Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs)
Active State & local contract Michigan
- Contract number
- MA250000000214
- Awardee
- MOLINA HEALTHCARE OF MICHIGAN INC
- Contracting organization
- Department Technology, Management and Budget
Contract facts
- End date
- Points of contact
-
- Marissa Gove govem1@michigan.gov (517) 449-8952
- Matthew Seager seagerm@michigan.gov (517) 599-1461
Contract details come from michigan.gov. Updated .
About this contract
The Michigan Department of Technology, Management and Budget (DTMB) Indefinite Delivery Vehicle (IDV) MA250000000214 is a specialized contract for Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs). This IDV enables comprehensive healthcare service coordination for dual-eligible beneficiaries, integrating Medicare and Medicaid services across multiple Michigan regions. The contract provides a structured framework for delivering coordinated healthcare through a capitated rate payment model, focusing on transitioning existing Medicare-Medicaid demonstration programs into an integrated special needs plan.
The prime contractor for this IDV is Molina Healthcare of Michigan, Inc., with a contract period spanning from January 1, 2026, to December 31, 2033. The contract covers the entire state of Michigan and is structured with a phased implementation approach, beginning in four regions in 2026 and expanding statewide in 2027. Molina Healthcare will receive monthly per-member-per-month (PMPM) payments, with rates adjusted for different service tiers and regions, and is subject to a 2% quality withhold mechanism based on performance metrics. The contract requires Molina to maintain a medical loss ratio of at least 85% and a dental claim loss ratio of 80%.
Files
| File | Type | Posted |
|---|---|---|
| 250000000214.pdf |
Quick answers
Who holds contract MA250000000214?
Contract MA250000000214 was awarded to MOLINA HEALTHCARE OF MICHIGAN INC by Department Technology, Management and Budget in Michigan.
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