July 30, 2026 Pre-Proposal Conference IDOA.pptx
PPTX presentation 1012 KB Posted
- Solicitation number
- 26-87847
- Issued by
- Marion County, Indiana
About this file
This is a pre-proposal conference presentation for the State of Indiana Department of Administration (IDOA) regarding Request for Proposal 26-87847 for External Quality Reviews for Medicaid Managed Care (MCR) Programs. The Office of Medicaid Policy and Planning, under the Family and Social Services Administration (FSSA), is seeking contractors to provide External Quality Review Organization (EQRO) services for four Indiana Medicaid managed care programs: Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging Program. The contractor must develop evaluation methodologies, perform data collection and analysis, prepare findings reports with recommendations, and provide technical assistance to FSSA and contracted Managed Care Organizations (MCOs) in compliance with 42 CFR 438.358 and 438.360. The contract term is four years from the date of execution, with an optional two-year renewal for a total of six years. The presentation outlines key dates for proposal submission deadlines, reference check form submission, and anticipated preliminary award notification, though specific dates are referenced as being in the RFP main document.
Respondents must be registered bidders with the Indiana Supplier Portal and the Secretary of State before submitting proposals. Required submissions include the Indiana Economic Impact Form (Attachment C), Cost Proposal Template (Attachment D) in Excel format scored on a 30-point scale using a normalization formula favoring the lowest cost, Business Proposal (Attachment E) demonstrating financial stability, Technical Proposal (Attachment F) addressing required sections, Reference Check Forms (Attachment H) completed by references, Executive Summary, and Attestation Form (Attachment J). The contractor must possess or subcontract with a National Committee for Quality Assurance (NCQA)-certified Healthcare Effectiveness Data and Information Set (HEDIS) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Vendor and employ NCQA-certified HEDIS Compliance Auditors. Indiana Veteran Owned Small Business (IVOSB) participation has a 3% goal of the total bid amount and is scored up to 6 points (5 base points plus 1 bonus point). All proposal materials are subject to the Indiana Access to Public Records Act and become public records unless specific statutory exceptions are claimed and clearly marked as confidential in the Attestation Form.
View the file
Other files
Show all 43
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Welcome Welcome
Pre-proposal Meeting July 30th, 2026
State of Indiana Bidder Profile A bidder profile with IDOA is required to access the Indiana Supplier Portal and to submit bid responses.
Scan the QR Code to access Supplier Portal Information.
Before an award may be granted, the bidder must be registered with the Secretary of State
Pre-Proposal Breakout Meeting Information Topics for event-specific sessions:
Key Dates Term of Contract Purpose of RFP Scope of Work Q&A
The specific location(s) and Time(s) of each Breakout meeting will be listed on the last slide.
Key dates include: Issuance of the RFP, Deadline to submit the preproposal networking form and written questions, responses to questions/RFP amendments, deadline for submission of proposal (incl all required documents), deadline for submission of ref. check forms, and the anticipated time for preliminary award.
Pre-Proposal Main Meeting Information General Information Proposal Preparation Evaluation Criteria Indiana Veteran Owned Small Business Enterprises (IVOSB) Submission Requirements Optional Forms/Documents Required Forms/Documents Additional Information Questions (Attachment G)
General Information Potential Respondents are typically given the opportunity to express interest in a solicitation and to have their company and contact information posted to the solicitation website by submitting the Pre-Proposal Network Opportunities Form (Attachment I).
The form is optional but must be submitted to rfp@idoa.in.gov by the date and time specified in the documents for each solicitation.
Potential Respondents are encouraged to submit any questions pertaining to a solicitation via the Question/Inquiry process, using Attachment G.
Specific deadlines for each event are listed in the published solicitation document(s) (RFP Main Document).
Potential Respondents = Both Primes and Subs.
Remember that only questions/answers provided in writing may be considered binding on the State.
Submission Forms/Documents Additional forms may also be required depending on the event.
Use the templates provided for all responses and do not alter any templates.
Responses must be submitted per the RFP instructions. See RFP Sections 1.8 and 2.1 for additional details. Late submissions, emailed or hand-delivered submissions will not be accepted.
Please see the Key Dates section (RFP Main Document) of each solicitation to confirm due dates for these items.
Required Submission Forms/Documents Attachment C – Indiana Economic Impact Form Attachment D – Cost Proposal Template Attachment E – Business Proposal Template Attachment F – Technical Proposal Template Attachment H – Reference Check Forms Must be completed by the reference and emailed directly to the State Attachment J – Attestation Form
Cloud Questionnaire and Infrastructure Overview Forms
Executive Summary The Executive Summary must be completed and submitted via the online submission process. At a minimum, your Executive Summary must address the following (also outlined in Section 2.2 of the RFP):
Summarize your ability and desire to supply the required services;
Make sure the Executive Summary is signed by an authorized representative;
Include your primary contact State your understanding of the respondent notification; and Indicate status regarding Secretary of State registration.
