Coordinated Care Procurement

The Mississippi Medicaid Coordinated Care Procurement

This year marks ten years since the inception of the Mississippi Division of Medicaid’s (DOM) coordinated care program, MississippiCAN. The program began in 2011 with only about 54,500 members enrolled. With additional categories of eligibility rolled into MississippiCAN over the years, the program currently covers more than 480,000 Medicaid members.

With 10 years of groundwork, DOM has had the opportunity to build an infrastructure to deliver services, review data, conduct analyses of the coordinated care organization (CCO) framework, and chart a course for DOM and contracted CCOs to deliver the best possible services to Mississippi’s Medicaid population. With this procurement, DOM will for the first time seek joint administrative CCO services for both MississippiCAN and the Children’s Health Insurance Program (CHIP).

Notice of Intent to Award

• Notice of Intent to Award (08/10/2022)

• Procurement Overview and Evaluation Committee Report and Appendices. Appendices included in this document:
• Appendix A: Register of Qualifications
• Appendix B: Evaluation Committee Consensus Scores and Comments
• Appendix C: Resumes of Contractor/Committee Members
• Appendix D: Memorandum of Redactions and Cures
• Appendix E: Evaluation Committee Attestation Regarding Technical Evaluation and Materials
• Appendix F: Petition for Relief
• Appendix G: Evaluation Committee Member Conflict of Interest Forms

• Offerors’ Redacted Qualifications (Released pursuant to RFQ Sections 1.4.2 and 1.4.3):
• Amerigroup
• Magnolia Health Plan
• Molina Healthcare
• TrueCare
• UnitedHealthcare of Mississippi

Request for Qualifications (RFQ) released December 10, 2021

DOM is seeking vendors who will build on the foundation established over the past decade to improve health outcomes and quality of life for Members, which will in turn make for improved cost outcomes for the state. Click on the links below to view the entire RFQ and accompanying documents.

• DOM Coordinated Care RFQ – RFQ No. 20211210
• DOM CCO Procurement – Appendix A – CCO Contract
• DOM CCO Procurement – Appendix B – Standard File Layouts
• DOM CCO Procurement – Appendix C – MSCAN Rate Letter SFY22
• DOM CCO Procurement – Appendix C – CHIP Rate Letter SFY22
• DOM CCO Procurement – 4.3.2.6 – Pro Forma Financial Template – Referenced in Appendix G
• DOM CCO Procurement – Appendix J – Question and Answer Template
• Amendment #1 to RFQ 20211210: Section 5 – Enterprise Security Policy – Issued January 21, 2022
• Amendment #2 to RFQ 20211210: RFQ Mandatory Pre-Qualification Question and Answer Document – Issued January 21, 2022
• Amendment #3 to RFQ 20211210: RFQ Appendices D, E, F, G, and H in Word Format – Issued January 21, 2022
• Amendment #4 to RFQ 20211210: Questions and Answers (PDF) – Issued February 7, 2022
• Amendment #5 to RFQ 20211210: RFQ Corrections and Clarifications (PDF) – Issued February 7, 2022
• Amendment #6 to RFQ 20211210: Appendix A: Draft Contract Corrections and Clarifications (PDF) – Issued February 7, 2022
• Amendment #7 to RFQ 20211210: Updates to RFQ Appendix F and H in Word Format (Word) – Issued February 7, 2022
• Amendment #8 to RFQ 20211210: Additional MSCAN and CHIP Rate Information in Excel Format (PDF) – Issued February 7, 2022
• Amendment 8: SFY 2022 Preliminary MSCAN Capitation Rates (Excel) – Issued February 7, 2022
• Amendment 8: SFY 2022 Preliminary CHIP Capitation Rates (Excel) – Issued February 7, 2022
• Amendment #9 to RFQ 20211210: Clarification of Amendment 4 Responses – Deadline: Monday, February 14, 2022, 12:00 p.m.
• Amendment #10 to RFQ 20211210: Summary of Pre-Qualification Conference Held on Friday, January 14, 2022 (PDF) – Issued February 11, 2022
• Amendment #11 to RFQ 20211210: Reporting Manuals (PDF) – Issued February 11, 2022
• MSCAN Manual (ZIP of Excel Files)
• CHIP Manual (ZIP of Excel Files)
• Amendment #12 to RFQ 20211210: Responses Regarding Amendment 9 – Issued February 16, 2022
• Amendment #13 to RFQ 20211210: Procurement Timetable Update – Issued July 29, 2022
• TrueCare – Notice to UnitedHealthcare of Mississippi, Inc. for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022
• TrueCare – Notice to Amerigroup Mississippi, Inc. for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022
• TrueCare – Notice to Magnolia Health Plan, Inc. for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022
• TrueCare – Notice to Molina Healthcare of Mississippi, Inc. for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022
• UnitedHealthcare of Mississippi, Inc. – Notice to Molina Healthcare of Mississippi, Inc., Amerigroup Mississippi, Inc., and Magnolia Health Plan, Inc. for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022
• Molina Healthcare of Mississippi, Inc. – Notice to UnitedHealthcare of Mississippi, Inc., Amerigroup Mississippi, Inc., Magnolia Health Plan, Inc., and TrueCare for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022
• Magnolia Health Plan, Inc. – Notice to Molina Healthcare of Mississippi, Inc., UnitedHealthcare of Mississippi, Inc., Amerigroup Mississippi, Inc., and TrueCare for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022
• Amerigroup Mississippi, Inc. – Notice to Magnolia Health Plan, Inc., Molina Healthcare of Mississippi, Inc., UnitedHealthcare of Mississippi, Inc., and TrueCare for Filing Petition for Protective Order – RFx # 3150003991 – posted 9/2/2022

