Puerto Rico Medicaid Quality Strategy 2013-2016
January 15, 2012
Puerto Rico Medicaid Quality Strategy 2013-2016
On February 4, 2014, the Puerto Rico Health Insurance Administration (PRHIA), or as it is called locally Administracion de Seguiros de Salud de Puerto Rico (ASES), released a request for proposals (RFP) to carve mental health benefits into full-risk contracts for Mi Salud, Puerto RicoÂ’s Medicaid and ChildrenÂ’s Health Insurance Program managed care program. Currently health care, mental health, and pharmacy benefits for the 1.4 million Mi Salud members are managed by third-party administrators. This document presents Puerto Rico's plans for ensuring service quality . . .

