Insurance Claims Data (RFI #25-070)

The Department of Health Care Services (DHCS) is releasing this Request for Information (RFI) #25-070 to gather information from entities that will help DHCS finalize an RFP that encourages bidder interest and alert potential bidders to the upcoming release of the Personal Injury Insurance Claims Data RFP. The Personal Injury Insurance Claims Data Contractor will be responsible for providing DHCS and the Third Party Liability and Recovery Division (TPLRD) with personal injury insurance claims data involving Medi-Cal members.

Under federal and state law, Medi-Cal members, their legal representatives, and insurance carriers are required to report any personal injury claims that may result in monetary compensation-such as those arising from auto accidents, slip and fall, or premises liability. Failure to report these claims can lead to reduced third-party liability recoveries for the State of California and the federal government, potentially impacting the Medi-Cal program's ability to recoup the cost of benefits provided.

Questions regarding this RFI should be submitted via email to: PCDRFI3@dhcs.ca.gov.