Specifications include, but are not limited to: schedule online/virtual strategy discussions from interested Carriers with experience in providing managed care to Medicaid populations; schedule online/virtual strategy discussions from interested Carriers with experience in providing managed care to Medicaid populations, including those who are dually eligible for Medicaid and Medicare. The intent of these discussions is to obtain feedback from Carriers to assist the State in developing a more accurate Scope of Work and overall approach for an upcoming solicitation for managed care for the dual-eligible Medicare Medicaid population.; The state will consider proposals describing the carrier’s capacity to: Administer Medicare benefits in alignment with Medicare Advantage standards; Administer Medicaid-primary benefits; Coordinate benefits with another Medicare payer; Provide care coordination to enrollees based on enrollee needs; Effectuate Transitions of care from institutional settings to the community when appropriate and explain how functions such as care coordination are leveraged to do so; Use value-based purchasing strategies to improve population health while reducing overall costs; Successfully establish a rural provider network and support healthcare workforce development; Address participant’s social determinants of health and drive towards preventive care.
