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Department of Health Care Finance Announces Intent to Award Three Managed Care Contracts for New Five Year Program

Thursday, May 25, 2017

Today, the Department of Health Care Finance (DHCF) announced that the Office of Contracting and Procurement (OCP) will submit packages this week to the Council of the District of Columbia with a notice of intent to award the District’s three managed care contracts to AmeriHealth Caritas, Trusted Health Plan, and the new entrant into the program, Amerigroup.  Upon approval, the contracts will take effect October 1, 2017 and will include one base year and four option years.

“We are pleased with the selection of the three managed care plans for our new five-year contract.  The selections offer the stability associated with the retention of two of our previous three health plans and the exciting challenge of merging a 2nd nationally prominent health plan into the program,” said DHCF Director Wayne Turnage. “The changes that we have made in our managed care program since 2011 are significant and have been especially designed to emphasize health plan accountability while improving patient outcomes for the more than 181,400 Medicaid members and roughly 15,500 Alliance beneficiaries.  We are very pleased with the outcome of this important procurement and look forward to a collaborative partnership with these health plans under a measured program of oversight.”

The three plans are:

AmeriHealth Caritas (AmeriHealth) is one of the nation’s leaders in health care solutions for those most in need.  Operating in 19 states and the District of Columbia, AmeriHealth Caritas serves more than 5.6 million Medicaid, Medicare and CHIP members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services and other administrative services. AmeriHealth is a mission-driven organization with more than 30 years of experience serving low-income and chronically ill populations. 

Trusted Health Plan (Trusted) has a special focus on serving members in the primary service areas of Wards 7 & 8.  With the motto of “Our team members are your neighbors”, Trusted’s goal is to eliminate the gap in health care services for its members by connecting them to qualified providers who offer health care services that reflect the specialized needs of the community it serves. 

Amerigroup, D.C. (Amerigroup) is a wholly-owned subsidiary of Anthem, Inc. that provides managed care services through state Medicaid, CHIP, Medicare, and Long Term Services and Supports programs.  Through a family of affiliated companies serving more than 6.5 million beneficiaries who participate in government-sponsored health programs, Amerigroup recognizes the challenges low-income and underserved individuals face. Amerigroup D.C. will offer plans focused on providing access to high quality care for its members while expanding access to care.

The Department of Health Care Finance (DHCF) is the District of Columbia’s state Medicaid agency. Its mission is to improve health outcomes of low-income residents of the District by providing access to a full range of preventative, primary, urgent, and critical health care services. For more information on DHCF, please go to www.dhcf.dc.gov.