B44525 notice-of-award-form.pdf

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Attached to
Open Market Competitive Sealed Proposal IL|25-478HFS-DIREC-P-81594
Contract number
25-478HFS-DIREC-P-81594
Issued by
Illinois

About this file

This Notice of Award Form is issued by the State of Illinois Chief Procurement Office for General Services, specifically for the Healthcare and Family Services agency. The document details the award of a Dual Eligible Special Needs Plan (D-SNP) contract to four vendors: Aetna Better Health Premier Plan MMAI, Inc., Humana Benefit Plan of Illinois, Inc., Meridian Health Plan of Illinois, and Molina Healthcare of Illinois. The bid number is 25-478HFS-DIREC-B-44525, and two other bidders were unsuccessful in the procurement process.

The contract is structured with an initial term of 4.5 years valued at $5,034,000,000 and a renewal term of 5.5 years valued at $6,921,750,000, for a total award amount of $11,955,750,000. Pricing is not directly applicable due to capitated rate development standards, with contractors to be paid per member per month (PMPM) based on rates developed by the Department's actuarial firm. The vendors have a Business Enterprise Program (BEP) utilization goal of 1% and a Veterans Business Program (VBP) utilization goal of 0%. The award was made based on a Request for Proposal process, selecting the top four scoring vendors, with the final award amounts to be determined by approved established rates and member enrollment.

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Notice of Award Form

State of Illinois Chief Procurement Office for General Services Notice of Award v.25.1

Agency and Awarded Vendor Information

Description: Dual Eligible Special Needs Plan (D-SNP)

Bid Number: 25-478HFS-DIREC-B-44525 Agency: Healthcare and Family Services

Vendor Selected for Award: Aetna Better Health Premier Plan MMAI, Inc., Humana Benefit Plan of Illinois, Inc., Meridian Health Plan of Illinois, Molina Heatlhcare of Illinois

Line Item Description:

Pricing is not applicable for this RFP due to the required capitated rate development standards as defined in 42 CFR Part 438. Contractor shall be paid according to the per member per month (PMPM) risk-based capitation payment developed by the Department actuarial firm in accordance with rate development requirements of 42 CFR 438. The Agency will add the pricing for the awarded Vendors based on those rates at the time of award.

Total Award Amount $11,955,750,000 Number of unsuccessful bidders/offerors 2

Terms (Add Renewal Terms as appropriate) Length Value

Initial Term 4.5 years $5,034,000,000.00

Renewal Term 5.5 years $6,921,750,000.00

Delete Renewal Term Add Renewal Term 1,2,3

Farm Leases and Concessions

Value to the State:

Estimated Financial Return to the State for the Life of the Contract (Includes Renewals)

Value to the Vendor:

Estimated Gross Revenue to the Vendor for the Life of the Contract (Includes Renewals)

Business Enterprise Program/Veterans Business Program Awarded bidder/offeror BEP/VBP Utilization Plan Goals 30 ILCS 575/7 (6)

% of VBP Per Utilization Plan:

0% % of BEP Per Utilization Plan:

1%

Notice of Award v.25.1

List each bidder or offeror's name

Total bid amount

The name(s) of the certified BEP vendor(s) identified in the bidder's or offeror's submitted utilization plan

The Percentage of the bid's amount awarded to certified BEP vendor(s) identified in the utilization plan

Aetna Better Health Premier Plan MMAI, Inc.

Initial $1,258,500,000 Renewal $1,730,437,500

See Attachment 1 See Attachment 1

Humana Benefit Plan of Illinois, Inc.

Initial $1,258,500,000 Renewal $1,730,437,500

See Attachment 1 See Attachment 1

Meridian Health Plan of Illinois

Initial $1,258,500,000 Renewal $1,730,437,500

See Attachment 1 See Attachment 1

Molina Heatlhcare of Illinois

Initial $1,258,500,000 Renewal $1,730,437,500

See Attachment 1 See Attachment 1

Healthcare Service Corporation N/A

United Healthcare of the Midlands N/A

*NA indicates that the offeror's pricing remained sealed.

Add Row Delete Row

Agency Contact

Contact Name: Karen Mankowski Telephone Number: 217-558-6282

Email Address: Karen.Mankowski@illinois.gov Fax Number:

Street Address: 201 South Grand Ave. East City: Springfield

State: Illinois Zip Code:

Notice of Award v.25.1

SPO Written Determination for Contract Award Decision

General - Applies to Split Awards, Award to Other than Lowest Responsible and Responsive Bidder. The Rationale described by the purchasing agency in the recommendation to award seems reasonable, and serves as the basis for the contract decision.

