Click here to access the Montgomery Cares Network Adequacy RFP. The Primary Care Coalition (PCC) seeks a vendor to set standards for reasonable access, and perform network adequacy assessments of the primary care and specialty care provider networks for the locally-funded Montgomery Cares program (MCares). Annually, the MCares program provides access to healthcare to ~20,000 uninsured, low-income adult residents of Montgomery County, MD. The goals of this scope of work are to:
Define the minimum services, service levels and access standards that the Montgomery Cares primary care (with integrated behavioral health) network of providers (MCares Network) as a whole should provide to enable reasonable access for the MCares program-eligible population
Determine any need for enhancements or changes to the existing MCares Network composition; including number, type, location, scope of providers and other factors for reasonable access that improve the health of the MCares program-eligible population.
Understand the root causes of turnover in the MCares patient population and identify ways in which patient retention within the MCares Network may be improved.
Determine specialties to include in the Montgomery Cares specialty care network (Project Access Network) that provide reasonable access to specialty care for the MCares patient population. Set capacity targets for each specialty. Review other non-insurance healthcare access programs across the U.S. for access models for high cost care, specifically oncology, joint replacement and dialysis.
The perspective of currently active and inactive MCares eligible patients is of utmost importance to the definitions of reasonable access, and to understanding factors in patient turnover. The vendor must have capability to collect input directly from current and former MCares patients using statistically valid mechanism(s). The vendor must have experience working with low-income populations, especially in which the majority do not speak English as a first language. Key Information for interested parties (updated as of June 16, 2022):
Bidders Informational Q&A Session: June 23, 2022 at 10:00 AM EDT