Att I – Mid America Health, Inc.docx

This is a Pre-Proposal Network Opportunities Form submitted by Mid America Health, Inc. in response to Request for Proposal 27-87787 issued by the Indiana Department of Correction through the Indiana Department of Administration for comprehensive correctional health services. The RFP solicits proposals 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 includes 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 planning, and county jail claims management. A mandatory pre-proposal conference is scheduled for August 26, 2026, with written questions due by August 27, 2026 at 3:00 PM Eastern Time. Proposals are due October 5, 2026 at 3:00 PM Eastern Time. Evaluation is scheduled for October 2026, with proposal discussions the week of November 2, oral presentations the week of November 16, Best and Final Offers the week of November 23, and award recommendation targeted for the week of November 30. The contract term is three years from execution with two optional two-year renewal periods for a potential total of seven years.

The incumbent vendor is Centurion Health of Indiana, LLC, with 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. The vendor assumes costs for dialysis equipment, laboratory and imaging services, emergency transportation beyond state capacity, and staffing increases beyond the minimum schedule. A 3% Indiana Veteran Owned Small Business subcontractor participation goal applies, with respondents eligible to earn up to 5 points for meeting or exceeding the goal plus 1 bonus point, and an additional 5 points 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. Respondents must provide audited financial statements for the last four fiscal years or a formal declaration with CPA-certified verification of available funds. Performance standards require 90 percent or better pass rates across 485 established measures, with financial penalties of $10,000 per facility per week for staffing deficiencies and minimum reimbursement of $10,000 per deficiency per facility if performance standards are not met and corrected within a 30-day cure period.