Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs)
Active State & local contract Michigan
- Contract number
- MA250000000215
- Awardee
- PRIORITY HEALTH CHOICE, 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's Indefinite Delivery Vehicle (IDV) 250000000215 is a specialized healthcare contract focused on Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs). This contract provides a comprehensive healthcare service delivery model designed to support Medicare and Medicaid beneficiaries through an integrated approach. The IDV enables the provision of healthcare services with a capitated payment structure, covering medical, long-term services, and supports for eligible participants across Michigan, with specific exclusions for certain behavioral health services.
Priority Health Choice, Inc. is the prime contractor for this IDV, which has a performance period from January 1, 2025, through December 31, 2033, with potential extensions for up to three additional one-year periods. The contract is state-specific to Michigan and operates under a unit price per member per month (PMPM) capitated rate model, with rates varying by region, age, and enrollee categories. The contract includes a 2% quality withhold mechanism and performance bonus opportunities, and requires maintenance of specific network adequacy and quality improvement standards, involving collaboration with local health departments, prepaid inpatient health plans (PIHPs), and other healthcare service providers.
Files
| File | Type | Posted |
|---|---|---|
| 250000000215.pdf |
Quick answers
Who holds contract MA250000000215?
Contract MA250000000215 was awarded to PRIORITY HEALTH CHOICE, INC. by Department Technology, Management and Budget in Michigan.
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