Contracts
The contracts listed below may be found on the Office of Administration Web site at http://oa.mo.gov/
MO HealthNet Managed Care Health Plans
MO HealthNet Managed Care health plans contract with the State of Missouri, Department of Social Services, MO HealthNet Division, to provide a managed care medical service delivery system to serve managed care enrollees meeting specified eligibility criteria.
Plan name and contract number:
- Eastern Region
- Molina Healthcare of Missouri, contract #C309135005
- HealthCare USA, contract #C309135003
- Harmony Health Plan of Missouri, contract #C309135006
- Missouri Care Health Plan, contract #C309135004
- Central Region
- HealthCare USA, contract # C309135003
- Missouri Care Health Plan, contract #C309135004
- Molina Healthcare of Missouri, contract #C309135005
- Western Region
- Blue-Advantage Plus of Kansas City, contract #C309135001
- HealthCare USA, contract #C309135003
- Molina Healthcare of Missouri, contract #C309135005
- Missouri Care Health Plan, contract #C309135004
Enrollment Broker
The MO HealthNet Health Benefits Manager contracts with the State of Missouri, Department of Social Services, MO HealthNet Division, to provide education, outreach, and enrollment activities for the MO HealthNet Managed Care Program.
Broker name and contract number:
- Wipro Infocrossing Healthcare Services, contract #C207027001
External Quality Review
The EQR contractor contracts with the State of Missouri, Department of Social Services, MO HealthNet Division, to conduct an annual External Quality Review (EQR) of MO HealthNet Managed Care Organizations (MCOs). The purpose of the contract is to ensure performance by the MCOs is in accordance with state agency requirements, federal rules, protocols, and regulations.
Contractor name and contract number:
- Behavioral Health Concepts, Inc., contract #C306122001
1115 Demonstration and Senate Bill 632 Evaluation
The contractor contracts with the State of Missouri, Department of Social Services, MO HealthNet Division, to collect and analyze information about the 1115 Women’s Health Services Program Waiver and CHIP populations. The purpose is to evaluate and study the impact of state agency policy decisions about the 1115 Women’s Health Services Program Waiver and CHIP programs on the enrollees in the programs and on program participation by the uninsured.
Contractor name and contract number:
- Alicia Smith & Associates, LLC, contract #C307153001