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Health Benefits Manager

Publication Date
01/08/2019 06:42 AM EST
Closing Date
02/22/2019 11:00 AM EST
Issuing Organization
State of Delaware - Department of Health and Social Services (DHSS)
Solicitation Number

Specifications include, but are not limited to: The State of Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance (DHSS/DMMA) seeks professional services from interested vendors to provide a set of services to the Delaware Medicaid and Delaware Healthy Children Program (DHCP) populations through the Diamond State Health Plan (DSHP), and Diamond State Health Plan Plus (DSHP-Plus). The overall goals of the HBM program are to: 1.0 Ensure that educational information is available to all members to inform them of the use of a managed care delivery system, and the benefits and health plans available under the DMMA Managed Care Plans. 1.1 Assist enrollees who use, or express a desire to receive long-term services and supports (LTSS). 1.2 Provide choice counseling support to assist members in the process of selecting a health plan, and where possible, a primary care provider in a manner which ensures an objective, factual presentation of all enrollment options. 1.3 Respond to client inquiries, grievances, requests for information and requests for transfers to other health plans. 1.4 Act as a client advocate in the resolution of problems and removal of barriers in accessing necessary health care services. 1.5 Enrollment of members in the Delaware Healthy Children’s Program (DHCP) 1.6 Billing, collection, deposit, tracking and reporting of the DHCP premiums.

http://bids.delaware.gov/bids_detail.asp?i=5452&DOT=N (opens in a new window)

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