal of centralizing data to allow for a closed loop referral process both within participating county agencies and forthcoming with external partners.