Contract MA240000001368

The Comprehensive Health Care Program administered through this Michigan IDV provides Medicaid managed care services across Regions 2, 3, 4, 5, 6, and 10 of the state. The contract encompasses a full spectrum of health care benefits including medical, behavioral health, dental, maternal health, and pharmacy services delivered through a capitation-based payment model. The IDV establishes requirements for value-based payment arrangements with a minimum of 50% of health care service reimbursement tied to value-based contracts, enhanced prior authorization processes with streamlined timelines, and integrated behavioral health services. Additionally, the contract includes community reinvestment obligations requiring contractors to direct a minimum of five percent of annual pre-tax profit toward initiatives addressing social determinants of health, with particular emphasis on food insecurity programs. The vehicle also mandates compliance with specific performance metrics, accreditation standards, and expanded reporting requirements related to prior authorizations, quality outcomes, and alternative payment models.

Molina Healthcare of Michigan Inc. serves as the prime contractor for this IDV, with the Michigan Department of Technology, Management and Budget acting as the contracting organization. The contract period runs from October 1, 2024, through September 30, 2029, with three optional one-year renewal periods available. The contract type is classified under the Department of Technology, Management and Budget procurement framework and covers statewide operations within the designated Michigan regions. The estimated aggregate contract value is $8,557,033,700.00, with payment terms established at Net 45 days. The contract is administered through the DTMB Central Procurement Services, with the Michigan Department of Health and Human Services serving as the primary state program agency.