New Mexico Medicaid Managed Care Services Agreement

This week, our In Focus section is reviewing the Request for Proposals (RFP) published by the New Mexico Human Services Department (HSD) to design contracts for the Medicaid Managed Care program in its second phase, Centennial Care 2.0. Centennial Care provides nearly 700,000 Medicaid beneficiaries in the state with integrated Medicaid coverage, including long-term support services and services (LTSS) and behavioral health, with annual expenditures of approximately $4.5 billion. The New Mexico HSD intends to award between three and five national contracts for Centennial Care 2.0. The state is in the process of entering into contracts with four MCOs. Contracts run from March 2018 to December 31, 2022. Based on an implementation date of January 1, 2019, this corresponds to a four-year contract term, with the possibility of extending an additional year until 2023. NEW MEXICO DEPARTMENT OF HEALTH CORONAVIRUS UPDATES Meet Dr. David R. Scrase, who began his service on January 1, 2019. Of the more than 877,000 Medicaid recipients in New Mexico, about 88,000 are full-yield beneficiaries and 117,000 are partial beneficiaries. If fully implemented in 2019, Centennial Care 2.0 expects a total of approximately 700,000 beneficiaries. On September 18, a mandatory acknowledgement will be delivered at a mandatory pre-proposal conference on September 19. Proposals will be submitted on 3 November for the HSD and the finalists will be selected on 22 December.

Letters of intent will be announced on January 8, 2018 and final contracts will be awarded on March 15, 2018. Implementation is scheduled for January 1, 2018. Molina and Presbyterian are the two largest MCOs in the current Centennial Care program, each with about one-third of the market. Most of the items available to bidders are in the « Technical Proposal » section and it should be noted that there is a cost element of the offer. Additional points are included in the evaluation criteria for the oral presentations of the finalists. Centennial Care 2.0 covers the majority of Medicaid recipients in New Mexico, with the exception of: