22nd Century Technologies, Inc..docx

This is a Pre-Proposal Network Opportunities Form submission for RFP 27-88343 from the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning, seeking proposals from managed care organizations to provide statewide risk-based Medicaid services. The solicitation encompasses four programs—Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging—collectively serving approximately 1.5 million Hoosiers. Proposals are due November 6, 2026, with a mandatory pre-proposal conference scheduled for September 10, 2026, and written questions accepted through September 11, 2026. The contract term is four years with two optional one-year renewals available at the state's discretion, for a potential total of six years.

The estimated base capitation across all programs exceeds $4.9 billion for the initial rating period, with state fiscal year 2027 composite PMPM rates ranging from $228.72 to $3,468.29 depending on program and population served. Respondents must demonstrate current MCO service in at least one state and at least five years of prior MCO experience, with mandatory Buy Indiana Initiative preference offering 5 points and an Indiana Veteran Owned Small Business subcontracting goal of 3 percent (5 points plus 1 bonus point available). Contractors must be Indiana-licensed health maintenance organizations achieving NCQA accreditation by contract start or no later than the end of the second full calendar year of operation, maintain administrative offices within five miles of the Indiana Government Center in Indianapolis, and maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards. Evaluation is based on 90 points (91 with bonus) across Adherence to Mandatory Requirements, Management Assessment and Quality, Oral Presentations, Buy Indiana Initiative, and Indiana Veteran Owned Small Businesses, with compliance performance tied to a pay-for-outcomes program withholding 1.85-2.25 percent of capitation payments annually from 2029-2034.