The Louisiana Department of Health has released a Request for Proposals (RFP) for Managed Care Organizations (MCOs).

MCOs provide Medicaid health benefits to Medicaid beneficiaries through contracted arrangements with the Louisiana Department of Health. By contracting with various MCOs to deliver Medicaid program healthcare services, states can reduce Medicaid program costs and better manage utilization of health services. Improvement in healthcare quality and outcomes are key objectives of Medicaid managed care.

This RFP places an emphasis on: 

  • 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

It is the intent that the existing emergency contracts with Aetna Better Health, AmeriHealth Caritas of Louisiana, Healthy Blue, Louisiana Healthcare Connections and United Healthcare of Louisiana will be extended until new contracts are awarded and executed through the RFP selection process.

“In the development of this RFP, the Department completed national research to ensure we are implementing evidence-based practices in the administration of managed care organizations,” said Dr. Courtney N. Phillips, Secretary of the Louisiana Department of Health. “Our goal is for this RFP to result in contracts that will best meet the needs of the people we serve.”

The Louisiana Department of Health will follow the selection process outlined by the Office of State Procurement and cannot share any additional comments on the RFP. Organizations must submit responses to the RFP by September 3, 2021, 3:00 p.m. Central Time. Click here to read the complete RFP.