Att I - Pre-proposal Network Form 2.docx

DOCX document 38 KB Posted

Attached to
RHTP07: Teleconsult/Telehealth Landscape AssessmenBid Documents
Solicitation number
RFP 26-87449
Issued by
Indiana

About this file

This is a Pre-Proposal Network Opportunities Form submitted by Briljent, LLC, a Women Business Enterprise (WBE) located in Fort Wayne, Indiana, in response to Request for Proposal 26-87449 issued by the Indiana Department of Health for a Teleconsult/Telehealth Landscape Assessment under the Rural Health Transformation Program (RHTP) Initiative 7. The RFP solicits proposals for a comprehensive statewide mixed-methods assessment to evaluate current telehealth and teleconsultation services across Indiana's healthcare landscape. Key project deliverables include a Project Management Plan, Assessment Methodology and Instruments, Stakeholder Engagement Summary, National Models and Evidence Scan, Gap Analysis and Needs Identification Report, Specialty Care Provider and Program Assessment, Billing/Coverage/Reimbursement Assessment Summary, and a comprehensive Indiana Statewide Telehealth and Teleconsultation Plan. A pre-proposal conference was held on April 22, 2026, at 9:30 AM ET; written questions were due by April 27, 2026, with responses posted by May 6, 2026; and proposals are due May 18, 2026, by 3:00 PM Eastern Time through the Supplier Portal. The contract term is one year from execution with potential for optional one-year renewals through year five, with pricing remaining firm for a minimum of 180 days from award issuance.

The RFP evaluation is conducted on a 103-point scale comprised of Management Assessment/Quality (50 points), Cost (30 points), Buy Indiana Initiative (5 points), and diversity subcontractor commitments (5 points each for MBE, WBE, and IVOSB). The solicitation includes established participation goals of 8 percent for Minority Business Enterprises (MBE), 11 percent for Women Business Enterprises (WBE), and 3 percent for Indiana Veteran Owned Small Businesses (IVOSB), though failure to meet these goals does not negatively impact proposal evaluation. All proposed subcontractors must be listed on the State of Indiana Certified M/W/IVOSB registry or the Federal Center for Veterans Business Enterprise VETBIZ registry at the time of proposal submission. The contract is funded through the Rural Health Transformation Program, a five-year federal grant totaling $206,927,896.80 with 100 percent federal funding provided by the Centers for Medicare & Medicaid Services (CMS), though only the initial budget period currently has secured funding with subsequent periods subject to future federal funding awards and state needs determination. Respondents must comply with data protection standards aligned with the Indiana Office of Technology Information Security Framework, NIST 800-53 Revision 5 compliance, Federal Bureau of Investigation background checks, annual independent audits (Service Organization Control 2 or equivalent), and specified cloud hosting solutions preferably utilizing Microsoft Azure or Amazon Web Services.

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Other files

File Type Posted
RFP 26-87449 Teleconsult Att G - Q&A Template_with state answers.xlsx XLSX spreadsheet
RFP #26-87449 Att_I_-_Pre-proposal_Networking_RHTP Telehealth.docx DOCX document
Att I - Pre-proposal Network Form RFP 26-87449.docx DOCX document
Att I - Pre-proposal Network Form 4.docx DOCX document
RFP 26-87449 Attachment I – RepuCare, Inc..docx DOCX document
RFP 26-87449 Attachment I – Myers and Stauffer LC.docx DOCX document
Att I - Pre-proposal Network Form 3.docx DOCX document
RFP 26-87449 RURAL HEALTH TRANSFORMATION PROGRAM INITIATIVE 7 Teleconsult Telehealth Landscape Assessment.docx DOCX document
Att_I_-_Pre-proposal_Network_Form JandB Medical.docx DOCX document
RHTP Pre-Proposal Conference IDOA 1.pdf PDF
Att A1 - IVOSB.docx DOCX document
Att I - Pre-proposal Network Form.docx DOCX document
Att H - Reference Check Form.docx DOCX document
Att B3 - IOT-SaaS.docx DOCX document
Att J - Attestation Form.docx DOCX document
Att E - Business Proposal.docx DOCX document
Att A - MWBE.docx DOCX document
Att L - Artificial Intelligence.docx DOCX document
Att G - Q&A Template.xlsx XLSX spreadsheet
Att K - Scope of Work.docx DOCX document
Att D - Cost Proposal.xlsx XLSX spreadsheet
Att B2 - IOT-PaaS.docx DOCX document
RFP 26-87449 Main Document.pdf PDF
Att M - Infrastructure Overview.docx DOCX document
Att B1 - IOT-IaaS.docx DOCX document
Att B - Sample Contract.docx DOCX document
Att F - Technical Proposal.docx DOCX document
Att C - Indiana Economic Impact Form.xls XLS spreadsheet
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Text version

REQUEST FOR PROPOSAL/PARTNERSHIP 26-87449

RHTP07: TELECONSULT/TELEHEALTH LANDSCAPE ASSESSMENTATTACHMENT I

PRE-PROPOSAL NETWORK OPPORTUNITIES FORM

Instructions: Fill in the blank cells below with the requested information. Forms should be submitted via email to rfp@idoa.in.gov per RFP Section 1.24.

The subject line of the email submissions must clearly state the following:

“RFP 26-87449 Attachment I – COMPANY NAME

This is an optional form.

Company Name
Briljent, LLC

MBE/WBE/IVOSB

(if applicable)

WBE

Company Address
6114 Constitution Dr ste 101, Fort Wayne, IN 46804
Contact Name and TItle
Adam Gulla, Director of Client Services
Contact Telephone
317-767-4140
Contact Email
agulla@briljent.com

File details come from the government source that posted it. Updated .