Puerto Rico Issues RFP For Medicaid Managed Care Expansion, Behavioral Health Carved-In

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 Rico’s Medicaid and Children’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 (TPA) in all eight geographic regions and . . .

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