MO HealthNet Managed Care Program

The State of Missouri, Department of Social Services, is seeking proposals for a managed care program to provide medical services to eligible populations. The program includes a General Plan and a Specialty Plan, and the contractor will be responsible for providing a comprehensive managed care medical service delivery system. The contract period will be for one year, and the contractor must adhere to all applicable local, state, and federal requirements. Key aspects of the job include: • Providing a managed care medical service delivery system for the Department of Social Services • Adhering to all applicable local, state, and federal requirements • Cooperating with the state agency in the implementation of federal or state law requirements • Participating in readiness reviews and open enrollment • Providing services to eligible populations, including parents, caretakers, children, and individuals with disabilities • Ensuring access to needed services and quality of health care services while controlling costs