The Michigan Department of Health and Human Services (MDHHS) request for proposal (RFP) for the State Medicaid Health Plan Comprehensive Care Program (CHCP) Contract.
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CHCP covers approximately 2.2 million Michiganders insured through Medicaid and the Healthy Michigan Plan and is valued at $15 billion.
“Through this rebidding process, MDHHS is a Medicaid health plan with the experience, capacity, and commitment to deliver an equitable, coordinated, and person-centered system of care that will ultimately provide Michigan residents with a healthier future.” select a contractor,” said MDHHS Director Elizabeth Hertel. said in her statement.
Re-bidding is part of that MI Healthy Life, an initiative launched by MDHHS in 2022 to enhance Medicaid services through new Medicaid health plan contracts. At that time, MDHHS received input from nearly 10,000 enrollees, families, providers, and health plans to strengthen the Medicaid managed care contract.
To create a more coordinated and equitable system of care, MDHHS designed an RFP focused on five strategic pillars based on stakeholder feedback received:
- Coordinating health and health-related needs to serve the whole person
- A healthy start for all children
- Promote health equity and reduce racial and ethnic disparities
- Driving innovation and operational excellence
- Involve members, families, and communities
The RFP includes the following changes to MIHealthyLife:
- Prioritize health equity by requiring Medicaid health plans to achieve National Quality Assurance Commission health equity certification
- Addressing social determinants of health through investment in and engagement with community-based organizations
- Improving childhood immunization rates (including increased participation of healthcare workers in immunizations) pediatric vaccines program
- Taking a more person-centered approach to mental health coverage
- Ensuring access to health care providers through strengthening Network requirements
- Strengthen accountability for Medicaid health plans and clarify expectations to advance state priorities
Medicaid managed care organizations (MCOs) serve 10 regions, and MCOs bid for one or more regions. Each region requires at least two plans. However, Region 1 is a regional region that includes the state’s Upper Peninsula, and members are enrolled in one plan.
The RFP proposal deadline is January 16, 2024, and implementation is expected to begin October 1, 2024. His contract runs until September 30, 2029, and he has three one-year option periods.
There are currently nine plans in Michigan: CVS/Aetna, Blue Cross Blue Shield of Michigan, Centene/Meridian, HAP Midwest Health Plan, McLaren Health Plan, Molina, Priority Health Choice, United Healthcare, and Upper Peninsula Health Plan. be.