DOM is following a procurement process through a Request for Qualifications (RFQ), which gives the Division the ability to assess an offering vendor’s experience and proposed methods for service delivery, as well as offeror’s abilities to innovate and improve the quality of services available for Medicaid members. Successful offerors will submit a thorough, feasible, novel RFQ proposal (referred to in the RFQ as a Qualification) backed up with clear plans for enacting the proposal and evidence of the resources and ability to do so.

Instructions on Submitting Mandatory Letter of Intent

To be eligible to submit a Qualification, the Offeror is required to submit a Mandatory Letter of Intent using the form provided in Appendix I: Mandatory Letter of Intent of the RFQ documents. The Mandatory Letter of Intent is due by 2:00 p.m. Central Time Zone, Friday, January 7, 2022, and should be sent via email to MSCAN_CHIP@medicaid.ms.gov in a PDF format.

The Mandatory Letter of Intent must be signed by an individual authorized to commit the Offeror to the work proposed. Submission of the Mandatory Letter of Intent shall not be binding on the prospective Offeror to submit a qualification. However, an Offeror that does not submit a Letter of Intent by 2:00 p.m. Central Time Zone, Friday, January 7, 2022, will not thereafter be eligible for the procurement.

It is the responsibility of the Offeror to ensure that the Mandatory Letter of Intent is delivered timely, and the Offeror bears all risks of delivery.

All RFQ amendments will be posted on this website for the pendency of the procurement. Amendments will also be submitted to all prospective respondents and on the Mississippi Contract/Opportunity Search Portal pursuant to PPRB Rule 3-202-08.2.

About the Medicaid Coordinated Care Procurement

Quality and collaborative innovation are at the center of the new procurement, with enhanced requirements for care management, patient-centered medical homes, and performance improvement projects. DOM intends to contract with no fewer than two entities and no more than three through the competitive RFQ process. The final number of awards is at the sole discretion of the Division.

Central themes of the Coordinated Care RFQ include:

Quality: The Division is placing an emphasis on numerous quality-based improvements, including approaches to performance improvement projects, value-adds, value-based purchasing, health literacy campaigns, and care management.

Collaborative Innovation: The Division is requiring offerors to propose delivery methods for numerous quality-based initiatives. Winning vendors will be expected to collaborate with the Division, and in some cases, with each other, to create uniform systems that will leverage plans’ experience, knowledge, and creativity while providing consistency and ease of administrative burden for both Providers and Members.

Access: The Division seeks vendors that will address all barriers to access, whether those are geographic or based on Social Determinants of Health.

Commitment: Winning vendors will evidence a true commitment to improvement of life for citizens of the state, both through delivery of care, and a testament of their willingness to invest in communities through partnerships with other organizations – private, state, and community-based – throughout the state as well as investment in human capital.

Procurement Timetable

The following timetable is the estimated and anticipated timetable for the RFQ and procurement process. The Division reserves the right to amend the Procurement Timetable.

Dates displayed after this point are approximate and depend upon the number of offers received.

Updated July 29, 2022, as per Amendment #13