Contracts for services to Minnesota health care organizations to provide elderly adults with health care services. Selected grantees will provide services to individuals ages 65 and above who are receiving diagnostic, preventive, comprehensive, therapeutic, and rehabilitative health care services.
The Minnesota Department of Human Services (DHS), through its Purchasing and Service Delivery (PSD) Division (State), is seeking Proposals from qualified Responders to provide prepaid health care and long-term care services to people ages 65 and older (seniors) who are enrolled in Medical Assistance under Minnesota Senior Health Options (MSHO) and Minnesota Senior Care Plus (MSC+) programs throughout Minnesota. This Request for Proposals applies to all 87 counties in Minnesota. Responders that provide MSHO in a county must also provide MSC+ in the same county, in order to assure a seamless transition of enrollee choices. Responders may not provide MSC+ as a standalone product in a county.
The Responder must provide access to cost-effective, quality health care to eligible individuals covered under the MSHO/MSC+ Contract. The MSHO/MSC+ model contract includes requirements for enrollment, MCO and enrollee communications, marketing and enrollee education, reporting requirements, access standards, transition services, service authorization, quality assessment and performance improvement, denials, terminations and reductions of service (DTRs), grievances, appeals, and state fair hearings, and other required provisions including compliance with various state and federal laws and regulations. The Responder must comply with the program contract requirements specified in the model contract.