HMO Services for MPSERS

The Michigan Department of Technology, Management, & Budget's Procurement office has issued a Request for Proposal (RFP) No. 230000003226 for HMO Services for the Michigan Public School Employees' Retirement System (MPSERS). The procurement is for one-year contracts, with up to four additional one-year renewal options, to provide HMO coverage to MPSERS members across Ingham County and the City of Lansing. The mandatory minimum requirements include providing in-network coverage that is Actuarially Equivalent to or exceeds the coverage offered under the MPSERS self-funded Plan, covering all service categories, being an HMO licensed in the State of Michigan and accredited by the National Council for Quality Assurance (NCQA), providing services in all locations approved by the Michigan Department of Insurance and Financial Services, and providing comprehensive benefits to Members when they temporarily reside outside of the service area. Illustrative premium rates for calendar year 2024 are provided, and premium rates for subsequent years will be provided to Contractors on an annual basis. Proposals are due by April 1, 2024.

The procurement does not appear to have any set-aside designations or restrictions on the types of organizations that can respond. The Department has recommended awards to Blue Care Network (BCN), Health Alliance Plan, and Priority Health Managed Benefits for a total program amount of $452,000,000.00, pending State Administrative Board approval. There is no information provided about any incumbent vendors or current contractors.