Sondhi Solutions dba EXOS.docx

This is a Pre-Proposal Network Opportunities Form submitted by Sondhi Solutions dba EXOS in response to Indiana's Request for Proposal 27-88343 for Medicaid Managed Care Organizations. The Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning is soliciting 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 pre-proposal network opportunities form submission deadline was September 10, 2026 at 1:30 PM Eastern Time, with proposals due November 6, 2026. A pre-proposal conference was scheduled for September 10, 2026. The contract term is four years with two optional one-year renewals available at the state's discretion, potentially extending to six years total.

The contract value encompasses four programs with estimated total base capitation exceeding $4.9 billion for the initial rating period, with individual program rates ranging from $228.72 to $3,468.29 per member per month. Respondents must demonstrate current MCO service in at least one state and at least five years of prior MCO experience. Mandatory requirements include Indiana-licensed health maintenance organization status with 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 evaluation criteria total 90 points, with the Buy Indiana Initiative preference offering 5 points and Indiana Veteran Owned Small Business subcontracting goals offering 5 points plus 1 bonus point. Contractors must maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards and obtain fidelity bond and professional liability insurance.