CMSP TO HOLD PUBLIC HEARINGS REGARDING PROPOSED CMSP AND CONNECT TO CARE PROGRAM CHANGES

The CMSP Governing Board will hold two public hearings – on September 18, 2026 and October 5, 2026 – in Sacramento, California, on proposed program changes that will result in the suspension of the Governing Board’s Connect to Care program; modification and elimination of eligibility for County Medical Services Program (CMSP) services for certain individuals; elimination and reduction of certain health care benefits currently provided by CMSP; and consideration of all evidence and testimony for or against the approval and adoption of the proposed program, eligibility, and benefit changes.

The proposed reductions to CMSP and elimination of Connect to Care are necessitated by the passage of HR1 and the resulting expected influx of individuals eligible for CMSP.

For a description of the proposed changes, read the Public Hearing Notice here.

Sep       9:30 am – 11:30 am
18          Public Hearing (1 of 2)

Oct        9:30 am – 11:30 am
  5           Public Hearing (2 of 2)

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CMSP Releases RFP for Third-Party Administrator (TPA) Services

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, relevant attachments, and responses to questions 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
Responses to Questions (5/14/25)

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