RFP-Managed Care at YSCs

The Department of Human Services, Division of Youth Services, is seeking proposals for managed medical care services for youth in their physical and legal custody. The contract will be for an initial term of one year, with up to four optional one-year renewals. The selected vendor will provide a comprehensive medical services delivery system, including primary care, specialty care, and behavioral health services. The vendor will also be responsible for claims adjudication and payment, utilization management, and continuous quality management. Key services to be provided include: • Primary care services, including physician services, nursing services, and dental services • Specialty care services, including laboratory and diagnostic services, therapeutic services, and surgical services • Behavioral health services, including psychiatric services and counseling • Utilization management and review services • Continuous quality management and improvement services • Pharmacy services, including medication management and formulary development The vendor will be expected to provide these services to youth in secure residential care, as well as those in community-based settings. The vendor will also be responsible for ensuring that all services are provided in a culturally competent and trauma-informed manner.