NM Centennial Care RFP

The Request for Proposal (RFP) for the Centennial Care program has been released.  You can find a the complete RFP on the HSD website at
http://www.hsd.state.nm.us

Scroll down to the bottom of the Page and click on the

Centennial Care RFP

This is the Native American Portion


 6.7 Native Americans
1. Describe the strategies and resources that the Offeror will use to operationalize the delivery of culturally competent care to Native Americans, both on and off the reservation, and the process that the Offeror will use to ensure that culturally appropriate materials are available to Native Americans.

2. Describe how the Offeror will monitor the adequacy of medical transportation for Native Americans residing in Rural, Frontier, and Tribal areas and the strategies the Offeror will implement to minimize access issues.

3. Describe how you will contract with IHS and Tribal 638 organizations for: a. nonemergency medical transportation services; b. care coordination and case management services;
c. behavioral health services, including the treatment of substance abuse; and
d. any other Medicaid-covered services provided outside of a clinic or hospital.

The Offeror’s description should also include any special issues that the Offeror foresees in building and sustaining these contractual relationships, and the Offeror’s strategies to overcome these issues.

4. Describe the process the Offeror will implement in order to facilitate the availability of a sufficient number of appropriately credentialed providers in IHS, Tribal 638 facilities, and/or urban Indian health clinics as PCPs.
5. Describe the processes that the Offeror will follow in order to: a. ensure that I/T/Us are reimbursed at a minimum of one hundred percent (100%) of the rate currently established for the IHS facilities or Tribal 638 facilities by the Office of Management and Budget (OMB) in accordance with the provisions of Section 4.10.2.2 of Appendix I of this RFP;
b. allow Native American Members to seek care from any I/T/U, whether or not the provider is a Contract Provider; and
c. exempt all services provided by I/T/Us from prior authorization.

6. Describe the Offeror’s methods to communicate effectively with Native American Members in Rural, Frontier, and Tribal areas (both on and off the reservation), including but not limited to how the Offeror will ensure the following:
a. all materials are culturally appropriate;
b. translation services are available;
c. local media (radio and television) are used; and
d. outreach is provided through Tribal, fraternal, or religious organizations