Division of Medicaid & Medical Assistance (DMMA) Medicaid Managed Care RFP

The State of Delaware Department of Health and Social Services (DHSS), Division of Medicaid and Medical Assistance (DMMA) has released a Request for Proposal RFP # HSS-22-008, to seek Professional Services for Managed Care Medicaid Service Delivery. The release date was December 15, 2021, with responses due March 15, 2022 by 1:00pm.

https://mmp.delaware.gov/Bids/

The proposed schedule of events subject to the RFP is outlined below:

Public Notice:	December 15, 2021
RSVP for Pre-Bid Meeting	January 11, 2022
Pre-Bid Meeting	January 12, 2022 at 3:00 PM (Local Time)
Deadline for Questions	January 14, 2022
Deadline for Notice of Intent to Bid	January 14, 2022
Response to Questions Posted by	February 8, 2022
Deadline for Receipt of Proposals	March 15, 2022 at 1:00 PM (Local Time)
Estimated Notification of Award	June 1, 2022
Implementation and Readiness Review	June through December, 2022
Contract Effective Date and Start Date of Operations	January 1, 2023

RFP Designated Contact

As provided in Section IV.B.15, RFP Question and Answer Process, all questions related to this RFP must be submitted in the Q/A section of the project listing in the Bonfire Procurement Portal. Address all other RFP communications to the person listed below; communications made to other State of Delaware personnel or attempting to ask questions by phone or in person will not be allowed or recognized as valid and may disqualify the bidder. Bidders should rely only on written statements issued by the RFP Designated Contact or responses posted under the project listing in Bonfire.

DHSS/DMMA Contact:
Cynthia Powell Cynthia.Powell@delaware.gov

Contracts, Management and Procurement (CMP) Contact:
Chevis Fennell
Purchasing Services Administrator DHSS_DMS_dmsprocure@delaware.gov

To ensure that communications are received and answered in a timely manner, please use electronic mail (e-mail).

Medicaid Adult Dental Benefit

Update 10/12/2020

Several updates have been made to the Adult Dental Fee Schedule. These updates include coverage of D1206 (Topical Application of Fluoride Varnish) and D1208 (Topical Application of Fluoride-Excluding Fluoride Varnish). A provider may bill one or the other of these fluoride codes 1x every 12 months. Additionally, clarification was made to the note on D0120.

Senate Substitute 1 for Senate Bill 92, enacted in 2019, directs the Division of Medicaid and Medical Assistance (DMMA) to establish an adult dental benefit. Adult dental coverage is optional for state Medicaid programs, but most offer at least an emergency dental benefit. It has been a long-standing priority of DMMA to offer preventive and restorative dental treatment for our adult population to address negative health outcomes associated with the lack of oral health care. The benefit will enable Medicaid-enrolled adults to receive up to $1,000 of dental care per year. An additional $1,500 may be available for qualifying emergency or supplemental care when medically necessary.

Unfortunately, we will be unable to meet the April 1, 2020, implementation date included in the legislation. We are working closely with the Centers for Medicare and Medicaid Services, but estimate an additional six months will be needed to receive all the necessary federal approvals and complete the subsequent administrative tasks necessary to begin the program. The projected implementation date is now October 1, 2020. The full benefit will be available upon the implementation of the program.

We apologize for the inconvenience this will cause to our beneficiaries who are waiting for these critically needed services and assure you that we will continue to move forward as quickly and expeditiously as possible.

We want to express our appreciation for the continued support and collaboration of Governor Carney, Lt. Governor Hall-Long, members of the General Assembly, the Dental Society, and other stakeholders.

If you have questions you can reach us by emailing: MedicaidInfo@delaware.gov

Medicaid Adult Dental Services

Correction Posted 10/06/2020

An announcement posted on the State of Delaware/DHSS website announcing Medicaid's new adult benefit contained incorrect information regarding the age group for adult dental benefits.

This announcement indicated that beginning October 1, 2020 individual's age 19-65 who are enrolled in managed care would receive their adult dental services through their managed care organization. This information is incorrect.

The adult dental benefit begins at age 21 not 19 as described in this announcement. Adults age 19-20 will continue to receive their dental benefits through the FFS program.

There is no age limit on who can receive adult dental services. Adults over the age of 65 may receive adult dental services.