MURIEL BOWSER
MAYOR
December 12, 2024
The Honorable Phil Mendelson
Chairman, Council of the District of Columbia
1350 Pennsylvania Avenue NW, Suite 504
Washington, DC 20004
Dear Chairman Mendelson:
Pursuant to section 451 of the District of Columbia Home Rule Act (D.C. Official Code § 1-
204.51) and section 202 of the Procurement Practices Reform Act of 2010 (D.C. Official Code §
2-352.02), enclosed for consideration and approval by the Council of the District of Columbia is
proposed Modification No. M012 to Contract No. CW95350 with UnitedHealthcare of the Mid-
Atlantic to exercise option year three in the not-to-exceed amount of $265,582,113.41. The period
of performance is from January 1, 2025, through December 31, 2025.
Under the proposed modification, United Healthcare of the Mid-Atlantic will continue to provide
medically necessary services for physical, behavioral, and long-term health services for the
Medicaid-eligible population enrolled in the District’s Dual Eligible Special Needs Program (D-
SNP). The D-SNP program consists of Full-Benefit Dual Eligible beneficiaries who meet both
Medicare and Medicaid requirements and are enrolled in both programs.
My administration is available to discuss any questions you may have regarding the proposed
contract modification. In order to facilitate a response to any questions you may have, please have
your staff contact Marc Scott, Chief Operating Officer, Office of Contracting and Procurement, at
(202) 724-8759.
I look forward to the Council’s favorable consideration of this contract modification.
Sincerely,
Muriel Bowser
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c-3), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Options)
(A) Contract Number: CW95350
Proposed Contractor: UnitedHealthcare of the Mid-Atlantic
Contract Amount (Option Period Three): Minimum $95,414,532.48, Maximum: $265,582,113.41
Unit and Method of Compensation: Fixed Capitated Rates
Term of Contract: January 1, 2025 through December 31, 2025
Type of Contract: Indefinite Delivery Indefinite Quantity
(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:
Base Period Amount: NTE $192,786,889.35
(February 1, 2022 – December 31, 2022)
(Council Approval CA24-0373)
Option Period One Amount: NTE $228,886,857.96
(January 1, 2023 – December 31, 2023)
(Council Approval CA24-0769)
Option Period Two Amount: NTE $244,637,823.78
(January 1, 2024 – December 31, 2024)
(Council Approval CA25-0535)
Option Period Three Amount: NTE $265,582,113.41
Explanation of difference from base period (if applicable): The amount for option period three
is different from the base period because the amount is based on actuarial review of the capitation
rates. The capitation rates were adjusted based on a rate analysis conducted by the District’s
actuary.
1
Option Period Four Amount: Amount will be based on actuarial review of the capitation rates.
An adjustment to the capitation rates shall be effective as of the first day of the contract year and
six months after each contract year, to which the adjusted capitation rate applies (either upwards or
downwards), if appropriate. In the event a prospective capitation rate adjustment is required, an
actuarial analysis will be completed by the District’s contracted actuary. If required, the District
will make the necessary adjustment to the capitation rates.
(January 1, 2026 – December 31, 2026)
(C) A statement that Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
or (2) a certification that the contractor will be current with its District taxes after the
District recovers any outstanding debt as provided under D.C. Official Code § 2-353.01(b):
On October 28, 2024, the Citywide Clean Hands database certified that UnitedHealthcare of the
Mid-Atlantic is current with its District tax laws.
(D) A statement that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02:
The Department of Health Care Finance Agency Fiscal Officer certified that funding in the amount
of $265,582,113.41 is available to support option period three of the contract.
