HFS B49167 Notice of Award 6.8.26.pdf
PDF 1 MB Posted
- Contract number
- 26-478HFS-MEDPR-P-99062
- Issued by
- Illinois
About this file
Summary
This is a Notice of Award issued by the State of Illinois Chief Procurement Office for General Services on June 8, 2026, for the Health Choice Illinois (HCI) managed care program administered by the Department of Healthcare and Family Services. The contract award encompasses six selected vendors across two options: five managed care organizations under Option A (Aetna Better Health of Illinois, Inc; Healthcare Service Corporation operating as Blue Cross and Blue Shield of Illinois; Humana Benefit Plan of Illinois, Inc; Meridian Health Plan of Illinois, Inc; and Molina Healthcare of Illinois) and one entity under Option B (Cook County Health and Hospitals System DBA CountyCare Health Plan).
The contract involves capitated managed care services with payment structured as per member per month (PMPM) risk-based capitation rates developed by the Department's actuarial firm in accordance with 42 CFR Part 438, rather than fixed pricing. The total award amount is $431,417,261,488.28, comprised of an initial term valued at $140,298,419,402.56 for 4.5 years and a renewal term valued at $291,118,842,085.72 for 5.5 years. Option A awardees have a combined value of $362,390,499,650.15, while Option B has a value of $69,026,761,838.13. All six vendors are required to meet Business Enterprise Program utilization goals with a 1% BEP participation target. The actual award amounts per vendor will be determined based on Department-approved capitation rates and member enrollment numbers.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum 2~2.zip | ZIP file | |
| U-Plan V.25.1~5.pdf | ||
| Subcontractor Disclosures for subs not in IPG~4.zip | ZIP file | |
| Molina~1.zip | ZIP file | |
| HFS B49167 HCI Notice of Award Attachment 1 6.8.26.xlsx | XLSX spreadsheet | |
| ipg-active-registered-vendor-disclosure-formerly-forms-b-v-26.docx | DOCX document | |
| Parent Disclosures not in IPG~1.zip | ZIP file | |
| request-for-proposal-offer-to-the-state-of-illinois-7-29-2025-v-26-1.pdf | ||
| Subcontractor Disclosures for subs in IPG~2.zip | ZIP file | |
| vendor-disclosure-formerly-forms-a-v26-2-7-22-2025.docx | DOCX document | |
| Addendum 1~1.zip | ZIP file |
Show all 11
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Text version
Notice of Award Form
State of Illinois Chief Procurement Office for General Services Notice of Award v.25.2
Agency and Awarded Vendor Information
Description: Heatlh Choice Illinois (HCI)
Bid Number: 26-478HFS-MEDPR-B-49167 Agency: Healthcare and Family Services
Vendor Selected for Award:
Option A Aetna Better Health of Illinois, Inc Healthcare Service Corporation, A Mutual legal Reserve Company (Operating through its Blue Cross and Blue Shield of Illinois division) Humana Benefit Plan of Illinois, Inc Meridian Health Plan of Illinois, Inc Molina Healthcare of Illinois
Option B Cook County Health and Hospitals System DBA CountyCare Health Plan
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.
Option A - 5 Awardees - Initial Term $117,850,672,298.15 Renewal Term $244,539,827,352.00 =Total $362,390,499,650.15
Option B - 1 Awardee - Initial Term $22,447,747,104.41 Renewal Term $46,579,014,733.72 = Total $69,026,761,838.13
Total Award Amount $431,417,261,488.28 Number of unsuccessful bidders/offerors 0
Terms (Add Renewal Terms as appropriate) Length Value
Initial Term 4.5 $140,298,419,402.56
Renewal Term 5.5 $291,118,842,085.72
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)
Notice of Award v.25.2
% of VBP Per Utilization Plan:
0 % of BEP Per Utilization Plan:
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 of Illinois, Inc
Initial $23,570,134,459.
Renewal:
$48,907,965,470.
See Attachment 1 See Attachment 1
Healthcare Service Corporation, A Mutual legal Reserve Company (Operating through its Blue Cross and Blue Shield of Illinois division)
Initial $23,570,134,459.
Renewal:
$48,907,965,470.
See Attachment 1 See Attachment 1
Humana Benefit Plan of Illinois, Inc
Initial $23,570,134,459.
