Molina~1.zip

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Attached to
Open Market Competitive Sealed Proposal IL|26-478HFS-MEDPR-P-99062
Contract number
26-478HFS-MEDPR-P-99062
Issued by
Illinois

About this file

Contract Summary

This is a Master Service Agreement and contract award document involving the State of California Department of Health Care Services (DHCS) and Molina Healthcare of California, Inc. The contract establishes a managed care services relationship under California's Medicaid program (Medi-Cal). The agreement involves the state agency as the contracting authority and Molina Healthcare as the service provider, with the contract facilitated through established procurement processes for healthcare delivery services.

The contract covers comprehensive managed health care services for Medi-Cal beneficiaries, including medical, behavioral health, and long-term care services. The agreement includes multiple contract periods with renewal options, with pricing established on a per-member-per-month (PMPM) capitated basis, adjusted annually for actuarial developments and regulatory requirements. Payment methodologies are subject to state and federal regulations governing Medicaid managed care rates. The contract includes standard provisions for network adequacy, quality assurance, utilization management, and compliance with state and federal Medicaid requirements. The agreement specifies performance standards, reporting obligations, and financial safeguards required of the health plan, along with provisions for contract termination, amendment, and renewal cycles consistent with state contracting procedures.

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