RFP 250000002670 - Schedule B - Pricing.docx

DOCX document 48 KB Posted

Attached to
Prepaid Inpatient Health Plan (PIHP) RFP
Solicitation number
RFP-171-250000002670-3
Issued by
Michigan

About this file

This document is a Schedule B - Pricing Request for Proposal (RFP No. 250000002670) issued by the Michigan Department of Health and Human Services (MDHHS) for a Prepaid Inpatient Health Plan (PIHP) contract. The solicitation seeks to establish a contract for healthcare services, with MDHHS planning to develop actuarially sound capitation rates that comply with federal requirements. The capitation rates will be provided to the selected vendor prior to the contract start date.

The pricing document indicates that MDHHS will determine the financial compensation for the health plan services through capitation rates, which will be calculated using established federal actuarial standards. While specific rate details are not provided in this excerpt, the document suggests a structured approach to pricing that will be finalized before the contract's commencement. The focus appears to be on creating a financially sound mechanism for delivering healthcare services through a prepaid inpatient health plan model.

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Other files

File Type Posted
RFP 250000002670 - Appendix 4 - Major Service Category Mapping.docx.pdf PDF
RFP 250000002670 - Schedule C - Insurance Requirements.docx DOCX document
RFP 250000002670 - Appendix 1 - PIHP Region Map.docx DOCX document
RFP 250000002670 - Schedule A - Statement of Work - Amendment 1.docx DOCX document
RFP 250000002670 - Appendix 3 - Historical Cost and Utilization Data.pdf PDF
RFP 250000002670 - Appendix 5 - SFY 2023 Data Exhibits.docx.pdf PDF
RFP 250000002670 - Schedule E - Reporting Requirements.docx DOCX document
RFP 250000002670 - Schedule D - Data Security Requirements for Hybrid Purchases.docx DOCX document
RFP 250000002670 - Schedule H - Medicaid Behavioral Health and Substance Use Disorder Payment Responsibility Grid.docx DOCX document
RFP 250000002670 - Schedule F - HIPAA Business Associate Agreement.docx DOCX document
RFP 250000002670 - Schedule G - Definitions-Explanation of Terms.docx DOCX document
RFP 250000002670 - Appendix 2 - Grant Agreement Samples.pdf PDF
RFP 250000002670 - Appendix 6 - Projected CCBHC Funding.docx.pdf PDF
RFP 250000002670 - Schedule J - Narrative Submission Questions.docx DOCX document
RFP 250000002670 - Hybrid Contract Terms - Federal Provisions Addendum - Byrd Anti-Lobbying Certification.docx DOCX document
RFP 250000002670 - Proposal Instructions - Confidential Treatment Form - Vendor Questions Worksheet.docx DOCX document
RFP 250000002670 - Proposal Instructions - Confidential Treatment Form - Vendor Questions Worksheet - Amendment 2.docx DOCX document
RFP 250000002670 - Schedule A - Statement of Work.docx DOCX document
RFP 250000002670 - Schedule I - Network Adequacy Procedure Document.docx DOCX document
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Text version

Michigan.gov/MiProcurement Schedule B – Pricing Request for Proposal No. 250000002670 Prepaid Inpatient Health Plan (PIHP) MDHHS will establish actuarially sound capitation rates developed in accordance with the federal requirements for actuarial soundness.

Capitation rates will be provided prior to Contract start date.

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File details come from the government source that posted it. Updated .