Specifications include, but are not limited to: This RFA is being issued to procure the services of MCOs to operate the CHC Program in the five CHC zones which cover all 67 counties of the Commonwealth. In issuing this RFA, the Department’s objectives are as follows: • Enhance opportunities for community-based living for Participants as defined in I-3 Overview of the Project through: o Improved person-centered service planning and whole person care; o Increased Participant education; o Empowerment; and o Inclusion of a comprehensive support team chosen by the Participant. • Implement an approach that focuses on population health and addresses social determinants and drivers of health and their interactions. • Increase the use of evidence-based practices; increase upstream interventions; apply multiple strategies to improve or preserve health and wellness; collaborate across all payors, sectors, and settings; employ mechanisms for public involvement and uplifting the lived experiences; and demonstrate accountability for health outcomes. • Advance equity and ensuring a diverse and culturally competent network of providers and community partners that level the playing field, eliminate practices that reinforce differential treatment for groups of people who have been marginalized, and creating policies and practices that improve outcomes for who have been underrepresented and undervalued across health and LTSS systems. • Strengthen coordination of LTSS and other types of healthcare, including but not limited to Medicare, Behavioral Health, and MA services for Dual Eligible individuals. • Enhance quality and accountability. • Advance program innovation to address social determinants of health and other health related social needs. • Increase efficiency and effectiveness of healthcare and LTSS. • Promote achievement of Quintuple Aim (addressing health equity; improving workforce wellbeing; and pursuing better health, improved outcomes, and lower costs). • Promote the expansion of collaborative and integrated approaches to include whole person coordinated care and community services. • Promote community-based public health initiatives. • Increase Participant understanding of the benefits in using Participant directed model services and ensure it is offered as a first option.
