DHS Issues RFP for Managed Care

Posted by Michael Jenkins on Wednesday, February 18, 2015

On Monday, February 16, 2015, the Iowa Department of Human Services (“DHS”) issued its highly anticipated request for proposals (“RFP”) in connection with its plan “to contract for delivery of high quality healthcare services for the Iowa Medicaid, Iowa Health and Wellness Plan, and Healthy and Well Kids in Iowa hawk-i programs.” The RFP and its attachments are available on the State’s website at http://bidopportunities.iowa.gov/?pgname=viewrfp&rfp_id=11140.  The two to four companies that are awarded contracts will be responsible for managing healthcare for the majority of the approximately 564,000 Iowans covered by the programs.

The transition from state-run operation of Medicaid, Iowa Health and Wellness, and hawk-i to privately managed care will certainly have a significant impact on both the patients covered by these programs and the providers that serve these patients. “Modernizing Medicaid will allow Iowa to create incentives to better health outcomes for members through comprehensive healthcare delivered within budget constraints,” DHS Director Charles M. Palmer said in a statement. “By better managing Medicaid, we will make sure Iowans are getting the right care at the right time and in the right setting.”

DHS’s schedule for the vendor selection process calls for final bid proposals by May 8, 2015, with contract execution by the end of August 2015. The anticipated start date for the provision of services under the new contractors is January 1, 2016.