The government health entity seeks to maintain payments, and help update

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The Department of State, which ensures residents have access to quality and affordable healthcare, is looking for help from IT companies to maintain a vital system for managing payments.

at request for proposal (RFO) which also includes California Department of Public ServicesThe California Department of Health Care Services It is seeking a contractor to provide “Capitation Payments Management System (CAPMAN) (M&O) Maintenance and Operation Services”. The system uses technologies including .NET, BizTalk, and Edifecs, according to the RFO, and DHCS Enterprise Technology Services employees “lack sufficient experience in these skill sets to perform all required system maintenance.” Among the fast food:

  • The CAPMAN system “does very complex calculations to accurately produce invoices” during each monthly cycle, the RFO said. But maintaining and managing its code base is complex and changes in structure with additional changes in policy and legislation. The current M&O vendor is training DHCS staff now—but DHCS anticipates a transition period of up to three months between that company and the selected new contractor. The selected respondent is expected to continue the “active and daily transfer of technical knowledge to state employees.” Furthermore, the contractor will be responsible for providing the update in functionality, technology and System Development Lifecycle (SDLC) methodology. The contractor should evaluate these three areas after moving and create an iterative plan with initiatives in each area.
  • System operations activities required of the Contractor include standard maintenance, training of users and technical personnel, software updates and upgrades, and system documentation. Required modernization activities include updating the application, or developing an assessment and “roadmap” for a functional update; Migration to Amazon Web Services, or design, test, and implement an AWS migration strategy for CAPMAN; Create and integrate DevOps into the overall CAPMAN SDLC process – Assign specialist DevOps resources to follow best practices. Other activities required of the contractor include the adoption of “new tools (Jira, Confluence, GitHub) and best practices and methodologies (eg Agile/SCRUM, Critical Path, Prototyping, RAD)” as part of the CAPMAN update.
  • Contractor’s responsibilities include reviewing all aspects of performance related to the technical components of the system, and identifying “emerging technical risks and issues” as soon as possible; Perform system updates/changes; Store all project working papers in “File Structures Established by DHCS (Health Insurance, Portability and Accountability) HIPAA Compliance”; and providing six key employees and 26 full-time employees. Experience requirements for the Delivery Manager include five years of experience as a lead system engineer on large-scale integration projects with multiple interfaces from external systems and three years of experience in HIPAA transactions. Experience requirements for the Senior Project Manager include seven years of “extensive, comprehensive and increasingly responsible project experience”; And three years of experience in healthcare IT. Experience requirements for the Senior Technical Engineer include three years full-time experience managing complex applications and continuous improvement of at least two digital solutions; Seven years full-time experience as a Principal Architect on digital services projects using Microsoft Technology and development platform.
  • He did not state the exact value of the contract; It is expected to have a term of 60 months, likely from August 1 or upon DGS approval until July 31, 2027, with two optional one-year extensions. The state and the contractor may modify the agreement in writing in accordance with the terms of the master agreement and petition, with mutual consent. Questions are due by 2 p.m. Wednesday. Responses to the RFP are due by 2 pm on May 26.