Delaware sets meetings for Medicaid-improvement process

Delaware State News
Posted 7/15/21

NEW CASTLE — The state Department of Health and Social Services’ Division of Medicaid & Medical Assistance is beginning the process of identifying managed care organizations to operate its Medicaid Managed Care Program, beginning Jan. 1, 2023.

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Delaware sets meetings for Medicaid-improvement process

Posted

NEW CASTLE — The state Department of Health and Social Services’ Division of Medicaid & Medical Assistance is beginning the process of identifying managed care organizations to operate its Medicaid Managed Care Program, beginning Jan. 1, 2023.

DMMA currently contracts with two MCOs — AmeriHealth Caritas Delaware and Highmark Health Options — to provide physical health, behavioral health and long-term services and supports to those enrolled in Medicaid and in the Children’s Health Insurance Program in Delaware. Those contracts expire at the end of 2022.

Delaware’s Medicaid managed care program provides comprehensive health coverage to more than 240,000 eligible Delawareans, or almost 25% of the state’s population.

This procurement process is an opportunity for DMMA to reexamine and improve the program for the MCOs. Strategic principles for the 2023 procurement include:

  • Member focus — Medicaid innovation should improve quality and outcomes for members and advance health equity.
  • Accountability — MCOs will have increased accountability to the DHSS for program costs, performance and creativity.
  • Lead by example — Medicaid, in partnership with the MCOs, will lead by example when it comes to innovation across Delaware’s health care system.
  • Promote program evolution — DMMA will use the procurement process as an opportunity to build upon the existing contract and successes in Medicaid and CHIP.
  • Cross-agency collaboration — DMMA will look for ways to align with other DHSS programs and state initiatives.

DMMA will host four virtual meetings to get input on goals and procurement priorities for the managed care delivery system. Meetings are open to the public; however, each meeting will focus on getting feedback from either members or providers. Closed captioning and an American Sign Language interpreter will be available for all meetings.

“Medicaid managed care offers flexibility to implement innovative programs that support health care providers and enhance health outcomes for our members,” said Steve Groff, director of DMMA. “We hope the town halls will give interested parties the opportunity to share best practices and provide input with regard to program improvements.”

Meetings are scheduled:

  • Monday, 3-4 p.m. — provider-focused.
  • Wednesday, 3-4 p.m. — provider-focused.
  • July 29, 5:30-6:30 p.m. — member-focused.
  • July 30, noon-1 p.m. — member-focused.

Written feedback to DMMA can be provided via email at dmma_rfp@delaware.gov.

Information on registration and Zoom links to the meetings are available in the Newsroom section here.

Feedback received through Aug. 15 will be considered for the procurement.

For more information or if additional accommodations are needed, contact Cindi Powell at cynthia.powell@delaware.gov.