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

This is a Pre-Proposal Network Opportunities Form submitted by Anthem Insurance Companies, Inc. dba Anthem Blue Cross and Blue Shield to the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning in response to RFP 27-88343 for Indiana Medicaid Managed Care Organizations. The RFP seeks proposals from managed care organizations 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. Anthem submitted this optional pre-proposal form by the September 10, 2026 deadline to indicate its interest and provide contact information. The formal proposal submission deadline is November 6, 2026, with a pre-proposal conference scheduled for September 10, 2026. The contract term is four years with two optional one-year renewals available at the state's discretion, for a potential total of six years.

Anthem's submission identifies Katie Zito, Regional VP State Affairs, as the primary contact, with an office location at 220 Virginia Ave, Indianapolis, IN 46204. The total estimated base capitation across all four programs exceeds $4.9 billion for the initial rating period. Evaluation criteria total 90 points, with additional consideration for the Buy Indiana Initiative (5 points) and Indiana Veteran Owned Small Businesses subcontracting goals (5 points plus 1 bonus point). Respondents must demonstrate current MCO service in at least one state and at least five years of prior MCO experience, maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards, obtain NCQA accreditation by contract start or no later than the end of the second full calendar year of operation, and maintain administrative offices within five miles of the Indiana Government Center in Indianapolis.