RFP 26-87847 Att I - Pre-proposal Network Form.docx

This is a Pre-Proposal Network Opportunities Form submitted by Vespa Group LLC in response to RFP 26-87847 for External Quality Reviews for Medicaid Managed Care Organization (MCO) Programs issued by the State of Indiana Department of Administration on behalf of the Family and Social Services Administration (FSSA). The RFP seeks an External Quality Review Organization (EQRO) to evaluate quality, timeliness, and access to healthcare services across Indiana's four Medicaid managed care programs: Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging Program. The contractor must be NCQA-certified for HEDIS and CAHPS activities and employ NCQA-certified HEDIS Compliance Auditors. Mandatory EQR activities include performance measure validation, performance improvement project validation, MCO compliance reviews, and network adequacy validation, with seven additional optional EQR activities available. Deliverables include MCO-specific and summary report cards, findings reports with recommendations, data workbooks, quarterly reports, monthly activity and status reports, and an annual technical report due to FSSA by March 1 and to CMS by April 30. The proposal submission deadline is August 26, 2026 at 3:00 PM ET, with a pre-proposal conference scheduled for July 30, 2026 in Indianapolis (in-person and virtual). The contract term is four years from execution with two optional one-year renewal periods available for a potential six-year total. Award recommendation is targeted for September 22, 2026.

The cost proposal is scored on a 30-point scale using a normalization formula favoring the lowest cost, with all costs captured in a four-year bid amount including position titles and hourly billable rates. An Indiana Veteran Owned Small Business (IVOSB) subcontractor goal of 3% of total bid amount is scored up to 6 points, and an additional 5 points are available for Indiana businesses qualifying under the Buy Indiana Initiative. The evaluation criteria total 90 points maximum (91 with bonus), comprised of 50 points for management assessment and quality and 30 points for cost. The contractor must comply with HIPAA requirements under a Business Associate Agreement, Indiana IT security policies, and data residency requirements in U.S. data centers with encryption, role-based access, SOC 2 audits, and 24/7 support. Liquidated damages are assessed at $1,000 per day for late or incomplete deliverables, with a 10% payment withhold pending quarterly performance verification. All respondents must complete the Indiana Economic Impact Form and must not have had a state contract terminated for failure to perform within the last two calendar years. Vespa Group LLC, identified as an IVOSB, submitted this optional networking form with contact information: Tony Vespa, Founder, located at 201 N. Illinois Street, South Tower, Suite 1600, Indianapolis, Indiana 46204.