HMO Services for MPSERS
Closed State & local contract opportunity Posted
- Solicitation number
- RFP - 171 - 230000003226
- State
- Michigan
- Responses due
Opportunity facts
- Jurisdictions
Updated .
About this opportunity
This is a Request for Proposal (RFP) issued by the Michigan Office of Retirement Services (ORS) on behalf of the Michigan Public School Employees' Retirement System (MPSERS) to solicit proposals for fully-insured Health Maintenance Organization (HMO) health coverage, including medical and prescription drug services, for Medicare-Eligible Members and non-Medicare Eligible Members of MPSERS. The Contractor must be able to provide and administer both a non-Medicare and a Medicare product inclusive of prescription drug coverage to Eligible Members who elect enrollment in an HMO. The resulting contract will have a term of one (1) year, with four (4) one-year renewal options, and will cover eligible members within Ingham County and the City of Lansing. Proposals must be submitted by November 14, 2023, and the anticipated contract start date is June 1, 2024. The RFP outlines specific requirements for the Contractor, such as being an HMO licensed in Michigan, having NCQA accreditation, and having a contract with the Centers for Medicare and Medicaid Services (CMS) to provide a Medicare Advantage plan.
The RFP is open to all qualified bidders, and there are no set-asides or incumbent information provided. Pricing for the services must be provided in the format specified in Schedule B, and the State reserves the right to consider the overall economic impact to the State when evaluating proposals. Funding for this contract will come from MPSERS, but the RFP does not specify the award value or budget range.
Opportunity text
The Question and Answer document is now posted; refer to file "230000003226 Questions Answers". As addressed in the Question and Answer document, a revised Schedule M has also been added, which includes a minor correction: "Schedule M HMO Census Data REVISED." This is an RFP to solicit proposals from Contractors for HMO health coverage (medical and prescription drug services) for the Medicare-Eligible Members and non-Medicare Eligible Members, including Retirees, beneficiaries, COBRA participants, and Dependents, of the Michigan Public School Employees' Retirement System (MPSERS), administered by the Michigan Office of Retirement Services (ORS). All current HMO offerings are fully insured. Bidder proposals must reflect fully-insured offerings only. The Contractor must be able to provide and administer both a non-Medicare and a Medicare product inclusive of prescription drug coverage to Eligible Members who elected enrollment in an HMO and pursuant to the requirements listed herein. The Contract resulting from this RFP will have a term of one (1) year, with four (4) one-year options. See all RFP files for complete information.
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