Att I - Pre-Proposal Network Form - Axon Advisors - IVOSB.docx

DOCX document 33 KB Posted

Attached to
RFP 27-87793 FSSA OMPP Enrollment Broker ServicesBid Documents
Solicitation number
RFP 27-87793
Issued by
Marion County, Indiana

About this file

This is a Pre-Proposal Network Opportunities Form submitted by Axon Advisors, LLC in response to RFP 27-87793 issued by the Indiana Family and Social Services Administration (FSSA) for Enrollment Broker Services. The RFP seeks an enrollment broker to support FSSA's enrollment processes into Medicaid managed care programs, including Hoosier Healthwise (HHW), the Healthy Indiana Plan (HIP), Hoosier Care Connect (HCC), and the Indiana Pathways for Aging program. The form submission deadline was September 29, 2026 at 3:00 PM Eastern Time, with submissions required via email to rfp@idoa.in.gov with the subject line clearly identifying the RFP number and company name.

Axon Advisors, LLC, an IVOSB-certified firm, submitted this optional pre-proposal form providing company contact and location information. The primary contact is Matthew Harvey, Strategic Account Manager, reachable at (661) 803-5015 or matthew.harvey@axonadvisors.com, with an alternate email at indianapublicservice@axonadvisors.com. The company is headquartered at 875 North Michigan Avenue, Suite 3100, Chicago, IL 60611-1962. This form represents the company's initial engagement with the procurement opportunity and does not constitute a formal proposal submission.

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Other files

File Type Posted
Att K (Addendum #1) SoW.docx DOCX document
RFP 27-87793 - Addendum #1 - Summary of Changes.docx DOCX document
HIP EB Assignment File to MMIS.xls XLS spreadsheet
HHW HCC EB Assignment File to MMIS.xls XLS spreadsheet
Att F (Addendum #1) - Technical Proposal - Enrollment Broker RFP 27-87793.docx DOCX document
Outbound dialer Details 2024-Present.xlsx XLSX spreadsheet
EB Notice Count by Type (2023-2026) updated.xlsx XLSX spreadsheet
Att D (Addendum #1) - Cost Proposal - Enrollment Broker RFP 27-87793.xlsx XLSX spreadsheet
Att G - Q&A (State Responses) (October 14, 2026).xlsx XLSX spreadsheet
RFP 27-87793 (Addendum #1) Main Document.pdf PDF
Att N (Addendum #1) - Performance Exhibit.docx DOCX document
Att_I_-_Pre-Proposal_Network_Form-Indiana Little Big Health Solutions.docx DOCX document
RFP 27-87793 - FSSA OMPP Enrollment Broker Services.docx DOCX document
RFP 27-87793 - Attachment I - ClinEfficiency Pro LLC.docx DOCX document
Att I - Pre-Proposal Network Form_Maximus.docx DOCX document
Att I - Pre-Proposal Network Form - Vespa Group (IVOSB).docx DOCX document
Att I - Pre-Proposal Network Form_InclusiveStrategies.docx DOCX document
Att D - Cost Proposal - Enrollment Broker RFP 27-87793.xlsx XLSX spreadsheet
Att B1 - IOT-IaaS.docx DOCX document
Pathways Weekly Eligibility File to EB.xlsx XLSX spreadsheet
2024 - INEB Ongoing Notices Summary - Pathways.xlsx XLSX spreadsheet
Pathways EB Pending File to EB.xlsx XLSX spreadsheet
2025 INEB Member Services.xlsx XLSX spreadsheet
Att E - Business Proposal.docx DOCX document
Att J - Attestation Form.docx DOCX document
Att H - Reference Check Form.docx DOCX document
Att B3 - IOT-SaaS.docx DOCX document
Att G - Q&A Template.xlsx XLSX spreadsheet
RFP 27-87793 Main Document.pdf PDF
2026 INEB Dashboard.xlsx XLSX spreadsheet
HHW HCC HIP Member Assignment File Update to EB.xlsx XLSX spreadsheet
Att M - Infrastructure Overview.docx DOCX document
HIP Member Demographic File to EB.xlsx XLSX spreadsheet
Att F - Technical Proposal - Enrollment Broker RFP 27-87793.docx DOCX document
Quarterly Potentials File to EB.xls XLS spreadsheet
Pathways EB Selection Assign Response File to EB.xlsx XLSX spreadsheet
Att L - AI - Technical Proposal Questions.docx DOCX document
2024 INEB Dashboard.xlsx XLSX spreadsheet
Potentials File to EB.xls XLS spreadsheet
Att I - Pre-Proposal Network Form.docx DOCX document
2024 INEB Member Services.xlsx XLSX spreadsheet
Level Of Care File to EB.xls XLS spreadsheet
Pre-Proposal Conference RFP 87793.pptx PPTX presentation
EB- Permanent Pathway Exclusion Report.xls XLS spreadsheet
Att A - IVOSB Commitment Form.docx DOCX document
MCE Provider File to EB.xlsx XLSX spreadsheet
2026 - INEB Ongoing Notices Summary - Pathways.xlsx XLSX spreadsheet
Att B2 - IOT-PaaS.docx DOCX document
Pathways EB Recipient File to EB.xlsx XLSX spreadsheet
2025 - INEB Ongoing Notices Summary - Pathways.xlsx XLSX spreadsheet
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Text version

Request for Proposal/Partnership 27-87793 Pre-Proposal Network Opportunities Form Attachment I

Instructions

This is an optional form.

Fill in the blank cells below with the requested information. Forms should be submitted via email to rfp@idoa.in.gov by September 29th, 2026 3:00 PM Eastern Time.

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

RFP 27-87793 Attachment I – [INSERT COMPANY NAME]

Company Name
Axon Advisors, LLC (IVOSB-certified)
Contact Name and Title
Matthew Harvey, Strategic Account Manager
Contact Telephone Number
(661) 803-5015
Contact Email
matthew.harvey@axonadvisors.com, indianapublicservice@axonadvisors.com
Company Mailing Address
875 North Michigan Avenue, Suite 3100
Company City, State, Zip
Chicago, IL, 60611-1962

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