Plan or Qualified Entity Selection. The State, in consultation with CMS, issued a Request for Proposals (RFP) that included the State requirements to become a Demonstration Plan under this Demonstration. The State issued the RFP in May 2012 and selected Demonstration Plans in November 2012. Illinois selected those organizations that best met the criteria established by HFS for a truly integrated care delivery system. The State’s RFP and a list of selected plans are available at the following website: xxxx://xxx0.xxxxxxxx.xxx/hfs/PublicInvolvement/cc/Pages/default.aspx. Applicants were also required to meet the Medicare components of the plan selection process, including submission of a successful Medicare Part C and Part D application to CMS. Successful applicants are required to adhere to any annual contract renewal requirements and guidance updates. Demonstration Plans that sign a Three-way Contract must, as a condition of that contract, also pass a CMS- and State-sponsored Readiness Review.
Plan or Qualified Entity Selection. EOHHS, in consultation with CMS, has issued a Request for Responses (RFR) that includes the MassHealth and CMS requirements to become an Integrated Care Organization (ICO) under this Demonstration. MassHealth and CMS will engage in a joint selection process that will take into account previous performance in Medicare and Medicaid, and ensure that bidders have met CMS’ requirements, as specified in this MOU. EOHHS and CMS may limit the number of selected ICOs per service area to a certain number (no less than two provided there are at least two qualified bidders) from the qualifying bids, utilizing information from the RFR that will allow EOHHS to rank the bidders. This section is subject to update, and any updates will be reflected in the three-way contract.
Plan or Qualified Entity Selection. To be approved as a FIDA Plan, MLTC program and Mainstream Managed Care plans will have to apply and will have to meet all FIDA Demonstration requirements as outlined in section III.B.1 of this MOU. FIDA Plans will also be required to meet the Medicare components of the plan selection process, including submission of a successful Capitated Financial Alignment Application to CMS, and adherence to any annual contract renewal requirements and guidance updates, as specified in Appendix 7. These selections are contingent on the selected entities passing a CMS and State sponsored readiness review. Upon final selection, the State and CMS will ultimately enter into a Three- way Contract with selected plans. Any future revisions to the final selections will be presented to CMS for prior approval.
Plan or Qualified Entity Selection. DMAS, in consultation with CMS, issued a Request for Proposal (RFP) that includes the DMAS and CMS requirements to operate as a Participating Plan under this Demonstration. DMAS’ RFP can be accessed from the following website (xxxx://xxx.xxxx.xxxxxxxx.xxx/Content_pgs/altc-enrl.aspx). DMAS and CMS will work together to ensure that the overall plan selection process will take into account previous performance in Medicare and Medicaid, and ensure that applicants have met CMS’ requirements, as specified in this MOU. Applicants are also required to meet the Medicare components of the plan selection process, including submission of a successful Medicare Capitated Financial Alignment application that encompasses Part C and Part D requirements to CMS. Successful applicants are required to adhere to annual contract renewal requirements and guidance updates. DMAS and CMS may limit the number of selected Participating Plans per service area to a certain number (a minimum of two Participating Plans in each region) from the qualifying applications, utilizing information from the RFP that will allow DMAS to rank the bidders. Selections are contingent on the selected entities passing a CMS and Commonwealth sponsored readiness review. Upon final selection, the Commonwealth and CMS will ultimately enter into a three-way contract with selected plans.
Plan or Qualified Entity Selection. In April 2012, in consultation with CMS, Ohio Medicaid released a Request for Applications (RFA) that included Ohio and CMS requirements to become an ICDS Plan under this Demonstration. Ohio’s RFA is available for review at the following website: xxxx://xxx.xxxx.xxx/rfp/R1213078038ICDS.stm. Ohio received a total of ten (10) responses to the RFA. One applicant subsequently withdrew from consideration, leaving nine (9) responses to be evaluated. After a thorough and comprehensive review of the responses submitted by the applicants and, after responding to protests received from five (5) of the applicants, on August 27, 2012, Ohio selected five (5) applicants to operate ICDS in the seven (7) regions to be included in the Demonstration1. Applicants were also required to meet the Medicare components of the plan selection process, including submission of a successful Medicare Part C and Part D application to CMS, and adherence to any annual contract renewal requirements and guidance updates, as specified in Appendix 7. These selections are contingent on the selected entities passing a CMS and state sponsored readiness review. Upon final selection, the State and CMS will ultimately enter into a three- way contract with selected plans. Any future revisions to the final selections will be presented to CMS for prior approval.
