The Minnesota Department of Human Services, through its Health Improvement and Benefit Design Division (STATE), is seeking proposals from qualified Responders to administer dental services for the Minnesota Health Care Programs. If managed care and county-based purchasing plans, in the aggregate, fail to meet the 55% performance benchmark in 2024, STATE will be required to have a contract in place with a dental administrator to administer dental services beginning January 1, 2026, for all recipients of medical assistance and MinnesotaCare, whether they are served under fee-for-service, managed care, or county-based purchasing. STATE will not be able to determine if the managed care and county-based purchasing plans met the 55% performance benchmark for 2024 until mid- to late-2025 because of billing rules that allow dentists six (6) months to submit claims. Due to this uncertainty, this RFP may result in two separate contracts. The first contract, from execution through December 31, 2025, will be the development and implementation phase. The second contract, from January 1, 2026 through December 31, 2030, will be active administration phase, and will be contingent on the outcome of the 2024 performance benchmark. The second contract will likely be executed as a single source contract as the contractor that implements the dental program, must also be the administrator of the dental program.
