RFP Documents
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Diane Koken, Insurance Commissioner

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 Request for Proposal (RFP) Documents
Note: All documents are Adobe Acrobat (PDF) format unless otherwise noted.
Microsoft Excel (XLS) documents are compressed into Zip archives.

Cover Letter

Table of Contents



Appendix A: Act 2001-77

Appendix B: Rate Calculation Sheet Form: PDF | XLS

Appendix C: Standard Contract Terms and Conditions

Appendix D: Medical Guidelines to be Utilized

Appendix E: Prior Authorization of Services

Appendix F: Draft Adult Basic Insurance Coverage Procedures Manual

Appendix G: Draft Application Document

Appendix H: Executive Management

Appendix I: Contracted/Subcontracted Activities

Appendix J: Contractor Responsibility Program (Management Directive #215.9)

Appendix K: Provisions Concerning the Americans with Disabilities Act

Appendix L: Languages Spoken by Plan Physicians

Appendix M: Appointment Standards

Appendix N: Annual Statement Filings and Instructions


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Last modified on August 29, 2001

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