Posted Date : November 16,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MEDI-3349
Government Authority located in Rhode Island; USA based organization looking for expert vendor for medicaid managed care services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide medicaid managed care services to the government authority located in Rhode Island.
• Health Risk Assessments (HRAs)
• Record keeping.
• Care Program policies and procedures.
• Qualifications and location of Care Managers and Complex Care Managers.
• Supports for members’ families and caretakers.
• Individualized Care Management Plans (ICPs) for members receiving Care Management and Complex Case Management.
• Requirements for coordinating care with Targeted Case Management providers, including AIDS Case Management Agencies.
• Additional Care Coordination requirements for members recently discharged from correctional institutions, including coordination with the local Reentry Councils.
• Specialized Care Coordination requirements for populations needing Complex Case Management, including members with high-risk pregnancies, members receiving services in the Neonatal Intensive Care Units, Children with Special Health Care Needs; children with complex medical needs and/or adverse childhood experiences (ACEs); people living with HIV, AIDS, Hepatitis C, severe mental illness or addiction; and people recently discharged from correctional institutions (collectively “Specialized
Populations”).
• Health Promotion and Wellness and member engagement activities.
• Delegation of Care Program requirements to AEs or other providers.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: January 28,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MEDI-3349
Government Authority located in Rhode Island; USA based organization looking for expert vendor for medicaid managed care services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
Vendor needs to provide medicaid managed care services to the government authority located in Rhode Island.
• Health Risk Assessments (HRAs)
• Record keeping.
• Care Program policies and procedures.
• Qualifications and location of Care Managers and Complex Care Managers.
• Supports for members’ families and caretakers.
• Individualized Care Management Plans (ICPs) for members receiving Care Management and Complex Case Management.
• Requirements for coordinating care with Targeted Case Management providers, including AIDS Case Management Agencies.
• Additional Care Coordination requirements for members recently discharged from correctional institutions, including coordination with the local Reentry Councils.
• Specialized Care Coordination requirements for populations needing Complex Case Management, including members with high-risk pregnancies, members receiving services in the Neonatal Intensive Care Units, Children with Special Health Care Needs; children with complex medical needs and/or adverse childhood experiences (ACEs); people living with HIV, AIDS, Hepatitis C, severe mental illness or addiction; and people recently discharged from correctional institutions (collectively “Specialized
Populations”).
• Health Promotion and Wellness and member engagement activities.
• Delegation of Care Program requirements to AEs or other providers.
[C] Eligibility:
- Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: January 28,2022
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$