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

This is a Pre-Proposal Network Opportunities Form submission for RFP 27-88343, 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. 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. The form requires submission of company contact information and was due September 10, 2026 at 1:30 PM Eastern Time via email to rfp@idoa.in.gov, with the subject line clearly identifying the RFP number and company name. The primary 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-year engagement.

Respondents must demonstrate current MCO service in at least one state and at least five years of prior MCO experience, be Indiana-licensed health maintenance organizations, and achieve 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. The evaluation criteria totals 90 points, with a mandatory Buy Indiana Initiative preference offering 5 points and an Indiana Veteran Owned Small Business subcontracting goal of 3 percent worth 5 points plus 1 bonus point. 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. Compliance performance is tied to a pay-for-outcomes program withholding 1.85-2.25 percent of capitation payments annually from 2029-2034.