The Texas Health and Human Services Commission (HHSC) announces contract awards for the HHSC Medicaid and CHIP Managed Care Services RFP # 529-12-0002, to Aetna Healthcare, Community First Health Plans, Superior Health Plan Network, Amerigroup Community Care, Molina Healthcare of Texas, Parkland Community Health Plans, El Paso First Health Plans, Health Spring Life and Insurance, Texas Children’s Health Plan, Community Health Choice, Driscoll Children’s Health Plan, Amerigroup Real Solutions, FirstCare, Scott & White, Superior Health Plan, Christus Health Plan, Cook Children’s Health Plan, Blue Cross Blue Shield of Texas, Sendero Health Plans, Seton Health Plan, United Healthcare.

The Texas Health and Human Services Commission (HHSC) announces tentative contract awards for the HHSC Medicaid and CHIP Managed Care Services RFP # 529-12-0002, to Blue Cross Blue Shield of Texas and Sendero Health Plans for STAR and CHIP services in the Travis Service Area. This award is contingent upon the successful negotiation and execution of a contract. In the event negotiations are unsuccessful, HHSC may initiate negotiations with the next successful vendor or vendors.

The Texas Health and Human Services Commission (HHSC) announces tentative contract awards for the HHSC Medicaid and CHIP Managed Care Services RFP # 529-12-0002, to include Amerigroup for STAR and CHIP services in the Bexar Service Area and to remove Amerigroup for STAR and CHIP in the Travis Service Area.

This award is contingent upon the successful negotiation and execution of a contract. In the event negotiations are unsuccessful, HHSC may initiate negotiations with the next successful vendor or vendors.

The Texas Health and Human Services Commission (HHSC) announces tentative contract awards for the HHSC Medicaid and CHIP Managed care Services RFP # 529-12-0002, to the vendors listed below for their respective services areas.  This award is contingent upon successful negotiation and execution of a contract.  In the event negotiations are unsuccessful, HHSC may initiate negotiations with the next successful vendor or vendors.

Bexar Service Area:  STAR – Aetna, Community First, Superior Healthplan Network; STAR+PLUS – Amerigroup, Molina Healthcare of Texas, Superior Healthplan Network; CHIP – Aetna, Superior Healthplan Network, Community First.

Dallas Service Area:  STAR – Parkland Community Health Plans, Amerigroup, Molina Healthcare of Texas; STAR+PLUS – not part of the RFP; CHIP – Amerigroup, Parkland Community Health Plans, Molina Healthcare of Texas.

El Paso Service Area:  STAR – El Paso First, Superior Healthplan Network, Molina Healthcare of Texas; STAR+PLUS – Molina Healthcare of Texas, Amerigroup; CHIP – El Paso First, Superior Healthplan Network.

Harris Service Area:  STAR – Amerigroup, Texas Children’s, Community Health, Molina Healthcare of Texas, United Healthcare Community Plan; STAR+PLUS – Molina Healthcare of Texas, Amerigroup, United Healthcare Community Plan; CHIP – Amerigroup, Community Health, Molina Healthcare of Texas, Texas Children’s, United Healthcare Community Plan.

Hidalgo Service Area:  STAR – United Healthcare Community Plan, Superior Healthplan Network, Molina Healthcare of Texas, Driscoll Children’s; STAR+PLUS – Molina Healthcare of Texas, Superior Healthplan Network, Health Spring; CHIP – not part of the RFP.

Jefferson Service Area:  STAR – Amerigroup, Texas Children’s Community Health, Molina Healthcare of Texas, United Healthcare Community Plan; STAR+PLUS – Amerigroup, Molina Healthcare of Texas, United Healthcare Community Plan; CHIP – Amerigroup, Community Health, Molina Healthcare of Texas, Texas Children’s, United Healthcare Community Plan.

Lubbock Service Area:  STAR – Superior Healthplan Network, FirstCare, Amerigroup; STAR+PLUS – Amerigroup, Superior Healthplan Network; CHIP – FirstCare, Superior Healthplan Network.

Medicaid Rural Service Areas (MRSA):  MRSA West Texas:  STAR – Amerigroup, Superior Healthplan Network, First Care; STAR+PLUS – not part of the RFP; CHIP – not part of the RFP.

MRSA Central Texas:  STAR – Amerigroup, Superior Healthplan Network, Scott & White; STAR+PLUS – not part of the RFP; CHIP – not part of the RFP.

MRSA Northeast Texas:  STAR – Amerigroup, Superior Healthplan Network; STAT+PLUS – not part of the RFP; CHIP – not part of the RFP.

Nueces Service Area:  STAR – Superior Healthplan Network, Driscoll Children’s, Christus; STAR+PLUS – Superior Healthplan Network, United Healthcare Community Plan; CHIP – Driscoll Children’s, Superior Healthplan Network, Christus.

