Heatlh Choice Illinois (HCI)

The Illinois Department of Healthcare and Family Services (HFS) is seeking contractors to provide HealthChoice Illinois (HCI) Medicaid Managed Care program services, with a solicitation released on September 15, 2025, and proposals due by November 13, 2025. The procurement aims to obtain comprehensive Medicaid benefits and care coordination contracts for program enrollees across the state. Potential vendors must demonstrate capabilities in delivering integrated healthcare services, including medical management, care coordination, and comprehensive benefits administration for Medicaid populations. Vendors will be required to complete extensive vendor disclosure documentation, including the State of Illinois Vendor Disclosure form and Illinois Procurement Gateway (IPG) Active Registered Vendor Disclosure form. Key qualifications will likely include proven experience in Medicaid managed care, robust care coordination infrastructure, and demonstrated ability to manage complex healthcare delivery systems for diverse populations. Evaluation criteria are expected to encompass vendor capability, financial stability, healthcare management expertise, and compliance with state procurement regulations.

The state has established a robust Business Enterprise Program (BEP) with specific diversity goals, mandating that at least 30% of total contract dollars be awarded to businesses certified as minority, women, or disability-owned, with an additional 3% target for service-disabled and veteran-owned small businesses. Vendors must submit a comprehensive Utilization Plan demonstrating commitment to these diversity objectives, with potential contract penalties for non-compliance. While specific award values are not explicitly detailed in the available documents, Medicaid managed care contracts typically represent significant multi-year investments ranging from tens to hundreds of millions of dollars. Certified businesses must be registered in appropriate National Institute of Governmental Purchasing (NIGP) codes and perform commercially useful functions. Vendors will be required to maintain detailed records of diverse business utilization and submit monthly reports to ensure transparency and accountability in the procurement process. The state emphasizes ethical business practices, with potential consequences including contract voiding or disqualification for incomplete or false disclosures.