DHHS Releases Request for Proposal for Medicaid Prepaid Health Plans

On Thursday, Aug. 9, 2018, the NC Department of Health and Human Services (DHHS) issued a Request For Proposal (RFP) for organizations wishing to participate in Medicaid managed care as Prepaid Health Plans (PHPs) when the program launches in 2019. The RFP outlines DHHS’ requirements and defines the standards that PHPs must adhere to in contracting with DHHS. This procurement is only for the Standard Plans in which most Medicaid managed care beneficiaries will be enrolled. DHHS will accept proposals from potential PHPs until Oct. 12, 2018. Both DHHS and the Centers for Medicare & Medicaid Services (CMS) will have to approve the contract awards, which are anticipated to be announced on Feb. 4, 2019. For more details, see today’s CEO/CFO Memo. The memo also includes information on 340B recertification and updates from Medicare Advantage, the NC Division of Medical Assistance, Palmetto GBA and Blue Cross Blue Shield of NC.

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