You may include additional “cover letter” information within the Executive Summary if desired.
Attestation Form The Attestation Form (Attachment J) must be completed.
Mandatory Submission and Requirements Confirm Mutual Understanding and Submission Claim Clarification (Buy Indiana), if applicable Subcontractors per RFP 2.3.10 Confidential / Redacted File Information
Confidential Information Confidential Information (RFP Main Document - Section 1.15) All materials contained in proposals are subject to the Access to Public Records Act (APRA) and can be accessed by any member of the public after contract award. The responses are deemed to be “public records” unless a specific provision of IC 5-14-3 protects parts of the response from disclosure.
In order to request certain information be kept confidential, Respondents must claim a statutory exception to the APRA in their Attestation Form (Attachment J), including a description of which specific provision applies to any specific part of their response.
Confidential information must also be clearly marked and kept separate from the proposal in the electronic copies. IDOA recommends sending a “public” file that has the confidential information redacted (may be in PDF format) and a “final” file that includes all required information (must be in format provided).
A redacted version must be submitted along with the Confidential copy.
DO NOT LABEL YOUR ENTIRE RESPONSE AS CONFIDENTIAL.
Indiana Economic Impact Form (IEI) Attachment C Respondents must submit this completed attachment, but it will not be used for evaluation purposes.
Definitions of FTE (Full-Time Equivalent) Example: If a Respondent has five (5) full time employees, is bidding on its 5th contract, and all contracts get an equal amount of commitment from the employees, then each employee commits 20% of his/her time to the new contract:
0.2 x 5 employees –1 FTE
Cost Proposal Attachment D Please complete the template provided for the Cost Proposal by populating ONLY the yellow shaded cells. The Total Cost will populate automatically. The Cost Proposal must be returned in the original Excel format. (No PDFs.)
Cost Proposals are scored based on the Total Cost for the initial term. Using an estimated 30 point score for the Cost, the lowest cost proposal receives a total of 30 points. The normalization formula is as follows:
Respondent’s Cost Score = (Lowest Cost Proposal / Total Cost of Proposal) X 30
(Total Cost in cell E8of the Cost Proposal)
Cost Proposal The Respondent should provide a brief narrative (not longer than two pages) in support of each Cost Proposal item and return this document in a PDF format, labeled as “Cost Proposal Narrative.”
The Respondent should list and describe as part of its Cost Proposal any special cost assumptions, conditions, and/or constraints relative to, or which impact, the prices presented on the Cost Schedules. The Respondent should return this document in a PDF format, labeled as “Cost Assumptions, Conditions and Constraints”.
Business Proposal Attachment E Company Financial Information (Section 2.3.4) Respondents must provide documents to demonstrate financial stability including, for example, the most recent Dunn & Bradstreet Business Report (preferred) or audited financial statements for the two (2) most recently completed fiscal years. If neither of these can be provided, Respondents must explain why and include an income statement and balance sheet for each of the two (2) most recently completed fiscal years.
If the documents are from a parent or holding company, Respondents must explain the business relationship between the entities and demonstrate the financial stability of the entity which is directly responding to this RFP.
Contract Terms (Section 2.3.6) Respondents should review sample State contract and note exceptions to State non-mandatory clauses in Business Proposal and Executive Summary.
The State may refuse to consider any redlines requested in negotiation of a contract that were not specifically identified and included in a vendor’s response.
Mandatory clauses are non-negotiable.
References (Section 2.3.7) Often, Respondents must have at least three (3) references who:
Can speak to the Respondent’s experience in providing products and/or services that are the same, or similar, to those products and/or services requested in this solicitation Can speak to the Respondent’s performance on contracts of similar scope for government clients Respondents must ask each reference to complete Attachment H (Reference Check Form) and email it directly to IDOA (idoareferences@idoa.in.gov) by the date specified in the solicitation.
Technical Proposal Attachment F Every point made in each section must be addressed in the order given. The same outline numbers must be used in the response.
Where appropriate, supporting documentation may be referenced by a page and paragraph number. However, when this is done, the body of the Technical Proposal must contain a meaningful summary of the referenced material.
The referenced document must be included as an appendix to the technical proposal with referenced sections clearly marked.
If there are multiple references or multiple documents, these must be listed and organized for ease of use by the State.
Optional Submission Forms/Documents Submission of these documents is optional and does not impact your ability to submit a proposal.
Attachment I - Pre-Proposal Networking Opportunity Form Attachment G - Questions and Answers Form
Please see the Key Dates section (RFx Main Document) of each solicitation to confirm due dates for these items.
Evaluation Criteria
This is an example of our typical eval criteria, but these can vary somewhat from event to event. Be sure to read the RFP carefully.
