Professional Management Enterprises Inc..docx

This is a Pre-Proposal Network Opportunities Form submitted by Professional Management Enterprises Inc. in response to the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning request for proposals to serve as a managed care organization for Indiana's Medicaid programs. The RFP solicits proposals from MCOs to provide statewide risk-based managed care services across four programs—Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging—collectively serving approximately 1.5 million Hoosiers. The pre-proposal conference is scheduled for September 10, 2026, with written proposals due November 6, 2026. The contract term is four years with two optional one-year renewals, potentially extending to six years total. Professional Management Enterprises Inc., headquartered at 9245 N. Meridian Street, Suite 210, Indianapolis, IN 46260, submitted this form with contact information for Danny Portee, President/CEO (317-372-3300, dportee@pme-indy.com) and William Retherford, VP of Operations (317-488-7722, william@pme-indy.com), with the form submission deadline of September 10, 2026 at 1:30 PM Eastern Time.

Respondents must demonstrate current MCO service in at least one state and a minimum of five years of prior MCO experience. Contractors must be Indiana-licensed health maintenance organizations with NCQA accreditation by contract start or no later than the end of the second full calendar year of operation. Administrative offices must be located within five miles of the Indiana Government Center in Indianapolis with key personnel residing in Indiana. The total estimated base capitation across all four programs exceeds $4.9 billion for the initial rating period, with individual program PMPM rates ranging from $228.72 to $3,468.29 depending on the program and beneficiary population. Evaluation criteria total 90 points (91 with bonus), including mandatory requirements compliance, management assessment and quality (75 points), oral presentations (5 points), Buy Indiana Initiative preference (5 points), and Indiana Veteran Owned Small Business subcontracting goals (5 points plus 1 bonus point). Contractors must maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards and obtain fidelity bond, professional liability insurance, and commercial reinsurance with specific attachment and co-insurance requirements.