Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs)
Active State & local contract Michigan
- Contract number
- MA250000000212
- Awardee
- Humana Medical Plan of Michigan Inc
- 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 contract enables comprehensive healthcare service delivery for dual-eligible Medicare and Medicaid beneficiaries, providing integrated medical, behavioral health, long-term services, and pharmacy benefits. The IDV will facilitate a capitated rate payment model designed to support healthcare services with a strategic focus on care coordination, health equity, and reducing disparities for eligible populations across Michigan.
The prime contractor for this IDV is Humana Medical Plan of Michigan Inc., with a contract period spanning from January 1, 2026, to December 31, 2033. The contract covers the entire state of Michigan, initially implementing services in Regions 1, 8, 10, and 12 before expanding statewide by January 1, 2027. As a Department of Technology, Management and Budget contract, it includes provisions for up to three additional one-year renewals and incorporates a 2% quality withhold mechanism that can be earned back through performance metrics. The contract involves collaboration with the Centers for Medicare & Medicaid Services (CMS) and will determine annual capitation rates based on enrolled members.
Files
| File | Type | Posted |
|---|---|---|
| 250000000212.pdf |
Quick answers
Who holds contract MA250000000212?
Contract MA250000000212 was awarded to Humana Medical Plan of Michigan Inc by Department Technology, Management and Budget in Michigan.
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