Texas DIR/ESBD #HHS0017108

Texas HHSC statewide Medicaid and CHIP children’s dental managed-care services

Texas HHSC is seeking contractors to manage statewide dental care for children enrolled in Medicaid and CHIP. - Government buyer: Texas Health and Human Services Commission (HHSC), through Procurement and Contracting Services (PCS). - Opportunity: Statewide managed-care dental services for Texas Medicaid and CHIP children; HHSC intends to award two or more contracts. - Services requested: Build and maintain networks of general dentists, pediatric dentists, and dental specialists; administer dental benefits and claims; manage utilization and provider reimbursement; support members and providers; coordinate with managed care organizations; and provide preventive care, education, early intervention, quality improvement, performance monitoring, and reporting. - Notable requirements: Texas Department of Insurance (TDI) licensure across Texas counties, URAC accreditation, accessible digital services, continuity-of-care and transition support, performance-based oversight, and a good-faith subcontracting plan addressing a 26% VetHUB utilization goal. - Term: Six-year initial term, with up to three additional two-year extensions or renewals, for a maximum stated term of 12 years. The anticipated commencement is in 2027; exact start and end dates are not specified here. - Estimated value: $18,237,771,996, as stated in the notice. - OEMs and named contractors: No OEMs, vendors, or prospective contractors are identified. Texas Medicaid and Healthcare Partnership (TMHP) is referenced as the fee-for-service claims administrator in related manual materials, not as a proposed contractor.

Description

The Texas Health and Human Services Commission is seeking proposals for Medicaid and Children’s Health Insurance Program (CHIP) managed care children’s dental services. The services are intended to provide quality, comprehensive dental care through preventive care, health education, and early intervention. The solicitation aims to improve members’ oral health, access to quality care, and health outcomes. The stated estimated value is $18,237,771,996.

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