RFI Main Document.pdf

Request for Information/Innovation, Page 1 of 6

STATE OF INDIANA

REQUEST FOR INFORMATION/INNOVATION 26-84388

INDIANA DEPARTMENT OF ADMINISTRATION

ON BEHALF OF THE

INDIANA STATE PERSONNEL DEPARTMENT

SOLICITATION FOR:

NONPROFIT HOSPITAL SYSTEM DIRECT TO EMPLOYER HEALTH CARE

ARRANGEMENT

RESPONSE DUE DATE:

OCTOBER 20, 2025, BY 3:00 PM ET

Robert Cohen, Procurement Consultant rcohen@idoa.in.gov Indiana Department of Administration

Procurement Division 402 W. Washington St., Room W478

Indianapolis, Indiana 46204 mailto:rcohen@idoa.in.gov

Request for Information/Innovation, Page 2 of 6

TABLE OF CONTENTS

INTRODUCTION

BACKGROUND AND OBJECTIVE OF THE RFI

RESPONSE FORMAT AND ATTACHMENTS

RFI TIMELINE

QUESTION / INQUIRY PROCESS

CLARIFICATIONS AND DISCUSSIONS

CONFIDENTIALITY

RESPONSE SUBMISSION INSTRUCTIONS

Request for Information/Innovation, Page 3 of 6

REQUEST FOR INFORMATION/INNOVATION 26-84388

INTRODUCTION

This is a Request for Information/Innovation (RFI) issued by the Indiana Department of Administration

(IDOA) on behalf of the Indiana State Personnel Department (INSPD) regarding Nonprofit Hospital System

Direct to Employer Health Care Arrangement.

It is the intent of IDOA to solicit responses to this Request for Information/Innovation in accordance with the specifications contained in this document and associated attachments. Neither this RFI nor any response

(proposal) submitted hereto is to be construed as a legal offer.

THE STATE MAY ELECT TO LIMIT PARTICIPATION IN ANY FUTURE COMPETITIVE SOLICITATION TO

VENDORS THAT RESPOND TO THIS RFI.

BACKGROUND AND OBJECTIVE OF THE RFI

In 2024, the State Employee Health Plans covered 26,792 subscribers (total members was 57,343). The total medical spending for 2024 was $417,029,104. The current plan designs can be found on our website at www.in.gov/spd/benefits. In accordance with 5-10-8-7, INSPD does not utilize the services of a broker.

The goal of this RFI is to gather general functionality and general pricing structures from vendors for the development of a potential Request for Proposal (RFP). INSPD is requesting information to formalize the scope of work for a potential RFP by allowing the vendor community to apprise INSPD on information that should be considered as part of the scope of work.

This RFI is being posted in conjunction with RFI 26-85114, Direct to Employer Health Care Arrangements.

Please respond to this RFI only if you are a nonprofit hospital system.

Nonprofit Hospital System Direct to Employer Health Care Arrangement in accordance with IC 27-1-

46.5-9.

IC 27-1-46.5-9(a) states that beginning September 1, 2025, an Indiana nonprofit hospital system shall offer a direct to employer health care arrangement that is at or below a benchmark of two hundred sixty (260%) of full

Medicare. The State is seeking to understand each nonprofit hospital system’s offer.

Please describe your Direct to Employer Health Care Arrangement and include the following information:

1. General Information

a. How long have you been a healthcare provider in the State of Indiana?

b. Provide a list of your facilities by type (e.g. hospital, surgical center, professional office) along with number and type of healthcare providers and available specialties/services for each?

c. Approximately how many patients do you serve annually?

d. Are there any national health plans for which you are not an in-network provider? Please list.

e. Are there any regional health plans for which you are not an in-network provider? Please list.

f. Are you a participant in any tiered networks offered by health plans? If so, please describe the networks you participate in and the network tier in 2025.

g. Do any of your facilities or your provider group service as a “Center of Excellence” in any health plan networks in 2025? If so, please describe.

h. Do you have outpatient pharmacies? If so, do they participate in PBM networks?

i. Does this arrangement allow for savings by leveraging 340(B) pricing?

http://www.in.gov/spd/benefits

Request for Information/Innovation, Page 4 of 6

2. Direct Provider Pricing Arrangements

a. Describe your proposal for processing claims, would you recommend processing through the

State’s third-party administrator or billing the State directly?

b. Describe your recommended practice for bundling and coding? Would you recommend following Medicare bundling and coding rules?

c. Are there any limitations that may restrict a provider’s ability to carry out a custom fee schedule?

d. What do you think the State should know or consider including in any Request for Proposals for Direct Provider Arrangements?

