Pennsylvania Medicaid Health Plans Out To Bid With New Focus On Physical/Behavioral Coordination

On September 16, 2015, the Pennsylvania Department of Human Services (DHS) released a request for proposals (RFP 06-15) seeking managed care organizations to operate the Medicaid HealthChoices physical health program. A key focus in the RFP is improving care coordination between physical and carved-out behavioral health services. The RFP also adds value-based purchasing (VBP) requirements to the health plans.

The RFP is for all five HealthChoices zones and all 67 counties. A pre-proposal conference is scheduled for October 20, 2015, and proposals are due by November 17, 2015. The new contracts are slated to begin on . . .