Specifications include, but are not limited to: The Ensuring Access to Medicaid Act, 56 O.S. § 4002.3a, directs OHCA to contract with one (1) Statewide Capitated Contract to administer a Children’s Specialty Program to provide comprehensive integrated health services including, but not limited to, medical, behavioral health, and pharmacy services to the following Medicaid populations referred to as SoonerSelect Eligibles: children in Foster Care, Former Foster Care Children (FFCC) up to twenty-five (25) years of age, Juvenile Justice (JJ) Involved children, and children receiving Adoption Assistance (AA). OHCA requests Proposals from qualified Bidders to coordinate and deliver Medicaid services to the specified Medicaid populations while demonstrating improved health outcomes, increased access to care, and increased accountability in the State’s Medicaid program, referred to as SoonerCare. The Oklahoma Legislature and Governor Stitt have directed OHCA to design the Oklahoma Medicaid program to achieve the following goals: a. Improve health outcomes for Medicaid members and the State as a whole; b. Ensure budget predictability through shared risk and accountability; c. Ensure access to care, quality measures, and member satisfaction; d. Ensure efficient and cost-effective administrative systems and structures; and e. Ensure a sustainable delivery system that is a Provider-led effort and that is operated and managed by Providers to the maximum extent possible.
