The CMSP Governing Board is soliciting proposals for a Third-Party Administrator (TPA) to administer health care services for low-income adults across 35 mostly rural and frontier California counties. The administrative services sought include member eligibility verification, management and expansion of the established contracted provider network, claims processing, customer service, prior authorization, and utilization management.

Proposals are due by May 30, 2025. The RFP and relevant attachments can be downloaded from the Governing Board’s website at:

CMSP Program Administration Services RFP
Attachment A: CMSP Eligibility File Layout
Attachment B: EVCOI File Layout