Summit Managed Solutions.docx

This is a Pre-Proposal Network Opportunities Form submission for RFP 27-88343, issued by the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning, seeking managed care organization partnerships to serve approximately 1.5 million Hoosiers across four Medicaid programs: Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging. The form, submitted by Summit Managed Solutions on behalf of contact Matthew Piety (CEO), documents the company's intent to respond to the solicitation. The pre-proposal conference is scheduled for September 10, 2026, with proposals due 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.

Respondents must demonstrate current managed care organization service in at least one state and at least five years of prior MCO experience, and must be Indiana-licensed health maintenance organizations 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 per-member-per-month rates ranging from $305.42 to $3,468.29 depending on the program and beneficiary population served. Evaluation criteria total 90 points (91 with bonus), including mandatory requirements compliance, management assessment and quality (75 points), oral presentations (5 points), Buy Indiana Initiative preference (5 points), and Indiana Veteran Owned Small Business subcontracting goals (5 points with 1 bonus point). Contractors must maintain minimum Risk Based Capital ratios of 300 percent per NAIC standards and comply with a pay-for-outcomes program withholding 1.85-2.25 percent of capitation payments annually from 2029-2034.