Tarrant Service Area:  STAR – Amerigroup, Aetna, Cool Children’s; STAR+PLUS – not part of the RFP; CHIP – Aetna, Amerigroup, Cook Children’s.

Travis Service Area:  STAR – Amerigroup, Superior Healthplan Network, Seton; STAR+PLUS – Amerigroup, United Healthcare Community Plan; CHIP – Seton, Superior Healthplan Network, Amerigroup.

HHSC has post Addendum 6 for RFP 529-12-0002 HHSC Medicaid and CHIP Managed Care Services.

The following items have been posted to the RFP 529-12-0002 HHSC Medicaid and CHIP Managed Care Services:

1. Addendum 5 which consist of additional Vendor Questions responses.

2. The following Sections and Attachments have been removed and replaced with revised Sections and Attachments.  These revisions are related to responses to comments posted in Addendums 3, 4, and 5 and all changes are highlighted in yellow.

   1. Section 1
   2. Section 4
   3. Section 7
   4. Section 8
   5. Attachment A – Uniform Managed Care Terms and Conditions
   6. Attachment B-1 – STAR Covered Services
   7. Attachment B-1.1 – CHIP Covered Services
   8. Attachment B-1.2 – STAR+PLUS Covered Services

3. Attachment B-7 Wrap Services has been added to the Attachments.

4. The following links has been added to the Procurement Library:

   No. 34 - Texas Medicaid/CHIP Vendor Drug Program

   No. 35 - Texas Vendor Drug Program – Provider Procedure Manual

   No. 36 - Texas Vendor Drug Program – Pharmacy Provider Handbook

HHSC post Addendum 4 for RFP 529-12-0002 HHSC Medicaid and CHIP Managed Care Services which consist of additional Vendor Questions responses.

HHSC post Addendum 3 for RFP 529-12-0002 HHSC Medicaid and CHIP Managed Care Services which consist of additional Vendor Questions responses.

The following items have been posted to the RFP 529-12-0002 HHSC Medicaid and CHIP Managed Care Services:

1. Addendum No.2 - Pre-Conference Vendor Questions (PDF)
2. Vendor Conference Attendance (DOC)
3. Vendor Conference Presentation (PPT)

The HHSC HUB Subcontracting Plan has been added to the Procurement Library.

HHSC has added the following additional chapters to the Uniform Managed Care Manual in the Procurement Library:

Chapter 5.3.1
5.3.1.13 – CHIP Dental FSR Template
5.3.1.14 – CHIP Dental FSR Instructions
5.3.1.15 – Medicaid Dental FSR Template
5.3.1.16 – Medicaid Dental FSR Instructions

Chapter 5.6.1
5.6.1.4 – Dental Claims Summary Report Template
5.6.1.5 – Dental Claims Summary Report Instructions

Chapter 5.6.2
5.6.2.7 – CHIP Dental Claims Lag Report Template
5.6.2.8 – Dental Claims Lag Report Instructions
5.6.2.9 – Medicaid Dental Claims Lag Report Template

Please check the HHSC website Business Opportunities page regularly for further information and updates.

HHSC posts Addendum No.1 for RFP 529-12-0002 HHSC Medicaid and CHIP Managed Care Services:

1. Revision to Section 1, Procurement Schedule.
2. Revision to Attachment B-1.2.

Please check the HHSC website Business Opportunities page regularly for further information and updates.

HHSC is posting the document title “Summary Changes” to assist vendors in seeing the changes that were made on the Final RFP from the Draft RFP.

The Texas Health and Human Services Commission (HHSC) announces the issuance of Request for Proposal (RFP) # 529-12-0002 for the HHSC Medicaid and CHIP Managed Care Services.

The State of Texas, by and through the Texas Health and Human Services Commission (HHSC), is soliciting competitive proposals for managed care services for recipients who participate in the following managed care programs:

• Medicaid State of Texas Access Reform Program (STAR);
• Medicaid STAR+PLUS Program;
• Children’s Health Insurance Program (CHIP), including the CHIP Perinatal subprogram.

The sole point of contact for inquiries concerning this RFP is:

Texas Health and Human Services Commission
Enterprise Contracts and Procurement Services Department
4405 North Lamar Blvd
Austin, Texas 78756-3422
ATT:  Alice Hanna, Purchaser
(512) 206-5277
alice.hanna@hhsc.state.tx.us

All communications relating to this RFP must be directed to the HHSC contact person named above.  All other communications between a respondent and HHSC staff concerning this RFP are prohibited.  In no instance is a respondent to discuss cost information contained in a proposal with the HHSC point of contact or any other staff prior to proposal evaluation.  Failure to comply with this section may result in HHSC’s disqualification of the proposal.  Please check the HHSC website at  http://www.hhsc.state.tx.us/about_hhsc/BusOpp/contracts.asp  regularly for further information and updates.