Attachment 8 - Pricing Page - Specialty Plan.pdf

This document is a Pricing Page for a Specialty Plan contract covering four regional jurisdictions: Central, East, West, and Southwest regions, with contract effective dates from July 1, 2027 through June 30, 2028. The file establishes capitation rate structures for managed care services organized by category of aid and demographic classifications. The pricing framework applies to two primary categories: Category of Aid 4 (all ages, male and female) and Category of Aid 4 - GR Only (all ages, male and female), indicating differentiated service populations within the specialty plan offering.

The firm fixed base capitation rates are standardized across all four regions at $847.03 per member per month for Category of Aid 4 and $9,588.80 per member per month for Category of Aid 4 - GR Only. The document presents pricing in a two-column format with Column 1 displaying the State Offered Price and Column 2 designated for Offeror Acceptance, allowing bidders to acknowledge or propose alternative pricing for each regional service area. The contract structure indicates a per-member-per-month (PMPM) reimbursement model typical of managed care arrangements, with identical pricing offered across all geographic regions to ensure consistency in rate structure.