Medicaid Managed Care Services – Request for Proposals (RFP) #41900-DCH0000133
Medicaid Managed Care Services RFP EVENT #41900-DCH0000133 Opened September 22, 2023
The Department of Community Health (DCH) has issued an electronic Request for Proposals ("eRFP") #41900-DCH0000133 for Medicaid Managed Health Care Services. This eRFP is issued to establish Contracts with qualified Care Management Organizations (CMOs), or "Suppliers", for the provision of Benefits and Services for Georgia Families (the State's managed care program for Medicaid, PeachCare for Kids® Members and Planning for Healthy Babies (P4HB) participants) and Georgia Families 360° (for children, youth and young adults in Foster Care (FC) or receiving Adoption Assistance and select youth involved with the Department of Juvenile Justice (DJJ)).
To view the eRFP and the supporting documents, please visit the Georgia Procurement Registry link here. All registered bidders must submit responses to this eRFP in accordance with the Schedule of Events identified in Section 1.5 of 'Attachment A - State Entity Electronic Request for Proposal (eRFP)' by utilizing Team Georgia Marketplace (TGM).
Contact Issuing Officer - Only for bid event #41900-DCH0000133
Matt Carter
RFP Resource Library Documents Provided Include:
- 2023 Bright Futures Periodicity Schedule
- CMO Procurement Top COS Diagnosis Procedures Rxs - FY2023
- CMO Service Regions and Counties
- Data Elements Availability Table
- DOAA Medicaid Cluster State Survey and Certification of Healthcare Providers and Suppliers Assessment Project
- EASE Data Set Standards and SFTP Setup Parameters
- GaHIN Member Connections Summary
- GAMMIS 5010 Encounter 837D Companion Guide v2.16 (Dental encounters)
- GAMMIS 5010 Encounter 837I Companion Guide v2.16 (Institutional encounters)
- GAMMIS 5010 Encounter 837P Companion Guide v2.15 (Professional encounters)
- Georgia and Planning for Healthy Babies Rate Certification Exhibits - SFY 2024
- Georgia DCH 2023 External Quality Review Annual Report
- Georgia DCH Quality Strategy
- Georgia DPH Billing Resource Manual (2014)
- Georgia Families 360° Rate Certification - SFY 2024
- Georgia Families 360° Rate Certification Exhibits - SFY 2024
- Georgia Families Rate Certification - SFY 2024
- Georgia Families Rate Certification Exhibits - SFY 2024
- Georgia Pathways Special Terms and Conditions (2023)
- Georgia P4HB Special Terms and Conditions
- Kenny A Consent Decree (GF360)
- Medicaid Managed Care Enrollment Numbers
- MOU for the PeachCare Partnership Program
- National Committee for Quality Assurance (NCQA) Health Plan Accreditation Requirements
- Pathways Rate Certification - SFY 2024
- Pathways Rate Certification Exhibits - SFY 2024
- Sample Irrevocable Letter of Credit
- Security and Privacy Controls - NIST.SP.800-53r5
- SSI Non-Dual Non-HCBS Data Book Exhibits
- SSI Non-Dual Non-HCBS Data Book Narrative