Medicaid Managed Care RFP 2021

 

Louisiana Medicaid serves more than 1.6 million Louisianans, just over 35% of the state’s population. In 2012, the Louisiana Department of Health (LDH) initiated a managed care delivery model to provide better care and better health outcomes for Medicaid beneficiaries. Today, managed care organizations (MCO) deliver healthcare services to more than 90% of all beneficiaries. The Medicaid managed care program is responsible for providing innovative, cost effective and quality health care to eligible Medicaid managed care enrollees.

The MCO contracts provide specified Medicaid core benefits and services to children and adults enrolled in Louisiana Medicaid. Because the current emergency contracts are due to expire in December 2021, LDH plans to release a Request for Proposals (RFP) in Spring 2021 to solicit proposals from qualified proposers to provide Medicaid managed care services.

LDH is committed to transforming its Medicaid managed care program to provide better care and better health for its enrollees. To ensure that Louisiana’s Medicaid enrollees continue to receive the highest quality of care possible, LDH must examine new innovations in health care delivery, while also looking to increase accountability and address health equity. Given the nature of the COVID-19 public health emergency in 2020, LDH is seeking online input on key elements of the Medicaid managed care contracts, prior to releasing the RFP in 2021.

Areas of Interests

  • Behavioral health integration
  • Child and maternal health outcome improvement
  • Delivery system reform
  • Disaster planning and recovery
  • Department of Justice settlement agreement requirements
  • Fraud, waste, and abuse initiatives
  • Health equity
  • Increased MCO accountability

The deadline for all feedback is Tuesday, December 29, 2020. All feedback about the new Medicaid managed care RFP should be submitted by completing the online form linked below or by emailing healthy@la.gov. When emailing healthy@la.gov, please include "MCO RFP 21" in the subject line.