Success Begins with Selection: Tips on Assessing Bidders’ Past Performance for States Procuring Integrated Care Plans

Success Begins with Selection: Tips on Assessing Bidders’ Past Performance for States Procuring Integrated Care Plans

Published: Nov 07, 2024
Publisher: Centers for Medicare and Medicaid Services
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Associated Project

Supporting States in Improving Care for Dually Eligible Individuals through the Integrated Care Resource Center

Time frame: 2011-2029

Prepared for:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicare - Medicaid Coordination Office

This tip sheet is designed to help states that are planning procurements related to their integrated care programs for dually eligible individuals. It aims to help these states: (1) understand the relationship between state efforts to procure Medicaid managed care plans for these programs and the state’s D-SNP contracting strategy; (2) consider options for incorporating Medicare resources into integrated care program procurements; and (3) identify and use Medicare resources to inform state selection of Medicaid managed care plans that will cover Medicaid benefits for D-SNP enrollees. The tip sheet describes five steps that states can take when developing Medicaid managed care procurements for integrated care programs.

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