YH27-0001 ALTCS EPD RFP

The Arizona Health Care Cost Containment System (AHCCCS) is seeking a contractor to provide managed‑care services for the Arizona Long‑Term Care System (ALTCS) Enterprise/Program Development (E/PD) program. The award will cover statewide capitation‑based delivery of services, case‑management staffing with weighted caseload ratios, non‑benefit cost bidding (underwriting margin, administrative costs, case‑manager compensation), and required NCQA accreditations. Evaluation will be based on a 1,000‑point rubric covering technical proposal, oral presentation, cost bid, and past‑performance. Key milestones include a pre‑proposal conference, two rounds of Q&A, a September 24 proposal deadline, oral presentations in late October‑November, and contract start on October 1 2027. • Provide comprehensive ALTCS managed‑care services, including enrollment, care coordination, and network management for Medicaid beneficiaries. • Submit a non‑benefit cost bid broken into underwriting margin, administrative costs (excluding case‑manager pay), and case‑manager compensation, each supported by actuarial certification. • Meet mandatory staffing requirements (ALTCS Administrator, OIFA Administrator, ALTCS Member Liaison) and obtain NCQA accreditation in health‑plan, LTSS, and health‑outcomes categories within two years of contract award.