Attachment 2 PPO CMS ACCESS Match.xlsx

This document is an Attachment to the Medicare Advantage Plans Bid Solicitation 19DPP00265 for the State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) of the State of New Jersey. The attachment requires bidders to provide the 2018 Medicare Advantage medical network access match percentage for the National Open Access Medicare Advantage PPO, based on the census data provided for current SHBP/SEHBP Medicare Advantage members. Bidders must also provide the number of 2018 CMS Star Rating "Double Bonus" counties and the number of SHBP/SEHBP Medicare Advantage members residing in those counties. The total current SHBP/SEHBP Medicare Advantage membership is 82,116.

The related state and local contract opportunity is for T3093 - SHBP and SEHBP Medicare Advantage Plans, covering the jurisdictions of Mercer County and Trenton City in New Jersey. The document does not provide details on pricing terms, set asides, incumbents, funding requirements or sources, or contract term and renewal options.