Att I - Pre-proposal Network Form “[RFP 26-87847 Attachment I – Professional Management Enterprises Inc..docx

This is a Pre-Proposal Network Opportunities Form submitted by Professional Management Enterprises Inc. to the State of Indiana Department of Administration on behalf of the Family and Social Services Administration (FSSA) for RFP 26-87847, which seeks an External Quality Review Organization (EQRO) to evaluate quality, timeliness, and access to healthcare services under Indiana's four Medicaid managed care programs. The RFP requires proposals evaluating Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging Program. A pre-proposal conference is scheduled for July 30, 2026, in Indianapolis with both in-person and virtual participation options. Written questions are due August 5, 2026, with responses posted by August 12. Proposals are due August 26, 2026, at 3:00 PM ET. Evaluation begins September 1, with potential oral presentations on September 7 and award recommendation targeted for September 22. The contract term is four years from execution with two optional one-year renewal periods available, for a potential six-year total.

The contractor must be NCQA-certified for HEDIS and CAHPS activities and employ NCQA-certified HEDIS Compliance Auditors. Mandatory deliverables include performance measure validation, performance improvement project validation, MCO compliance reviews, network adequacy validation, and seven optional EQR activities directed by FSSA. All costs must be captured in a four-year bid amount with position titles and hourly billable rates, scored on a 30-point scale using a normalization formula favoring the lowest cost. An Indiana Veteran Owned Small Business (IVOSB) subcontractor goal of 3% of total bid amount is available for up to 6 points, with an additional 5 points available for Indiana businesses qualifying under the Buy Indiana Initiative. The contractor must comply with HIPAA requirements under a Business Associate Agreement, Indiana IT security policies, and U.S. data center residency requirements. Liquidated damages of $1,000 per day apply for late or incomplete deliverables with a 10% payment withhold pending quarterly performance verification. Professional Management Enterprises Inc., located at 9245 N. Meridian Street, Suite 210, Indianapolis, IN 46040, submitted this optional pre-proposal form with contact Danny Portee, CEO/President, at 317-372-3300 or dportee@pme-indy.com.