Medicaid and Children’s Health Insurance Program Dental Services

The Texas Health and Human Services Commission (HHSC) is soliciting proposals under RFP No. HHS0017108 to provide comprehensive dental services for Medicaid and Children’s Health Insurance Program (CHIP) members across Texas. The primary goal is to improve oral health outcomes for target populations through a combination of preventive care, health education, and early intervention. Awarded contractors are required to establish and maintain a robust delivery network consisting of general dentists, pediatric dentists, and dental specialists, while adhering to the Access Standards Map and the Uniform Managed Care Manual. Prior annual compensation for this program was approximately 1.52 billion dollars, though no specific volume or total compensation is guaranteed for new contracts. The selection process is based on a Best Value evaluation, with a significant emphasis on a weighted technical question score totaling 1,800 points. To be eligible for award, respondents must pass an initial screening, potentially participate in oral presentations if they fall within the competitive range, and demonstrate financial solvency. Key requirements include obtaining Texas Department of Insurance approval to operate as an HMO within 60 days of the contract effective date and maintaining specific performance and fidelity bonds. Proposals must be submitted in searchable PDF format via USB by December 7, 2026, and must include detailed staffing profiles, ownership structures, and mandatory federal and state affirmations.