Comprehensive Health Care Program – DHHS (Regions 2, 3, 4, 10)
Active State & local contract Michigan Awarded
- Contract number
- MA240000001369
- Awardee
- PRIORITY HEALTH CHOICE, INC.
- Contracting organization
- Department Technology, Management and Budget
Contract facts
- Cumulative value
- $6,324,028,500
- End date
- Points of contact
-
- Jennifer Therrien therrienj1@michigan.gov (517) 284-1145
- Marissa Gove govem1@michigan.gov (517) 449-8952
Contract details come from michigan.gov. Updated .
About this contract
Priority Health Choice, Inc. provides comprehensive Medicaid managed care services through this IDV, covering medical, dental, mental health, pharmacy, and behavioral health benefits for eligible enrollees across designated Michigan regions. The contract incorporates advanced care delivery requirements including value-based payment models with minimum thresholds for Alternative Payment Models, enhanced mental health assessments utilizing state-designated tools, mandatory collaboration with Certified Community Behavioral Health Clinics for complex cases, and streamlined prior authorization timelines. Additional contractual obligations encompass a 2% quality withhold with performance-based bonus distribution, community reinvestment requirements of 5% of annual pre-tax profit with prioritized food insecurity funding, and a two-sided risk corridor mechanism for benefit expense management. These provisions establish a comprehensive framework for managing Medicaid services while promoting quality outcomes and community health equity.
Priority Health Choice, Inc. serves as the prime contractor under this IDV administered by the Michigan Department of Technology, Management and Budget, Central Procurement Services. The contract covers Regions 2, 3, 4, and 10 within Michigan and is effective October 1, 2024, through September 30, 2029, with three optional one-year extensions available. The base contract value is $6,324,028,500, with capitation rates established through separate certification documents and payment terms set at Net 45 days. This Medicaid managed care contract represents a fixed-price indefinite delivery vehicle structured to support comprehensive health care delivery across multiple Michigan regions.
Files
| File | Type | Posted |
|---|---|---|
| 240000001369.pdf |
Quick answers
Who holds contract MA240000001369?
Contract MA240000001369 was awarded to PRIORITY HEALTH CHOICE, INC. by Department Technology, Management and Budget in Michigan on October 1, 2024.
How much is contract MA240000001369 worth?
Its cumulative value is $6,324,028,500.
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