MO HealthNet Managed Care Program

The State of Missouri is seeking a provider for the MO HealthNet Managed Care Program, which includes a General Plan and a Specialty Plan. The program aims to improve access to healthcare services for eligible populations while controlling costs. The contractor will be responsible for providing a managed care medical service delivery system, adhering to local, state, and federal requirements, and cooperating with the state agency. The program has various eligibility groups, including parents, caretakers, children, pregnant women, and individuals with disabilities. The contractor must have a certificate of authority from the Department of Commerce and Insurance and participate in readiness reviews. Key aspects of the job include: • Providing a managed care medical service delivery system • Adhering to local, state, and federal requirements • Cooperating with the state agency • Participating in readiness reviews • Having a certificate of authority from the Department of Commerce and Insurance • Meeting various eligibility groups' needs