DHSS posts two Notices of Intent for Alaska’s Medicaid Coordinated Care Demonstration
Alaska’s Department of Health and Social Services has issued two Notices of Intent to Award Contracts for the Medicaid Coordinated Care Demonstration Project.
UnitedHealthcare has been selected for the Managed Care Organization (MCO) model. United will demonstrate a Medicaid managed care model in the Anchorage and Mut-Su Valley regions. Under this model, United will enroll Medicaid beneficiaries and provide covered services under a capitated per member per month payment arrangement.
UnitedHealthcare was the only offeror for the MCO model.
Providence Family Medical Center has been selected for the Provider-Based Reform (PBR) model. Providence will demonstrate a patient-centered medical home model in the Anchorage area.
PeaceHealth Ketchikan Medical Center and Pinnacle Integrated Medicine also submitted offers for the PBR model but were not selected. Both organizations have ten days to file a protest. Pinnacle’s proposal was listed as “non-responsive” because it did not conform to the RFP requirements.
According to DHSS, negotiations for the Care Management Entity are still underway. The CME will perform care and disease management for Medicaid beneficiaries.
According to the original RFP schedule, the Notices of Intent were scheduled for August 31, 2017 with an anticipated contracts effective date of January 1, 2018.