2
8987:84ÿ;ÿ458ÿ 47<4ÿ;ÿ=>😕
@;;<8ÿ;ÿ458ÿ58;ÿ-< =ÿ@;;<87 0010ÿ345ÿ6478849ÿ6
@;;<8ÿ;ÿABÿCÿD898>8ÿ 549ÿÿ113
ÿÿ !ÿ"#$ÿ"%"& ÿ+, ! '%%("#)"##*
E0/A.F.GHAFGD.ÿ@-ÿAF.ÿI/3GAHG0A/9ÿ/0J -./01ÿ2232221045
010KLÿH/AAH.ÿMGAEN.0AÿMO Pÿ-HÿQ 8ÿ/1ÿ0451606
@HEIR/GÿIÿÿ01333QLL
ÿ ÿ
ghijklkgmjhÿolÿgphmqÿrmqst
G ÿ78a748Cÿÿ458ÿ=8ÿF Cÿb48:9ÿ458ÿ?98ÿ78;878<8CÿC9C>=u844bÿ5 ÿÿ>44C
=?=4bÿv45ÿ458ÿ 47<4ÿ;ÿ=>😕 ÿ@;;<8ÿ;ÿABÿCÿD898>8ÿ7ÿ458ÿ8a74:84ÿ;ÿ.:a=b:84
6879<8JÿG ÿ;ÿ458ÿC48ÿ?989ÿ458ÿC9C>=u844bÿ5 ÿ<:a=8Cÿv45ÿÿC8ÿwÿ3K34Q9ÿÿ45878;78
45 ÿ874;<48ÿ;ÿ=8ÿF Cÿÿ >8CJ
A/AH.ÿ3KJÿAGNGA/@09ÿH/.06/089ÿM.DI/A69ÿG66.66I.0A69ÿG0ÿ-..6
FGMA.Dÿ4ÿ8.0.DGHÿH/.06.
6ERFGMA.Dÿ//JÿH.G0ÿFG06ÿR.-@D.ÿD../e/08ÿGÿH/.06.ÿ@DÿM.DI/A
JJÿ@.ÿwÿ3K34Qÿx11Qy
wÿ3K34QÿMD@F/R/A/@0ÿG8G/06Aÿ/66EG0.ÿ@-ÿH/.06.ÿ@DÿM.DI/A
Z+U! \XÿS]ÿ^W TXÿ_T` T[
S!T UÿVU $ÿVWW TÿTXÿYT! ,TÿZX, T [! T
Aÿ9=C48ÿ45 ÿ<874;<489ÿa=8 8ÿ9 4ÿIbABJJ9Jÿ@ÿ458ÿIbABÿÿ5:8a89ÿ<=C87ÿ458ÿ=8ÿF Cÿ8<4J
zz{zÿ|}~ÿt}}ÿtÿt}ÿ {ÿ~}ÿsgÿ{{|~ÿ{ÿ|{|jsg
ÿ
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Department of Health Care Finance
Office of the Chief Financial Officer
MEMORANDUM
TO: Nancy Hapeman
Acting Chief Procurement Officer
Office of Contracting and Procurement
THRU: Delicia V. Moore
Associate Chief Financial Officer
Human Support Services Cluster
FROM: Darrin Shaffer
Agency Fiscal Officer
Department of Health Care Finance
DATE: October 31, 2024
SUBJECT: Certification of Funding for the United Healthcare of the Mid-Atlantic, Inc. DSNP Contract
The Office of the Chief Financial Officer hereby certifies that the sum of $265,582,113.41 is included in the
District’s Local Budget and Financial Plan for Fiscal Year 2025 to fund the costs associated with the Department of
Health Care Finance’s (DHCF) contract with United Healthcare of the Mid-Atlantic, Inc. This certification supports
the Dual Eligible Special Needs Plans (DSNP) contract cost from January 1, 2025 through December 31, 2025.
This fund allocation is as follows:
Vendor: United Healthcare of the Mid-Atlantic, Inc. Contract Number: CW95350
Fiscal Year 2025 Funding: 01/01/25 - 09/30/25
DSNP EPD
Cost Project Split
Agency Fund Account Program Project Award Amount
Center Task (%/$)
HT0 1010001 7141003 700340 70487 202179 10.48 1000562 30% $38,772,867.78
HT0 4025002 7141003 700340 7087 200883 23.56 2001980 70% $90,470,024.82
FY25 Contract Total $129,242,892.60
DSNP Non-EPD
Cost Project Split
Agency Fund Account Program Project Award Amount
Center Task (%/$)
HT0 1010001 7141003 700340 70487 202179 10.49 1000562 30% $20,373,736.25
HT0 4025002 7141003 700340 70487 200883 23.57 2001980 70% $47,538,717.91
FY25 Contract Total $67,912,454.16
441 4th Street, N.W., Suite 960N, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373
Fiscal Year 2026 Funding: 10/01/25 - 12/31/25
DSNP EPD
Cost Project Split
Agency Fund Account Program Project Award Amount
Center Task (%/$)
HT0 1010001 7141003 700105 70487 202179 10.48 1000562 30% $13,338,890.22
HT0 4025002 7141003 700105 70487 200883 23.56 2002469 70% $31,124,077.19
FY26 Contract Total $44,462,967.41
DSNP Non-EPD
Cost Project Split
Agency Fund Account Program Project Award Amount
Center Task (%/$)
HT0 1010001 7141003 700105 70487 202179 10.49 1000562 30% $7,189,139.77
HT0 4025002 7141003 700105 70487 200883 23.57 2002469 70% $16,774,659.47
FY26 Contract Total $23,963,799.24
Upon approval of the District’s Local Budget and Financial Plan by the Council and the Mayor and completion of
the thirty-day Congressional layover, funds will be sufficient to pay for fees and costs associated with the contract.