Invitation for Bid - The contract was procured through the Invitation for Bid Process, and the contract has been awarded to the lowest priced responsive and responsible bidder.

Invitation for Bid award with Domestic Products preference - The contract was procured through the Invitation for Bid Process, and the contract has been awarded to the lowest priced responsive and responsible bidder by applying the Procurement of Domestic Products preference.

Request for Proposal - Based on factors set forth in the Request for Proposal, the contract has been awarded to the offeror whose proposal is most advantageous to the State.

Other:

RFP established multiple award and process for award. Awarded to top 4 scores, based on the purchasing agency recommendation to award and is the basis for the contract decision. Award amount per vendor is an estimation and will be determined based on approved established rates and number of members enrolled.

Signature Field Date: 3/6/2025

State of Illinois Chief Procurement Office for General Services Notice of Award v.25.1 Page of Agency and Awarded Vendor Information Terms (Add Renewal Terms as appropriate) Length Value Initial Term Farm Leases and Concessions Estimated Financial Return to the State for the Life of the Contract (Includes Renewals) Estimated Gross Revenue to the Vendor for the Life of the Contract (Includes Renewals) Business Enterprise Program/Veterans Business Program Awarded bidder/offeror BEP/VBP Utilization Plan Goals 30 ILCS 575/7 (6) List each bidder or offeror's name Total bid amount The name(s) of the certified BEP vendor(s) identified in the bidder's or offeror's submitted utilization plan The Percentage of the bid's amount awarded to certified BEP vendor(s) identified in the utilization plan *NA indicates that the offeror's pricing remained sealed.

Agency Contact SPO Written Determination for Contract Award Decision 11.0.0.20130303.1.892433.887364

CurrentPage:
PageCount:
DESCRIPTION: Dual Eligible Special Needs Plan (D-SNP)
BIDNUMBER: 25-478HFS-DIREC-B-44525
AGENCY: Healthcare and Family Services
VENDORSELECTED: Aetna Better Health Premier Plan MMAI, Inc., Humana Benefit Plan of Illinois, Inc., Meridian Health Plan of Illinois, Molina Heatlhcare of Illinois
LINEITEMDESCRIPTION: Pricing is not applicable for this RFP due to the required capitated rate development standards as defined in 42 CFR Part 438. Contractor shall be paid according to the per member per month (PMPM) risk-based capitation payment developed by the Department actuarial firm in accordance with rate development requirements of 42 CFR 438. The Agency will add the pricing for the awarded Vendors based on those rates at the time of award.
TotalAwardAmt: $11,955,750,000
NoUnsuccessfulbidders: 2
cell2: 4.5 years
cell2: 5.5 years
cell2: Initial$1,258,500,000

Renewal$1,730,437,500 cell2: Initial$1,258,500,000 Renewal$1,730,437,500 cell2: Initial$1,258,500,000 Renewal$1,730,437,500 cell2: Initial$1,258,500,000 Renewal$1,730,437,500

cell2: N/A
cell2: N/A
cell3: $5,034,000,000.00
cell3: $6,921,750,000.00
cell3: See Attachment 1
cell3: See Attachment 1
cell3: See Attachment 1
cell3: See Attachment 1
cell1: Renewal Term
cell1: Aetna Better Health Premier Plan MMAI, Inc.
cell1: Humana Benefit Plan of Illinois, Inc.
cell1: Meridian Health Plan of Illinois
cell1: Molina Heatlhcare of Illinois
cell1: Healthcare Service Corporation
cell1: United Healthcare of the Midlands
DeleteRenewalTerm:
AddRenewalTerm123:
VALUETOSTATE:
VALUETOVENDOR:
PERCENTVBPUPLAN: 0%
PERCENTBEPUPLAN: 1%
cell5: See Attachment 1
cell5: See Attachment 1
cell5: See Attachment 1
cell5: See Attachment 1
Add:
Delete:
ContactName: Karen Mankowski
Telephone: 217-558-6282
email: Karen.Mankowski@illinois.gov
fax:
Street: 201 South Grand Ave. East
City: Springfield
State: Illinois
Zip:
CheckBox1: 0
CheckBox2: 0
CheckBox5: 0
CheckBox3: 1
Other: RFP established multiple award and process for award. Awarded to top 4 scores, based on the purchasing agency recommendation to award and is the basis for the contract decision. Award amount per vendor is an estimation and will be determined based on approved established rates and number of members enrolled.
SignatureField1:
DateField1: 3/6/2025

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