Tuesday, April 24, 2012

Illinois Seeks Proposals

The State of Illinois is soliciting proposals to help coordinate care for seniors and adults with disabilities. The Solicitation referred to as the Phase I Innovations Project/2013-24-002, was issued by the Office of the Governor and several other health related departments within the state.

The state wants to hear from experienced and qualified Care Coordination Entities (CCE) and Managed Care Community Networks (MCCN) along with community partners that have the capability to provide coordinated quality care to seniors and adults with disabilities. They must be able to work across provider and community settings, offer new risk-based funding incentives, and able to measure delivery system effectiveness and efficiency.

CCEs may propose options for care coordination fees and options for shared savings models or other financial structures. CCE partners must include participation from hospitals, primary care providers, and behavioral health and substance abuse providers.

MCCNs a provider sponsored organization that contracts to provide Medicaid covered services through a risk-based capitation fee and must be owned, operated, managed, or governed by providers, state funded medical schools, or county governments.

Phase I of the Innovations Project, a three year award consisting of several phases is looking to redesign the state healthcare delivery system to make it more patient-centered with a focus on improved health outcomes, enhanced patient access, and patient safety.

The care needs to include a medical home with a primary care provider, provide for specialist services, diagnostic and treatment services, mental health and substance abuse services, inpatient and outpatient hospital services, rehabilitation, and long term care services.

A separate solicitation for children with complex and/or multiple chronic medical needs is anticipated for release this spring. A solicitation for Phase 2 of the Innovations Project will be issued for dual-eligibles also in spring 2012 and in the summer, Phase 2 will include a solicitation for expanded priority populations.

For a list of the companies and individuals that have submitted Letters of Interest as of March 20, 2012, go to http://www2.illinois.gov/hfs/PublicInvolvement/cc/Documents/cc_solicloi.pdf.