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Medical Debt and Presumptive Eligibility RFP: Portal Solution

LA County Department of Public Health logo
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LA Care Health Plan logo

RFP Release Announcement

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HASC, in collaboration with L.A. Care Health Plan and the Los Angeles County Department of Public Health, is soliciting proposals from qualified vendors to design, develop and implement a centralized financial assistance and presumptive eligibility portal solution to support enhanced presumptive eligibility screening across area hospitals within LA County.

The identified partner will configure and operate a HIPAA-compliant, multi-tenant portal that brokers single and batch presumptive eligibility screenings between participating hospitals and one or more third-party data vendors. The solution will use an integration platform and a low code admin user interface and must support SMART on FHIR launch with patient in context.

This bidirectional portal will allow LA County hospitals to securely query and access individual, demographic, financial and enrollment data from credit vendors and eventually state income databases (future state).

The purpose is to streamline financial assistance and presumptive eligibility screening processes, reduce administrative burden and improve consistency and equity across hospitals in the county. The overall goal is to improve the rates of coverage for eligible individuals to decrease the rate and total volume of medical debt year over year. This RFP will be facilitated with support from COPE Health Solutions, a consulting firm located in Los Angeles. RFP responses are due by Dec. 12, 2025. Key dates for the RFP submission and review process can be seen below:

 Event Date 
RFP Issue Date Nov. 7, 2025 
Questions and Requests for Clarification (Please submit via email) Nov. 14, 2025 
Response to Questions and Requests for Clarification Nov. 21, 2025 
RFP Proposal Due Date Dec. 12, 2025 
Notification of Finalists for Interview Dec. 19, 2025 
Finalist Presentation/Interviews Jan. 5-7, 2026
Notification of Apparent Winner/Provisional Award* Jan. 19, 2026 
Estimated Contract Execution Date Feb. 20, 2026 
Commencement of Engagement Feb. 20, 2026 
*Designated point of contact for any questions about the RFP processEvan King: [email protected]