Idaho Rebids Public Behavioral Health Plan Administrator Contract; Coverage Expanded To A Full Continuum Of Medicaid & Non-Medicaid Services

Idaho is rebidding the public behavioral health administrator carve-out contract, the Idaho Behavioral Health Plan (IBHP) from outpatient services only to include management of a range of services across a continuum of care settings for Medicaid and non-Medicaid services for people with serious mental illness (SMI). The IBHP managed care organization (MCO) is a risk-based, limited benefit pre-paid ambulatory health plan (PAHP) which is currently responsible for credentialing the provider network, authorizing services, and overseeing Medicaid outpatient behavioral health services statewide. The incumbent, Optum Idaho is at risk of loss if costs exceed the capitated payment . . .