Attachment 8 - Pricing Page - Specialty Plan.pdf
PDF 79 KB Posted
- Attached to
- MO HealthNet Managed Care Program
- Solicitation number
- 300000257105049
- Issued by
- Missouri
About this file
This is a Pricing Page attachment for a Specialty Plan contract covering capitation rates across four distinct regions for the period of July 1, 2027 through June 30, 2028. The document presents firm fixed pricing for both standard Category of Aid 4 and Category of Aid 4 - General Relief (GR) Only services across the Central, East, West, and Southwest regions. The pricing structure applies to all male and female beneficiaries with no age-based differentiation.
The capitation rates are established on a per member per month basis with the state offering a uniform price of $847.03 for Category of Aid 4 and $9,588.80 for Category of Aid 4 - GR Only across all four regions. The document includes columns for both state-offered prices and offeror acceptance, with corresponding cost of award (COA) designations for each regional pricing tier, indicating that bidders are expected to accept or counter the state's proposed rates as part of their response to this specialty plan contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| MO HealthNet Managed Care Program.docx | DOCX document | |
| Attachment 1 - MO HealthNet Managed Care Eligibility Groups.pdf | ||
| Attachment 2 - FQHCs, RHCs, CMHCs, Safety Net Hospitals, Family Planning, & STI Providers.xlsx | XLSX spreadsheet | |
| Attachment 3 - DMH Decision Tree.docx | DOCX document | |
| Attachment 4 - Actuarial Memorandum.pdf | ||
| Attachment 5 - Business Associate Agreement.docx | DOCX document | |
| Attachment 6 - Federal Funds Requirements.docx | DOCX document | |
| Attachment 7 - Pricing Page - General Plan.pdf | ||
| Attachment 9 - Actuarial Memorandum Appendices.xlsx | XLSX spreadsheet |
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Text version
Category of Aid Age Sex
4 All Male and Female $ 847.03 4 - GR Only All Male and Female $ 9,588.80
Firm Fixed Base "X" Indicator Capitation Rate (Per Member Per Month)
Central Region - Firm Fixed Pricing Page
July 1, 2027 through June 30, 2028
Column 1 Column 2 State Offered Price Offeror Acceptance
Aid Age Sex
4 All Male and Female $ 847.03 4 - GR Only All Male and Female $ 9,588.80
Firm Fixed Base "X" Indicator Capitation Rate (Per Member Per Month)
East Region - Firm Fixed Pricing Page
July 1, 2027 through June 30, 2028
Aid Age Sex
4 All Male and Female $ 847.03 4 - GR Only All Male and Female $ 9,588.80
Firm Fixed Base "X" Indicator Capitation Rate (Per Member Per Month)
West Region - Firm Fixed Pricing Page
July 1, 2027 through June 30, 2028
Aid Age Sex
4 All Male and Female $ 847.03 4 - GR Only All Male and Female $ 9,588.80
Firm Fixed Base "X" Indicator Capitation Rate (Per Member Per Month)
Southwest Region - Firm Fixed Pricing Page
July 1, 2027 through June 30, 2028
| SP - Central - COA 4 |
| SP - East - COA 4 |
| SP - West - COA 4 |
| SP - SW - COA 4 |
File details come from the government source that posted it. Updated .