There is no fiscal impact associated with the contract.
Should you have any questions, please contact me at (202) 442-9079.
441 4th Street, N.W., Suite 960N, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373
1. Contract Number Page of Pages
AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT
CW95350 1 1
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase 5. Solicitation Caption
Request No.
M012 January 1, 2025 Dual Eligible Special Needs Program
6. Issued by: Code 7. Administered by (If other than line 6)
Office of Contracting and Procurement Department of Health Care Finance
Health Services Cluster Long Term Care Administration
441 4th Street NW, Suite 330S 441 4th Street, NW, Suite 900S
Washington, DC 20001 Washington, DC 20001
8. Name and Address of Contractor (No. street, city, county, state and zip code) 9A. Amendment of Solicitation No.
UnitedHealthcare of the Mid-Atlantic, Inc. 9B. Dated (See Item 11)
10175 Little Patuxent Parkway, 6th Floor 10A. Modification of Contractor/Order No.
Columbia, MD 20144 CW95350
POC: Rachael Han X 10B. Dated (See Item 13)
Email: rachael.han@uhc.com February 1, 2022
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By
completing Items 8 and 15, and returning one (1) copy of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or
(c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO BE
RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF
YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or
telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTORS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14
A. This change order is issued pursuant to (Specify Authority): 27 DCMR, Chapter 36, Contract Modifications
The changes set forth in Item 14 are made in the contract/order no. in item 10A.
B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, appropriation data etc.)
set forth in item 14, pursuant to the authority of: 27 DCMR § 3601.3 (a)
C. This supplemental agreement is entered into pursuant to authority of: 27 DCMR § 3601.2
X D. Other: Exercise of Option, pursuant to the authority of: 27 DCMR § 3601.3 (c)
E. IMPORTANT: Contractor is not required is required to sign this document and return one (1) copy to the issuing office.
14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.)
Contract No. CW95350 is hereby modified as follows:
1. In accordance with Section F.2 titled “Option to Extend the Term of the Contract,” the District of Columbia
Government, Office of Contracting and Procurement, on behalf of the Department of Health Care Finance,
hereby exercises option period three to extend the term of the contract from January 1, 2025, through December
31, 2025. The maximum contract amount for option period three is $265,582,113.41.
2. Attachment A: Price Schedule for Option Period Three is incorporated and made a part of the contract.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED
Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in full force and effect.
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer
Kathlyn Wee Jarad Dorsey
15B. Name of Contractor 15C. Date 16B. District of Columbia 16C. Date Signed
Signed
11/15/2024
(Signature of person authorized to sign) (Signature of Contracting Officer)
ATTACHMENT A – M012 – CW95350 – D-SNP – UNITEDHEALTHCARE
B.3 PRICE SCHEDULE
B.3.3 OPTION PERIOD THREE
January 1, 2025 through December 31, 2025
Minimum Maximum
Actuarially
CLIN Rate Cohort* Monthly Monthly
Sound Rates
Enrollment Enrollment
3001 D-SNP
Elderly and Persons with
3001AA Disabilities (EPD) Waiver $7,109.07 660 2,027
Enrollees
Long-Term Nursing Facility
3001AB $8,912.43 108 226
(NF) Residents
3001AC Community Well $720.74 2,760 6,653
3001AD Cost-Sharing Only Duals $122.00 2,520 5,765
Monthly Totals $7,951,211.04 $21,922,707.29
Grand Totals for Option Period Three $95,414,532.48 $265,582,113.41
* Individuals are categorized into applicable rate cells by Medicaid programmatic eligibility information
contained within the District’s MMIS and reflected in each Enrollee’s Medicaid program eligibility code.
2