Att I - Pre-proposal Network Form RFP 26-87847.docx

This is a Pre-Proposal Network Opportunities Form for RFP 26-87847, submitted by Moore Accounting, LLC to the State of Indiana Department of Administration on behalf of the Family and Social Services Administration (FSSA). The RFP seeks an External Quality Review Organization (EQRO) to evaluate quality, timeliness, and access to healthcare services across Indiana's four Medicaid managed care programs: Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging Program. The contractor must be NCQA-certified for HEDIS and CAHPS activities and employ NCQA-certified HEDIS Compliance Auditors. The scope includes mandatory EQR activities such as performance measure validation, performance improvement project validation, MCO compliance reviews, and network adequacy validation, plus seven optional EQR activities. Proposals are due August 26, 2026 at 3:00 PM ET, with a pre-proposal conference scheduled for July 30, 2026 in Indianapolis (available in-person and virtually). The contract term is four years from execution with two optional one-year renewal periods available for a potential six-year total. Award recommendation is targeted for September 22, 2026.

Deliverables include MCO-specific and summary report cards, findings reports with recommendations, data workbooks, quarterly reports, monthly activity and status reports, and an annual technical report due to FSSA by March 1 and to CMS by April 30. The cost proposal is scored on a 30-point scale using a normalization formula favoring the lowest cost, with all costs captured in a four-year bid amount including position titles and hourly billable rates. An Indiana Veteran Owned Small Business (IVOSB) subcontractor goal of 3% of total bid amount is scored up to 6 points, and an additional 5 points are available for Indiana businesses qualifying under the Buy Indiana Initiative. The contract includes liquidated damages of $1,000 per day for late or incomplete deliverables with a 10% payment withhold pending quarterly performance verification. The contractor must comply with HIPAA requirements under a Business Associate Agreement, Indiana IT security policies, and data residency requirements in U.S. data centers with encryption, role-based access, SOC 2 audits, and 24/7 support. Moore Accounting, LLC is an Indiana Veteran Owned Small Business located at 9465 Counselors Row, Suite 200, Indianapolis, Indiana 46240, with April Moore listed as Owner and primary contact.