Indiana Veteran Owned Small Business Contact Information Phone: 317-232-3061 E-mail: Indianaveteranspreference@idoa.in.gov Web: www.in.gov/idoa/2862.htm
Complete Attachment A1, IVOSB Form Include sub-contractor letters of commitment
Goals for Proposal 3% Veteran Owned Small Business of Total Bid Amount
Indiana Veteran Owned Small Business Prime contractors should note the following:
Pursuant to 25 IAC 9-4-1(c), a Prime Contractor who is an IVOSB can use their own workforce to count toward the goal.
IVOSB must have a Bidder ID (see section 2.3.7 - Department of Administration, Procurement Division).
Prime contractor and/or subcontractors’ Certification Letter(s), provided by IDOA or Federal Center for Veterans Business Enterprise (VA OSDBU), must accompany the proposal to show the current status of certification.
Prime contractors must ensure that the proposed subcontractors meet the following criteria:
Must be listed on the IDOA Directory of Certified Firms, on or before the proposal due date.
Serve a Valuable Scope Contribution (VSC) on the engagement, as confirmed by the State.
Valuable Scope Contribution – A business function that supports the scope of this solicitation.
Provide the goods or services specific to the contract and within the industry area for which it is certified.
Process. IVOSB scoring is conducted based on 5 points plus a possible 1 bonus point scale.
IVOSB: Possible 5 points + 1 bonus point Professional Services Scoring Methodology. The points will be awarded on the following schedule:
Fractional points will be awarded based upon a graduated scale between whole points. (e.g., a 0.3% commitment will receive .5 points and a 1.5% commitment will receive 2.5 points) Submissions of 0% participation will result in a deduction of 1 point in each category The highest submission which exceeds the goal will receive 6 points (5 points plus 1 bonus point). In case of a tie both firms will receive 6 points.
Subcontractor Compliance Pay Audit System Tool utilized to monitor the state’s diversity spend for subcontractors Selected primes and subcontractors are required to report payments submitted or received through this web-based tool Based on contract terms payments should be reported monthly or quarterly Questions? Contact the Division of Supplier Diversity compliance@idoa.in.gov www.in.gov/idoa/payaudit.htm
Submission Requirements
You must be a registered bidder to submit a proposal.
Please refer to section 1.8 of the RFP document for instructions regarding the online submission process using the Supplier Portal.
It is your responsibility to ensure that all required documents and forms are submitted prior to the due dates. Failure to complete or submit required documents and forms may result in disqualification or loss of points.
Additional Resources for Bidders Link to the bidder registry with IDOA and Secretary of State http://www.in.gov/idoa/2464.htm Secretary of State of Indiana Can be reached at (317) 232-6576 for registration assistance.
www.in.gov/sos IDOA Vendor and Supplier Resource Center http://www.in.gov/idoa/3106.htm
Questions?
REQUEST FOR PROPOSAL 26-87847
External Quality Reviews For MCR Programs
Kristine Kruger
Purpose of the RFP The purpose of the RFP is to find contractors that provides External Quality Reviews ("EQR") which analyzes and evaluates aggregated information on quality, timeliness and access to healthcare services provided under the MCE programs.
Scope of Work The Office of Medicaid Policy and Planning is required by the Center for Medicare & Medicaid Services (CMS) to contract with a qualified External Quality Review Organization (EQRO) to conduct all CMS required External Quality Review (EQR) activities and supporting items as described in this Statement of Work.
The Family and Social Services Administration (FSSA) is required by federal law to perform annual performance reviews of its health care programs Hoosier Healthwise (HHW), Healthy Indiana Plan (HIP), Hoosier Care Connect (HCC), and Indiana PathWays for Aging Program (PathWays). One such performance review is an External Quality Review (EQR) of contracted Managed Care Organizations (MCOs) for HHW, HIP, HCC, and PathWays.
The Contractor must perform the EQR activities as outlined in 42 CFR § 438.358 and 42 CFR § 438.360 for the Indiana Medicaid managed care programs. Specifically, the Contractor will be required to:
Develop evaluation methodologies for the EQR activities;
Perform data collection and analysis;
Prepare reports presenting evaluation findings and recommendations; and Provide technical assistance to FSSA and its contracted MCOs.
The Contractor must complete the deliverables and requirements in accordance with the frequencies and specifications in this Contract so that the State maintains compliance with federal requirements and assures adequate oversight of Indiana’s Medicaid managed care delivery system.
The services to be provided include multiple tasks and deliverables that are consistent with applicable federal EQR regulations and protocols for MCOs.
The Contractor must have the designation as, or subcontract with, a qualified organization that is a National Committee for Quality Assurance (NCQA) certified Healthcare Effectiveness Data and Information Set (HEDIS) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Vendor.
The Contractor must have assigned staff who are, or subcontract with a qualified organization that has, NCQA-certified HEDIS Compliance Auditor(s).
Term The term of the contract shall be for a period of four (4) years from the date of contract execution. There may be a two (2) year renewal for a total of six (6) years at the State’s option.
Key Dates
Evaluation Criteria
Questions?
image1.png image2.jpeg image3.png image4.png image5.png image6.png image7.png image8.png
File details come from the government source that posted it. Updated .