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

This is a Pre-Proposal Network Opportunities Form submission for Request for Proposal 27-88343 issued by the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning, seeking managed care organizations to provide statewide risk-based Medicaid services. The RFP solicits proposals from MCOs to serve approximately 1.5 million Hoosiers across four programs: Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging. The form submission deadline is September 10, 2026, at 1:30 PM Eastern Time, with a pre-proposal conference scheduled for the same date. The main proposal deadline is November 6, 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. Evaluation will be conducted on 90 points (91 with bonus) across mandatory requirements, management assessment and quality, oral presentations, Buy Indiana Initiative preference, and Indiana Veteran Owned Small Business subcontracting goals.

Anthem Insurance Companies, Inc., dba Anthem Blue Cross and Blue Shield, submitted this Pre-Proposal Network Form with contact information for Leona Foo, Actuarial Director. The state imposes mandatory requirements including current MCO service in at least one state and at least five years of prior MCO experience. Contractors must be Indiana-licensed HMOs achieving NCQA accreditation by contract start or no later than the end of the second full calendar year of operation. Administrative offices must be located within five miles of the Indiana Government Center in Indianapolis. The total estimated base capitation across all four programs exceeds $4.9 billion for the initial rating period, with composite PMPM rates ranging from $228.72 to $3,468.29 depending on the program. Contractors must maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards and obtain fidelity bond and professional liability insurance, with commercial reinsurance requirements including attachment points not exceeding $2 million.