Specifications include, but are not limited to: THE STATE OF WEST VIRGINIA PURCHASING DIVISION FOR THE AGENCY, WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES, IS SOLICITING PROPOSALS FOR SPECIALIZED MANAGED CARE FOR CHILDREN AND YOUTH; • Coordination of physical health services, behavioral health services, and SNS • Financial management and claims management for physical and behavioral health services • Establishment and management of a statewide credentialed provider network for physical and behavioral health services • Utilization management, quality assurance and continuous quality improvement, and member and provider services • Outreach and education to members and providers, reporting, and analytics for all services under the contract • Maintenance of information systems to support delivery of services to the member population and the terms of the contract • Assistance in reducing the number of children entering the foster care system through utilization of home and community-based services • Assistance in reducing the number of children in State's custody admitted to out-of-state residential mental health treatment facilities and optimize in-state capacity • Ongoing case management to reduce the length of stay for children in residential mental health treatment facilities (RMHTFs)
