Att I - 22nd Century Technologies.docx

This is a Pre-Proposal Network Opportunities Form Attachment submitted by 22nd Century Technologies, Inc. for RFP# 27-87787, a Request for Proposal issued by the Indiana Department of Correction (IDOC) through the Indiana Department of Administration (IDOA) for comprehensive correctional health services. The RFP seeks to contract with a vendor to provide health services to approximately 25,000-28,000 incarcerated individuals, including up to 1,000 Immigration and Customs Enforcement detainees, across eighteen adult facilities, three juvenile facilities, and ten parole districts. The scope of services encompasses on-site primary care, urgent and emergent care, infectious disease management, infirmary care, dialysis, physical therapy, optometry, women's health, telemedicine, mental health and addiction recovery services, dental services, electronic health record management, off-site specialty care and hospital services, re-entry and discharge planning, and county jail claims management. A mandatory pre-proposal conference was held on August 26, 2026, and the proposal submission deadline is October 5, 2026 at 3:00 PM Eastern Time. Award recommendation is targeted for the week of November 30, 2026, with a contract term of three years from execution and two optional two-year renewal periods for a potential total of seven years.

The incumbent vendor is Centurion Health of Indiana, LLC, under a contract expiring March 31, 2027. Pricing must be firm for 180 days from award and remain fixed throughout the initial three-year term with no inflation adjustments permitted. Outpatient medical claims are reimbursed at Medicare plus 4 percent, while inpatient hospital claims under HIP 2.0 Medicaid require the vendor to reimburse IDOC approximately 33 percent quarterly. A 3% Indiana Veteran Owned Small Business (IVOSB) subcontractor participation goal applies, with respondents eligible to earn up to 5 points for meeting or exceeding the goal plus 1 bonus point. An additional 5 points are available under the Buy Indiana Initiative for qualifying Indiana companies. Financial responsibility bonds or letters of credit equal to 5 percent of the total contract price are required prior to execution. Evaluation scoring is pass/fail on mandatory requirements, with short-listed proposals scored on Management Assessment/Quality (60 points) and Price (20 points). The vendor must establish regional administrative infrastructure and meet minimum staffing levels documented in a staffing matrix, with financial penalties of $10,000 per facility per week ($20,000 for intake facilities) for deficiencies exceeding staffing thresholds. Performance standards require 90 percent or better pass rates across 485 established measures, with failure to meet this standard resulting in a 30-day cure period and minimum reimbursement penalties of $10,000 per deficiency per facility.