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pa_emarketplace26-RFI-20429
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Community HealthChoices

Department of Human Services "prior DPW" · PA
Response deadline
Jul 15, 2026
Due in 13 days
Date posted
Jun 1, 2026

Description

This RFI seeks information to assist the Department with suggested input and information concerning the current Community HealthChoices (“CHC”) agreement for the anticipated re-procurement of the CHC Managed Care Organizations (“CHC-MCOs”).

Documents (29)

  • 26-RFI-20429 CHC Addendum 1.pdf
    application/pdf154 KB
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  • 26-RFI-20429 CHC Q_A Addendum 1 Final.pdf
    application/pdf83 KB
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  • RFI CHC 2026 Final.pdf
    application/pdf239 KB
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  • Agreement Acronyms.pdf
    application/pdf91 KB
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  • Exhibit F Quality Management and Utilization Management Program Requirements.pdf
    application/pdf232 KB
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  • Exhibit G Complaint, Grievance, and DHS Fair Hearing Processes.pdf
    application/pdf223 KB
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  • EXHIBIT H_Behavioral Health MCOs.pdf
    application/pdf145 KB
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  • EXHIBIT I_Guidelines for CHC_MCO Advertising Sponsership and Outreach.pdf
    application/pdf175 KB
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  • Exhibit M Participant Handbooks.pdf
    application/pdf144 KB
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  • Exhibit N Provider Directory.pdf
    application/pdf98 KB
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  • Exhibit Q Reporting Suspected Fraud, Waste, and Abuse.pdf
    application/pdf160 KB
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  • Exhibit S Provider Manual.pdf
    application/pdf114 KB
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  • Exhibit T Provider Network Composition Services Access.pdf
    application/pdf162 KB
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  • EXHIBIT U_Provider Agreement.pdf
    application/pdf158 KB
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  • Appendix A Program Requirements.pdf
    application/pdf614 KB
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  • Exhibit V CHC-MCO Requirements for Provider Terminations.pdf
    application/pdf137 KB
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  • Exhibit W(1) Critical Incident Reporting and Management and Provider Preventable Conditions Preventable Serious Adverse Events Reporting.pdf
    application/pdf123 KB
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  • Exhibit Y Guidelines for Sanctions Regarding Fraud, Waste and Abuse.pdf
    application/pdf81 KB
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  • EXHIBIT Z_Person Centered Service Planning.pdf
    application/pdf124 KB
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  • Exhibit CC_Financial Management Services.pdf
    application/pdf177 KB
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  • Exhibit DD(1) CHC-MCO Pay for Performance.pdf
    application/pdf143 KB
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  • Exhibit DD(2) Nursing Facility Quality Incentive Program.pdf
    application/pdf131 KB
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  • Exhibit EE Opiod Use Disorder Centers of Excellence.pdf
    application/pdf107 KB
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  • Appendix B_Finanical Requirements.pdf
    application/pdf204 KB
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  • Appendix C_Reporting Requirements.pdf
    application/pdf146 KB
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  • Appendix D Revenue Sharing.pdf
    application/pdf96 KB
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  • Exhibit A Covered Services List.pdf
    application/pdf137 KB
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  • Exhibit D Drug Services.pdf
    application/pdf195 KB
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  • Appendix E In Lieu of Services (ILOS).pdf
    application/pdf167 KB
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