AmeriHealth Caritas Indiana, Inc..docx

This file is a Pre-Proposal Network Opportunities Form (Attachment I) submitted by AmeriHealth Caritas Indiana, Inc. in response to Request for Proposal 27-88343 issued by Indiana's Office of Medicaid Policy and Planning. The RFP seeks managed care organizations to provide statewide risk-based Medicaid services across four programs—Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging—collectively serving approximately 1.5 million Hoosiers. Responses to the optional Pre-Proposal Network Opportunities Form were due September 10, 2026, by 1:30 PM Eastern Time, with the formal proposal submission deadline of November 6, 2026. A pre-proposal conference was scheduled for September 10, 2026. The contract term is four years with two optional one-year renewals available, for a potential total of six years. Written questions are due September 11, 2026, with responses by October 2, and a second round closing October 9, with responses by October 23. Proposal discussions, oral presentations, and Best and Final Offers are anticipated in May 2027, with Award Recommendation in July 2027.

AmeriHealth Caritas Indiana, Inc., represented by Christopher Surrell (Vice President, Business Development) with contact information 734-717-9511 and csurrell@amerihealthcaritas.com, submitted this form with mailing address at 25 West Market Street, Suite 220-B, Indianapolis, IN 46204. The total estimated base capitation across all four programs exceeds $4.9 billion for the initial rating period. Evaluation criteria include Adherence to Mandatory Requirements (Pass/Fail), Management Assessment and Quality (75 points), Oral Presentations (5 points), Buy Indiana Initiative (5 points), and Indiana Veteran Owned Small Businesses (5 points with 1 bonus point available). Respondents must demonstrate current MCO service in at least one state and at least five years of prior MCO experience. Administrative offices must be located within five miles of the Indiana Government Center in Indianapolis. Contractors are subject to a pay-for-outcomes program withholding 1.85-2.25 percent of capitation payments annually from 2029-2034, with estimated recovery of 60-70 percent based on performance against HEDIS and outcome measures.