EB Notice Count by Type (2023-2026) updated.xlsx

This is an enrollment broker notice mailing count spreadsheet prepared for the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning, documenting historical and projected enrollment activity across four Medicaid managed care programs: Hoosier Care Connect, PathWays, and the Healthy Indiana Plan. The data tracks monthly welcome letter mailings for Hoosier Care Connect (ranging from 308 to 806 notices monthly across 2025-2026), PathWays welcome letters with multiple types (ranging from 1,394 to 5,640 notices monthly), and open enrollment volumes for the Healthy Indiana Plan (declining from 674,381 in 2023 to 442,098 projected for 2026) and PathWays (112,807 projected for 2025 excluding authorized representatives). The spreadsheet provides baseline enrollment metrics supporting the RFP 27-87793 Enrollment Broker Services solicitation, with proposals due October 28, 2026, for a four-year contract beginning January 1, 2028, with two optional one-year extensions available.

The enrollment volumes presented in this document establish the operational scale and workload requirements for the enrollment broker contractor, informing staffing, helpline capacity, and resource allocation decisions. These metrics demonstrate significant monthly enrollment activity across all four programs, with PathWays generating the highest notice volumes and the Healthy Indiana Plan showing substantial open enrollment populations. The declining trend in Healthy Indiana Plan open enrollment from 2023 to 2026 suggests evolving member demographics and enrollment patterns that the selected contractor must accommodate. Cost proposal requirements include per-call rates for live inbound and outbound helpline services, per-unit printing costs across eight volume bands, staffing hourly rates for four dedicated full-time positions, and fixed annual price increase percentages, with pricing firm for a minimum of 180 days from award. The contractor must maintain a minimum 45-hour weekly helpline with live-voice access, provide English and Spanish translation services, achieve 99% system availability, and meet 98% written correspondence response rates within five business days.