|CMS provides managed care coverage to State Employees Group Insurance Program, Local Government Health Plan, the Teachers Retirement Insurance Program, and the College Insurance program. In FY 2013, CMS awarded two managed care contracts for Health Alliance HMO and Coventry HMO. CMS is seeking to renew the managed care contracts for the Health Alliance HMO and Aetna HMO(formerly Coventry HMO)for FY2018 to reflect the annual negotiated per member rates. CMS is satisfied with the services provided by these vendors. |
The contracts provide for annual adjustment to the per member per month premium rates based upon verified demographics, other documented actuarial factors and projected health care cost trends. The contracts allow for rate negotiations annually under the renewal term.