RFP 27-88343 - Att I - Pre-Proposal Network Form_NS 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 for RFP 27-88343 regarding Indiana Medicaid Managed Care Organizations. The form captures contact and company information for Anthem's response to the statewide solicitation to provide risk-based Medicaid managed care 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 pre-proposal form submission deadline was September 10, 2026, at 1:30 PM Eastern Time, with the main proposal due date of November 6, 2026. A pre-proposal conference was scheduled for September 10, 2026. The contact for Anthem's submission is Neil Steffens, Vice President and Medicaid Plan President, with offices located at 220 Virginia Avenue, Indianapolis, Indiana 46204.

The contract represents a significant managed care opportunity with total estimated base capitation across all four programs exceeding $4.9 billion for the initial rating period, with individual program capitation rates ranging from $228.72 to $3,468.29 PMPM depending on the program and population served. The contract term is four years with two optional one-year renewals available at the state's discretion. Evaluation criteria total 90 points (91 with bonus) and include mandatory requirements (pass/fail), management assessment and quality (75 points), oral presentations (5 points), Buy Indiana Initiative preference (5 points), and Indiana Veteran Owned Small Businesses subcontracting goal (5 points with 1 bonus point). Contractors are subject to a readiness review prior to implementation and a pay-for-outcomes program that withholds 1.85-2.25 percent of capitation payments annually from 2029-2034, with estimated recovery of 60-70 percent based on performance against HEDIS and outcome measures.