Q2 2025 HS Audit Deficiencies Line 11 Line 74.pdf

This is a Request for Proposals (RFP) document from the Indiana Department of Correction (IDOC), administered through the Indiana Department of Administration (IDOA), soliciting comprehensive correctional health services for approximately 25,000-28,000 incarcerated individuals, including up to 1,000 Immigration and Customs Enforcement detainees, across eighteen adult facilities, three juvenile facilities, and ten parole districts. The scope of services includes on-site primary care, urgent and emergent care, infectious disease management, infirmary care, dialysis, physical therapy, optometry, women's health, telemedicine, mental health and addiction recovery services, dental services, electronic health record management, off-site specialty care and hospital services, re-entry and discharge planning, and county jail claims management. A mandatory pre-proposal conference is scheduled for August 26, 2026, with written questions due August 27, 2026 by 3:00 PM Eastern Time and responses posted by September 11, 2026. All proposals and supporting documentation must be submitted electronically by October 5, 2026 at 3:00 PM Eastern Time. The evaluation process includes proposal discussions scheduled for the week of November 2, oral presentations the week of November 16, Best and Final Offers the week of November 23, and award recommendation targeted for the week of November 30. The contract term is three years from execution with two optional two-year renewal periods, allowing for a potential total contract duration of seven years.

Pricing must be firm for 180 days from award and remain fixed throughout the initial three-year term with no inflation adjustments permitted. The current vendor is Centurion Health of Indiana, LLC, under a contract expiring March 31, 2027. A 3% Indiana Veteran Owned Small Business (IVOSB) subcontractor participation goal applies with potential bonus points available for meeting or exceeding this goal, and an additional 5 points are available under the Buy Indiana Initiative for qualifying Indiana companies. Outpatient medical claims are reimbursed at Medicare plus 4 percent, while inpatient hospital claims under HIP 2.0 Medicaid require the vendor to reimburse IDOC approximately 33 percent quarterly. The vendor must assume costs for dialysis equipment, laboratory and imaging services, emergency transportation beyond state capacity, and all staffing increases beyond the minimum schedule. Financial responsibility bonds or letters of credit equal to 5 percent of the total contract price are required prior to execution, and respondents must provide audited financial statements for the last four fiscal years or a formal declaration with CPA-certified verification of available funds. Scoring is pass/fail on mandatory requirements, with short-listed proposals scored on Management Assessment/Quality (60 points) and Price (20 points). Financial penalties of $10,000 per facility per week ($20,000 for intake facilities) apply for staffing deficiencies exceeding specified thresholds, and performance standards require 90 percent or better pass rates across 485 established measures with a 30-day cure period and minimum penalties of $10,000 per deficiency per facility if performance metrics are not met.