Active direct-vendor RFI - opened September 22, 2026; Marc decision required; exact response time zone unverifiedAtlas Opportunity Score 93/100
CA-HCAI-GAC-RH-TPA-RFI-2026
California HCAI Third-Party Administrator RFI – Gender Affirming Care and Reproductive Health Programs
FundingHCAI's 2026-27 Budget Act funding totals $66,000,000 across three program allocations: $30 million Uncompensated Care, $10 million Gender Affirming Care Services for Children and Youth, and $26 million Gender Affirming Care Provider Network and Capacity. The RFI does not publish a third-party administrator contract ceiling or fee; respondents may provide non-binding administrative-cost information.
DeadlineOctober 6, 2026 at 5:00 p.m. on HCAI's current program page; the page does not state a time zone. The RFI PDF lists October 6, 2026 as the response due date without a clock time. Clarification questions are due September 29, 2026.
Last verifiedSeptember 24, 2026
Required next actionTRUE direct-response RFI; Marc decision required before any submission. Do not auto-submit. If Marc elects to pursue, verify which of Dr. Miltie and/or QC Healthcare can document the required relevant experience, grantmaking/program-administration capacity, California State business experience, culturally competent TGI/reproductive-health experience, privacy/data controls, ability to monitor expenditures and potentially advance provider funds, clinical-payment oversight where applicable, and at least two comparable references. Prepare the signed cover letter, Attachment A responses, and non-binding administrative-cost information only from verified organizational facts, and confirm the exact submission time zone with HCAI before filing.
Broad Eligibility
The RFI is addressed to all interested entities and seeks organizations with relevant experience to potentially establish, administer, and manage one or more of three HCAI funding programs. No categorical applicant type or minimum years-of-experience threshold is stated, but the response questions require substantive evidence of grantmaking, program administration, oversight, privacy, relevant reproductive-health and/or gender-affirming-care experience, and comparable references.
Atlas Analysis
Atlas Opportunity Score 93/100 based on $66 million of underlying State funding and a direct third-party administrator role. This is a TRUE direct-response opportunity rather than applicant grant outreach: HCAI states that it may follow up with RFI respondents for the purpose of entering into an agreement, while also stating that the RFI itself is for information/planning and is not a solicitation. Direct Dr. Miltie/QC Healthcare fit remains qualification-gated because Atlas has not verified the specific organizational experience requested by HCAI. N9+ Fit 0/100; this opportunity concerns grant-program administration and clinical-payment/provider-capacity operations, not device procurement. Do not submit in Marc's name without explicit decision and verified qualifications.
Source verificationOfficial government source · hcai.ca.govAtlas last verified this record September 24, 2026. Always use the funder's current application materials, amendments and portal instructions as the controlling source.View source and application materials ↗