Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs)
Active State & local contract Michigan
- Contract number
- MA250000000209
- Awardee
- AETNA BETTER HEALTH OF MICHIGAN
- Contracting organization
- Department Technology, Management and Budget
Contract facts
- End date
- Points of contact
-
- Matthew Seager seagerm@michigan.gov (517) 599-1461
- Marissa Gove govem1@michigan.gov (517) 449-8952
Contract details come from michigan.gov. Updated .
About this contract
The Michigan Department of Technology, Management and Budget (DTMB) has established an Indefinite Delivery Vehicle (IDV) for Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs). This state contract focuses on providing comprehensive healthcare services for dual-eligible Medicare and Medicaid beneficiaries, with a structured approach to delivering integrated medical care across multiple Michigan regions. The IDV enables a capitated rate Medicare-Medicaid integration program designed to streamline healthcare delivery and improve service coordination for eligible participants.
The prime contractor for this IDV is Aetna Better Health of Michigan, with a contract period spanning from January 1, 2026, to December 31, 2033. The contract covers the entire state of Michigan and initially implements services in Regions 1, 8, 10, and 12 in 2026, expanding to statewide coverage in 2027. The contract includes a monthly per-member-per-month (PMPM) payment structure with a 2% quality withhold, contingent on meeting specific performance metrics. Potential performance bonus awards will be based on quality of care, access to care, enrollee satisfaction, and administrative functions, creating a comprehensive and accountable healthcare service delivery model.
Files
| File | Type | Posted |
|---|---|---|
| 250000000209.pdf |
Quick answers
Who holds contract MA250000000209?
Contract MA250000000209 was awarded to AETNA BETTER HEALTH OF MICHIGAN by Department Technology, Management and Budget in Michigan.
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