RESPONSE FORMAT AND ATTACHMENTS

Respondents should submit responses to the RFI describing how they will meet the specific requirements of this

RFI and the deliverables included within. All narrative responses must be provided to the State in Microsoft

Word format. Respondents must structure their response according to the sections outlined above to facilitate the State’s review of the responses.

If you would like to provide a response/feedback to this RFI for a potential RFP for INSPD, you must provide your response to State as shown in the RFI Timeline and Response Submission section below.

RFI TIMELINE

The following timeline is only an illustration of this RFI process. The dates associated with each step are not to be considered binding.

Anticipated RFI Dates:

Activity Date

Issuance of RFI September 18, 2025

Deadline to Submit Written Questions (3:00PM Eastern Time) September 25, 2025

Response to Written Questions/RFI Amendments October 9, 2025

Due Date for Submissions October 20, 2025

QUESTION / INQUIRY PROCESS

All questions/inquiries in regards to RFI must be submitted in writing via email using Attachment A, Questions and Answers Template, by the deadline of September 25, 2025 by 3:00PM ET to rfp@idoa.IN.gov.

The email subject line should contain the following phrase:

“REQUEST FOR INFORMATION/INNOVATION 26-84388, QUESTION AND INQUIRIES.”

Following the question/inquiry due date, IDOA will compile a list of the questions/inquiries submitted by all

Respondents. The responses will be posted to the IDOA website as soon as possible. Only answers posted on the IDOA website will be considered official and valid by the State. No Respondent shall rely upon, take any action, or make any decision based upon any verbal communication with any State employee.

Please note that Robert Cohen is the State’s single point of contact for this RFI. Inquiries are not to be directed to any other staff member. Such action may disqualify respondents from further consideration in this RFI and any subsequent RFP process.

mailto:rfp@idoa.IN.gov

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If it becomes necessary to revise any part of this RFI, or if additional information is necessary for a clearer interpretation of provisions of this RFI prior to the due date for submissions, an addendum will be posted on the IDOA website.

CLARIFICATIONS AND DISCUSSIONS

The State reserves the right to request clarifications on information submitted to the State. The State also reserves the right to conduct discussions, either oral or written, with the Respondents. These discussions could include requests for additional information, requests for cost information or technical requirements response attachment revision, etc. Additionally, in conducting discussions, the State may use information derived from the responses submitted by competing Respondents only if the identity of the Respondent providing the information is not disclosed to others. The State will provide equivalent information to all Respondents which have been chosen for discussions.

The Procurement Division will schedule all discussions. Any information gathered through oral discussions must be confirmed in writing.

CONFIDENTIALITY

It is important to note that all information submitted in Respondent’s proposals to this RFI will be kept confidential and will not be made available to the public unless this RFI does not result in the release of a solicitation at a later date. If a solicitation results from this RFI, then the information contained in the proposal submissions for this RFI must be made available to the public once the resulting solicitation has been awarded and the protest period has ended.

Respondents are advised that materials contained in proposals are subject to the Access to Public Records Act (APRA), IC 5-14-3 et seq., and, after award, the entire solicitation file may be viewed and copied by any member of the public, including news agencies and competitors.

Please note citing “Confidential” on an entire section is not sufficient. The Public Access Counselor (PAC) provides guidance on APRA. Respondents are encouraged to read guidance from the PAC on this topic as this is the guidance IDOA follows:

• 18-INF-06; Redaction of Public Procurement Documents Informal Inquiry

Respondents claiming a statutory exception to the APRA must indicate so on a separate attachment labeled “Confidential Documentation Listing”. That document should include the following information:

• List all documents where claiming a statutory exemption to the APRA;

• Specify which statutory exception of APRA that applies for each document;

• Provide a description explaining the manner in which the statutory exception to the APRA applies for each document.

When claiming confidential information, respondents should submit two versions of their response:

1) A confidential version (for the State’s review and evaluation)

a. Confidential Information must be clearly marked in a separate folder.

2) A redacted version (for public records requests)

If the Respondent does not identify the statutory exception, the Procurement Division will not consider the submission confidential. The State also reserves the right to seek the opinion of the PAC for guidance if the State has doubts the cited exception is applicable.

Prices are NOT confidential information.

https://www.in.gov/pac/informal/files/18-INF-06.pdf

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RESPONSE SUBMISSION INSTRUCTIONS

Firms interested in providing information to IDOA should submit responses via email to rfp@idoa.IN.gov. All responses must be received no later than October 20, 2025 by 3:00PM ET. The subject line of the email submission must clearly state the following:

“RESPONSE TO REQUEST FOR INFORMATION/INNOVATION 26-84388”

Any information received after the due date and time may not be considered.

No more than one proposal per Respondent may be submitted.

Tempaltes outlined in this document should be returned in their native file format.

The State accepts no obligations for costs incurred by Respondents in anticipation of being awarded a contract.

mailto:rfp@idoa.IN.gov