California Healthcare Services Government Contracts

California invests $130+ billion in Medi-Cal spending annually through agencies like the California Department of Public Health and California Department of Health Care Services (Medi-Cal). California operates a managed care Medicaid model. Medi-Cal is the largest Medicaid program in the US. Most beneficiaries enrolled in managed care plans. CalAIM transformation underway. Major healthcare programs include Medi-Cal Managed Care, CalAIM, California Children's Services. Professional licensing is managed by the Medical Board of California.

• Valid California professional license from Medical Board of California
• Enrollment with California Department of Health Care Services (Medi-Cal)
• Medicare provider enrollment (if applicable)
• Professional liability (malpractice) insurance
• HIPAA compliance program and staff training
• Background checks for all patient-facing staff
• Required: California professional license, Medi-Cal provider enrollment, NPI number

• 1
  Register with California Department of Health Care Services (Medi-Cal) at https://www.dhcs.ca.gov/
• 2
  Obtain licenses through Medical Board of California
• 3
  Pursue certifications: NCQA accreditation, Joint Commission
• 4
  Target key agencies: CA Dept of Health Care Services, CA Dept of Public Health
• 5
  Develop telehealth capabilities for expanded reach
• 6
  Build relationships with state health department program managers
• 7
  Consider subcontracting with established healthcare systems
• 8
  Focus on Medi-Cal Managed Care opportunities

• Department of Veterans Affairs (VA)
• Defense Health Agency (DHA)
• Indian Health Service (IHS)
• State Health Departments
• State Medicaid Agencies

These NAICS codes are commonly used for healthcare services government contracts: