Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs)

Active State & local contract Michigan

Contract number
MA250000000213
Awardee
MERIDIAN HEALTH PLAN OF MICHIGAN
Contracting organization
Department Technology, Management and Budget

Contract facts

End date
Points of contact

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 provides comprehensive healthcare services for dual-eligible beneficiaries, covering most Medicaid benefits including long-term services and supports. The IDV is designed to deliver integrated Medicare and Medicaid services through a capitated rate payment model, with a primary focus on care coordination and comprehensive healthcare management for eligible individuals across Michigan.

Meridian Health Plan of Michigan, Inc. is the prime contractor for this IDV, with a contract period spanning from January 1, 2026, to December 31, 2033. The contract, developed in collaboration with the Michigan Department of Health and Human Services and the Centers for Medicare & Medicaid Services (CMS), will be implemented in phases, expanding statewide by January 1, 2027. Meridian will receive monthly capitation payments with a 2% quality withhold contingent on meeting specific performance metrics. The contract covers the entire state of Michigan and operates as a comprehensive healthcare service agreement with detailed provisions for medical loss ratios, dental claim management, and performance standards across quality, access, and administrative domains.

Files

File Type Posted
250000000213.pdf PDF

Quick answers

Who holds contract MA250000000213?

Contract MA250000000213 was awarded to MERIDIAN HEALTH PLAN OF MICHIGAN by Department Technology, Management and Budget in Michigan.

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