ESBD_371083_1723057575487_HHS0015195v2_Solicitation Exhibits.zip

This document is a solicitation from the Texas Health and Human Services Commission (HHSC) for a Contract for Managed Care Services. The solicitation requests proposals for the provision of comprehensive managed care services for the STAR and STAR+PLUS Medicaid programs in various regions across Texas. The services required include primary care, specialty care, pharmacy, transportation, and other benefits for Medicaid recipients. Proposals are due on July 18, 2023, and a mandatory pre-proposal conference is scheduled for June 27, 2023. The contract term is expected to be 5 years with the possibility of up to 5 one-year extensions.

The solicitation outlines detailed pricing and reimbursement terms, including risk-based capitation rates, quality incentive programs, and medical loss ratio requirements. Small, minority, and women-owned business set-asides are included, and the current incumbents for the various regions are identified. The solicitation specifies that the contract will be funded through Medicaid managed care program allocations from the Texas Legislature.