Behavioral Health and Substance Use Disorder Benefits Admin

Behavioral Health and Substance Use Disorder Benefits Admin This is an RFP to solicit proposals from Bidders for administration of the BH/SUD benefit for the State Health Plan for eligible State employees, retirees, dependents, and COBRA participants, on an Administrative Services Only (ASO) basis. Retirees enrolled in the State Health Plan Medicare Advantage plan are out-of-scope for this proposal. Please see the attached 24 RFP files for complete RFP details and Bidder Question due date and time. Commodity lines: - Claims Processing Services - Health/Hospitalization (Including Dental and Visual Insuranc

• NAICS95327

• Exhibit 2 to Schedule E HIPAA BAA.docx

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• Schedule E Data Security Requirements.docx

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• Schedule M4 Claims Repricing Retiree FY2025.xlsx

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• Schedule F Plan Designs.pdf

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• Schedule L Disruption Analysis.xlsx

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• Schedule I HIPAA 834 File Layouts.pdf

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• Schedule N SLA Report Format.xlsx

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• Schedule H1 GeoAccess Actives.xlsm

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• Schedule C Insurance Requirements.docx

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• Schedule H2 GeoAccess Retirees.xlsm

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• Schedule M3 Claims Repricing Retiree FY2024.xlsx

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• Schedule M2 Claims Repricing Active FY2025.xlsx

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• Schedule M1 Claims Repricing Active FY2024.xlsx

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• Hybrid Contract Terms.docx

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• Schedule G Section 2 Software Table.xlsx

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• Schedule J Service Availability.xlsx

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• Schedule K Sample Claims Report and Invoice Format.xlsx

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• Schedule B Pricing.xlsx

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• Proposal Instruct Vendor Questions Wksht.docx

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• Schedule D Service Level Agreement for Hybrid.docx

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• MARY OSTROWSKI
  ostrowskim@michigan.gov517-249-0438