CareStar.docx

This is a Pre-Proposal Network Opportunities Form submitted by CareStar, Inc. in response to Request for Proposal 27-88343 issued by the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning. The RFP seeks proposals from managed care organizations to provide statewide risk-based Medicaid services across four programs: Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging, collectively serving approximately 1.5 million beneficiaries. The submission deadline for the optional form was September 10, 2026, at 1:30 PM Eastern Time, with a pre-proposal conference scheduled for the same date. Formal proposal responses are due November 6, 2026, and the contract term spans four years with two optional one-year renewals available at the state's discretion, for a potential total of six years.

CareStar, Inc., headquartered in Cincinnati, Ohio, submitted its network opportunities form with contact information provided by Pamela E. Zipperer-Davis, President and CEO. The total estimated base capitation across all four programs exceeds $4.9 billion for the initial rating period, with specific PMPM rates varying by program and organizational type (for-profit versus not-for-profit). Mandatory qualifications include current MCO service in at least one state, at least five years of prior MCO experience, Indiana licensure as a health maintenance organization, and NCQA accreditation by contract start or no later than the end of the second full calendar year. Contractors must maintain administrative offices within five miles of the Indiana Government Center in Indianapolis, hold minimum Risk Based Capital ratios of 300 percent per NAIC standards, and obtain fidelity bond and professional liability insurance. Evaluation criteria total 90 points, with additional incentives including a Buy Indiana Initiative preference (5 points) and an Indiana Veteran Owned Small Business subcontracting goal of 3 percent.