Renewal:
$48,907,965,470.
See Attachment 1 See Attachment 1
Meridian Health Plan of Illinois, Inc
Initial $23,570,134,459.
Renewal:
$48,907,965,470.
See Attachment 1 See Attachment 1
Molina Healthcare of Illinois, Inc.
Initial $23,570,134,459.
Renewal:
$48,907,965,470.
See Attachment 1 See Attachment 1
Cook County Health and Hospitals System DBA CountyCare Health Plan
Initial $22,447,747,104.
Renewal:
$46,579,014.733.
See Attachment 1 See Attachment 1
*NA indicates that the offeror's pricing remained sealed.
Add Row Delete Row
Notice of Award v.25.2
Agency Contact
Contact Name: Karen Mankowski Telephone Number: 217-558-6282
Email Address: Karen.Mankowski@illinois.gov Fax Number:
Street Address: 201 South Grand East City: Springfield
State: Illinois. Zip Code: 62763
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 Act (30 ILCS 517) 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 5 Offerors for Proposal A and 1 Offeror for Proposal B, 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: Jun 8, 2026
State of Illinois Chief Procurement Office for General Services Notice of Award v.25.2 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: Heatlh Choice Illinois (HCI) |
| BIDNUMBER: 26-478HFS-MEDPR-B-49167 |
| AGENCY: Healthcare and Family Services |
| VENDORSELECTED: Option A |
Aetna Better Health of Illinois, Inc Healthcare Service Corporation, A Mutual legal Reserve Company (Operating through its Blue Cross and Blue Shield of Illinois division) Humana Benefit Plan of Illinois, Inc Meridian Health Plan of Illinois, Inc Molina Healthcare of Illinois
Option B Cook County Health and Hospitals System DBA CountyCare Health Plan 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.
Option A - 5 Awardees - Initial Term $117,850,672,298.15 Renewal Term $244,539,827,352.00 =Total $362,390,499,650.15
Option B - 1 Awardee - Initial Term $22,447,747,104.41 Renewal Term $46,579,014,733.72 = Total $69,026,761,838.13
| TotalAwardAmt: $431,417,261,488.28 |
| NoUnsuccessfulbidders: 0 |
| cell2: 4.5 |
| cell2: 5.5 |
| cell2: Initial $23,570,134,459.63 |
Renewal: $48,907,965,470.40 cell2: Initial $23,570,134,459.63 Renewal: $48,907,965,470.40 cell2: Initial $23,570,134,459.63 Renewal: $48,907,965,470.40 cell2: Initial $23,570,134,459.63 Renewal: $48,907,965,470.40 cell2: Initial $23,570,134,459.63 Renewal: $48,907,965,470.40 cell2: Initial $22,447,747,104.41 Renewal: $46,579,014.733.72
| cell3: $140,298,419,402.56 |
| cell3: $291,118,842,085.72 |
| cell3: See Attachment 1 |
| cell3: See Attachment 1 |
| cell3: See Attachment 1 |
| cell3: See Attachment 1 |
| cell3: See Attachment 1 |
| cell3: See Attachment 1 |
| cell1: Renewal Term |
| cell1: Aetna Better Health of Illinois, Inc |
| cell1: Healthcare Service Corporation, A Mutual legal Reserve Company (Operating through its Blue Cross and Blue Shield of Illinois division) |
| cell1: Humana Benefit Plan of Illinois, Inc |
| cell1: Meridian Health Plan of Illinois, Inc |
| cell1: Molina Healthcare of Illinois, Inc. |
| cell1: Cook County Health and Hospitals System DBA CountyCare Health Plan |
| DeleteRenewalTerm: |
| AddRenewalTerm123: |
| VALUETOSTATE: |
| VALUETOVENDOR: |
| PERCENTVBPUPLAN: 0 |
| PERCENTBEPUPLAN: 1 |
| cell5: See Attachment 1 |
| cell5: See Attachment 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 East |
| City: Springfield |
| State: Illinois. |
| Zip: 62763 |
| CheckBox1: 0 |
| CheckBox2: 0 |
| CheckBox5: 0 |
| CheckBox3: 0 |
| Other: RFP established multiple award and process for award. Awarded to 5 Offerors for Proposal A and 1 Offeror for Proposal B, 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: 2026-06-08 |
File details come from the government source that posted it. Updated .