RFP 27-88343 - Att I - Pre-Proposal Network Form_BL Anthem.docx

This is a Pre-Proposal Network Opportunities Form submission for Indiana's Request for Proposal 27-88343, managed by the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning. The form captures contact and company information from prospective managed care organizations seeking to provide statewide risk-based Medicaid 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 submission deadline for this optional form was September 10, 2026, at 1:30 PM Eastern Time via email to rfp@idoa.in.gov, with a pre-proposal conference held on the same date. The primary proposal submission deadline is November 6, 2026, with the contract term extending four years plus two optional one-year renewals for a potential six-year engagement. Evaluation will be conducted across multiple stages including proposal review, oral presentations anticipated in May 2027, Best and Final Offers, and award recommendations in July 2027.

This submission is from Anthem Insurance Companies, Inc., dba Anthem Blue Cross and Blue Shield, with contact provided by Bethany Logwood, Actuarial Strategic Planning Leader, headquartered in Indianapolis, Indiana. The total estimated base capitation across all four Medicaid programs exceeds $4.9 billion for the initial rating period, with specific composite PMPM rates established for each program ranging from $228.72 to $3,468.29 depending on the population served. Respondents must demonstrate current MCO service in at least one state with minimum five years of prior MCO experience and must be Indiana-licensed health maintenance organizations achieving NCQA accreditation by contract start or no later than the end of the second full calendar year. Contractors must maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards and purchase commercial reinsurance with attachment points not exceeding $2 million. The evaluation criteria total 90 points with additional scoring opportunities including a mandatory Buy Indiana Initiative preference worth 5 points and an Indiana Veteran Owned Small Businesses subcontracting goal worth 5 points plus 1 bonus point. Compliance performance is subject to a pay-for-outcomes withholding program retaining 1.85-2.25 percent of capitation payments annually from 2029-2034.