Plan or Qualified Entity Selection. Washington State issued a Request for Applications (RFA) in April 2013 that included Washington’s HCA/DSHS and CMS requirements to function as a Medicare-Medicaid Integration Plan (MMIP) under this Demonstration. The State’s RFA is available at the following websites: xxxx://xxx.xxx.xx.xxx/Pages/rfp.aspx and xxxx://xxx.xxxx.xxxx.xx.xxx/duals/. The HCA/DSHS engaged in a joint selection process that considered previous performance in Medicare and Medicaid. HCA/DSHS limited the number of selected MMIPs per county to a certain number (no more than 2 qualified bidders in each county) from the qualifying bids, utilizing information from the RFA allowed HCA/DSHS to rank the bidders. Applicants are also required to meet the Medicare components of the plan selection process, including submission of a successful Medicare Capitated Financial Alignment application that encompasses Part C and Part D requirements to CMS. Successful applicants are required to adhere to annual contract renewal requirements and guidance updates. Participation in the Demonstration is contingent on the selected entities passing a CMS and State of Washington sponsored Readiness Review. Upon final Readiness Review determinations, the State and CMS will ultimately enter into a Three-Way Contract with selected plans.
Plan or Qualified Entity Selection. The State, in consultation with CMS, developed an application process that includes the State and CMS requirements to become an MMP under this Demonstration. The State and CMS will engage in a joint selection process that will take into account previous performance in Medicare and Medicaid, and ensure that bidders have met CMS’ requirements, as specified in this MOU. The State, in consultation with CMS, issued a Letter of Interest (LOI) that included the State requirements to become an MMP under this Demonstration. The State issued the LOI in February 2013 and selected one MMP in June 2013. The LOI is available at the following website: xxxx://xxx.xxxx.xx.xxx/documents/documents13_2ndQ/7461245_RHO.pdf. The State issued a new LOI in spring 2014, completed in summer 2014, to seek additional MMPs through this process. All MMP applicants are also required to meet the Medicare components of the plan selection process, including submission of a successful Capitated Financial Alignment Demonstration application to CMS. Successful applicants are required to adhere to any annual contract renewal requirements and guidance updates. MMP selections are contingent on the selected entities passing a CMS and State-sponsored readiness review. Upon final selection, the State and CMS will ultimately enter into a Three- way Contract with selected plans. Any future revisions to the final selections will be presented to CMS for prior approval.
Plan or Qualified Entity Selection. The State and CMS will engage in a joint certification process that will take into account previous performance in Medicare and Medicaid, and ensure that ICOs have met integrated, jointly agreed requirements, as specified in this MOU. DHS has issued a Phase One Certification document that included preliminary State requirements to become an ICO under this Demonstration. Subsequent phases of this certification process will require additional documentation of ICO capacity to operate the demonstration as agreed by DHS and CMS. DHS and CMS may also plan another round of certification to allow additional organizations to apply for certification as ICOs. This section is subject to update, and any updates will be reflected in certification process documents and in the three-way contract.
Plan or Qualified Entity Selection. In consultation with CMS, the State released a request for proposals (RFP) that included Michigan and CMS requirements for organizations to become ICOs under this Demonstration. Michigan’s RFP was posted on the following website: xxxxx://xxx.xxx0xxxxxxxx.xxx/bso/external/bidDetail.sdo?bidId=0071141113B0000292&p arentUrl=activeBids Applicants were required to meet the Medicare components of the plan selection process, including submission of a successful Medicare Capitated Financial Alignment application that encompasses Part C and Part D requirements to CMS. Successful applicants are required to adhere to annual contract renewal requirements and guidance updates. Selection of ICOs and subsequent participation in the Demonstration is contingent on the selected entities passing a CMS and state sponsored readiness review. Upon final selection and successful completion of the readiness review, MDCH and CMS will ultimately enter into a three-way contract with selected plans. As a condition of participation, selected entities must not be under sanction by CMS within Michigan. Any future revisions to the final selections will be presented to CMS.
Plan or Qualified Entity Selection. The State, in consultation with CMS, developed an application process that includes the State and CMS requirements to become a CICO under this Demonstration. The State and CMS will engage in a joint selection process that will take into account previous performance in Medicare and Medicaid, and ensure that bidders have met CMS’ requirements, as specified in this MOU. The State and CMS may limit the number of selected CICOs per service area to a certain number (no less than two, provided there are at least two qualified applicants) from the qualifying applicants. Plan participation is contingent on the selected applicants passing a CMS- and State-sponsored Readiness Review. Upon final selection, the State and CMS will enter into a Three-Way Contract with selected CICOs. This section is subject to update, and any updates will be reflected in the Three-Way Contract. Any future revisions to the final selections will be presented to CMS for prior approval.
