HealthChoices for Physical Health Services

The Pennsylvania Department of Human Services (DHS) issued an RFI to collect stakeholder input for shaping a future Request for Applications (RFA) that will procure Managed Care Organizations (MCOs) to deliver Physical Health services under the statewide HealthChoices Medicaid program. The agency seeks ideas on program design, outcome measures, value‑based payment structures, partnership models, technology integration, and fraud prevention, focusing on three priority populations: poorly controlled chronic conditions, perinatal/child health, and children with complex health needs. Responses are due electronically by 12:00 PM on November 20, 2026. • Purpose: Gather input to refine the upcoming HealthChoices Physical Health RFA and improve the mandatory Medicaid managed‑care program. • Scope: Program design, metrics, financing, initiative development, partnerships, technology, and integrity for ~2.3 million MA beneficiaries statewide. • Target Audience: Vendors, consultants, health‑care providers, IT firms, and other entities with expertise in Medicaid managed care, value‑based contracting, and population health. • Submission Requirements: Up to 20 pages (excluding cover letter/attachments), 12‑point font, emailed to [email protected]; no marketing materials. • Timeline: RFI released Oct 6 2026; responses due Nov 20 2026, 12:00 PM. No public opening; no pre‑bid meeting or site visit. • Outcome: Information will inform a future procurement; no award or payment is associated with this RFI.