RFP for SoonerHealth+ to be issued Nov. 30

Posted on: 11/16/16

The Oklahoma Health Care Authority (OHCA) met with stakeholders Tuesday, Nov. 8, and gave a briefing on progress toward SoonerHealth+, its future managed care program for aged, blind, and disabled SoonerCare (Medicaid) members.  

On Nov. 30, OHCA will release its Request for Proposals for this program. Plans may propose to serve the entire state, or only an east or west region of the state. OHCA is defining the west region of the state as 46 counties as far east as Pottawatomie and Pontotoc, with the remaining 31 counties in the east region.

The capitation rates (per member, per month) that OHCA will pay managed care plans will not be available until mid-January. The plans’ proposals for SoonerHealth+ contracts will be due at the end of February. OHCA expects to award contracts in late spring. The contracting plans will have the summer and fall of 2017 to build provider networks, with enrollment beginning in January 2018 and service delivery starting in April 2018.

Some subcategories of aged, blind, and disabled SoonerCare members will transition to SoonerHealth+ at a later date. The legislation that resulted in this program specified that members receiving institutional care would be phased in two years after the initial enrollment period. OHCA plans to also delay for two years the enrollment of children in DHS custody. After one year, members served under an intellectual/developmental disabilities waiver will transition to SoonerHealth+.

Presentation slides from the Nov. 8 meeting are posted on OHCA’s SoonerHealth+ page (Rick Snyder)

OHA Partners with Qualivis 

Qualivis was developed as a collaborative effort among multiple state hospital associations to meet the temporary staffing needs of member hospitals and health systems.

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