Arcadian Health Plan inc dba Humana.docx

This is a Pre-Proposal Network Opportunities Form submitted by Arcadian Health Plan, Inc. dba Humana Healthy Horizons in Indiana in response to Request for Proposal 27-88343 issued by Indiana's Office of Medicaid Policy and Planning. The proposal submission was due September 10, 2026 at 1:30 PM Eastern Time via email to rfp@idoa.in.gov. Arcadian Health Plan seeks to provide managed care services across four Indiana Medicaid programs—Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging—collectively serving approximately 1.5 million Hoosiers. 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. A pre-proposal conference was held on September 10, 2026, with final proposals due November 6, 2026. The total estimated base capitation across all four programs exceeds $4.9 billion for the initial rating period.

The form identifies four key contacts for Arcadian Health Plan at its headquarters located at 201 N. Illinois Street, Suite 1200, Indianapolis, Indiana 46204: Anna Dunn (President/CEO), Emily Haydon (LTSS Program Manager/COO), Eric Bohannon (SVP Medicaid), and Michael Hammond (VP Business Development). Respondents must demonstrate current MCO service in at least one state and at least five years of prior MCO experience, achieve Indiana licensure as health maintenance organizations, and obtain NCQA accreditation by contract start or no later than the end of the second full calendar year of operation. Administrative offices must be located within five miles of the Indiana Government Center in Indianapolis. The evaluation criteria total 90 points (91 with bonus), including mandatory requirements assessment, management and quality assessment (75 points), oral presentations (5 points), Buy Indiana Initiative preference (5 points), and Indiana Veteran Owned Small Business subcontracting goal (5 points plus 1 bonus point). Contractors are subject to readiness review and a pay-for-outcomes program that withholds 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.