MDH releases RFP for Medicaid dental gains administrator – Condition of Reform

The Maryland Section of Health (MDH) declared a request for proposals (RFP) Tuesday for a contractor to administer dental advantages to eligible Maryland Medicaid beneficiaries. MDH programs to grant a single award through the RFP.




Get the most recent state-unique plan intelligence for the health care sector shipped to your inbox.



The research for a Dental Advantages Administrator (DBA) or Dental Administrative Expert services Business (DASO) follows the passage of Dwelling Bill  6/Senate Invoice 150 in the course of the past legislative session, which necessitates the Maryland Medical Help Plan to deliver dental providers to qualified older people starting January 1st, 2023. Since 2019, older people on Medicaid gained dental services as a result of a pilot plan. The invoice necessitates Medicaid to address diagnostic, preventative, restorative, and periodontal services for older people with incomes at or underneath 133% of the federal poverty level. 

The deal will also broaden advantages to concentrate on populations that are currently underneath the Maryland Wholesome Smiles Dental Method (MHSDP). These incorporate kids less than the age of 21, pregnant and postpartum women of all ages 21 several years of age and more mature, and grown ups 21-64 who are dually-eligible for Medicaid and Medicare. About 1.5 million Marylanders are now eligible for MHSDP companies, in accordance to the RFP. 

“The solutions provided under the agreement will play a crucial function in ensuring the continuation of offering high quality solutions to this MHSDP populace,” the RFP stated. 

Some of the contractor’s responsibilities will contain remaining in compliance with CMS certifications, Maryland’s “Information Technology Security Plan and Standards,” and HIPAA compliance criteria. The contractor will also be liable for delivering outreach to the target communities over to advise them of their dental positive aspects and assure undertaking staff and vendors are correctly educated for the dental system. 

About program utilization, the contractor should achieve at minimum a 1 percentage position raise per deal calendar year for preventive and restorative services and produce utilization reports at the very least every year to MDH by January 15th.

The agreement will be break up into 4 phases. Very first is the implementation section of the DBA or DASO, which encompasses the time period just before the program’s go-dwell date. Phase 2 is the DASO Functions and Servicing Period, which will span from the go-reside day right up until the conclusion of the contracts. The RFP notes the deal will comprise of a 2-12 months base procedure and routine maintenance period and 3 1-12 months possibility periods. Stage 3 will be the DASO Conclude of Deal Changeover Section, which starts 6 months right before the contract termination date. Finally, Section 4 will consist of DASO future actions at the ask for of MDH. 

A pre-proposal conference will be held pretty much on September 10th, at 11 am Jap Time. 

“Attendance at the conference is not obligatory, but all fascinated parties are inspired to go to in get to aid superior planning of their proposals,” the RFP said. “…It is extremely advised that ALL Key Contractors provide their intended subcontractors to the Conference/Website Go to to ensure that all functions understand the demands of the Deal.”

Issues about the RFP ought to be directed to MDH by November 15th, 2022, at 2 pm Jap Time. 

Responses are due to MDH procurement officer Calvin Johnson by Monday, November 22nd, 2022, at 2 pm Jap Time, and must be submitted electronically as a result of the eMaryland Market.