Government Contract | Pennsylvania
ENROLLMENT ASSISTANCE PROGRAM SERVICES FOR THE HEALTHCHOICES PROGRAM

Bid Information


Bid Alert No: 00000397742

Bid Title: ENROLLMENT ASSISTANCE PROGRAM SERVICES FOR THE HEALTHCHOICES PROGRAM

Agency Bid No. Title: 03-15

Received Date: 10/21/2015

Close Date: 12/01/2015

Purchase Type: Term:

Delivery Point: Not Stated, Pennsylvania

Delivery Date: Not Stated

Special Notices: Pre-Bid Conference Optional 11/04/2015 01:00 PM, Questions Due By Optional 11/04/2015

Specifications

Specifications include, but are not limited to:ENROLLMENT ASSISTANCEPROGRAM SERVICES FOR THE HEALTHCHOICES PROGRAM Maintain consistently high PH-MCO and PCP selection rates to reduce the number of MA Consumers who are auto-assigned to a PH-MCO under the HealthChoices Program. 2. Facilitate PH-MCO transfers for MA consumers in the HealthChoices Program. 3. Establish an adequately staffed Enrollment Center, maintaining sufficient numbers of trained Enrollment Specialists and Field Outreach Specialists (Field Staff). 4. Maintain a website that will provide MA Consumers with access to information about their choices so that they are well-informed about the programs available to them. 5. Provide timely and appropriate enrollment coordination of special needs MA consumers such as Children in Substitute Care and pregnant women. This includes appropriate coordination between the HealthChoices PH-MCOs, the Departments Office of Income Maintenance, County Assistance Offices (CAOs) and the Office of Children and Youth and Families (OCYF). 6. Establish and maintain an adequate Management Information System (MIS) that can handle the various interfaces and exchange of files critical to ensuring MA consumer enrollments are processed timely and the provider network information from the HealthChoices PH-MCOs is accessible to the Enrollment staff as well as MA Consumers to ensure MA consumers are afforded accurate information to choose their health plan and PCP that best meets their needs. 7. Establish a repository for storing eligibility and enrollment data received from the Department that can be used for researching and resolving discrepancies

Product Codes: 91869, 94807, 95300, 95352

Agency Information


Issuing Agency: Commonwealth of Pennsylvania Department of Agriculture

State: Pennsylvania

Agency Type: State and Local

Contact: Bureau of Real Estate, Room 503, North Office Building, Harrisburg, Pennsylvania, 17125

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