The Department of Human Services (DHS) announced the managed care organization (MCO) applicants selected through a Request for Applications (RFA) for Pennsylvania’s HealthChoices program. DHS is unable to move forward with the selections, however, due to the pendency of five protests filed by four MCOs. Applicants were selected through a competitive procurement that evaluated applicants’ soundness of approach, personnel qualifications and staffing, and prior experience and performance. More information about evaluation criteria can be found in the RFA. Applicants selected were the top scoring applicants for their zone. Selected applicants for each service zone are as follows:
- Southeast: Geisinger Health Plan, Health Partners Plans, UnitedHealthCare, UPMC for You, and Vista Health Plan (Keystone First)
- Lehigh/Capital: Gateway Health, Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas)
- Northeast: Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas)
- Northwest: Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas)
- Southwest: Gateway Health, Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas).
For more information on the HealthChoices procurement and requirements of the RFA, view the RFA here.