ISPHN Centralized Billing OfficeBid Documents

The Indiana Department of Administration (IDOA) is soliciting proposals for RFP 26-86529 to establish a Centralized Billing Office (CBO) for the Indiana State Psychiatric Hospital Network (ISPHN), which encompasses six facilities including Richmond State Hospital, Evansville State Hospital, Madison State Hospital, NeuroDiagnostic Institute, Logansport State Hospital, and Evansville Psychiatric Children's Center. The selected contractor will provide comprehensive revenue cycle management services, including monthly coding and billing for patient claims across Medicare, Medicaid, managed care, and commercial insurers, with projected annual volumes of approximately 879 admissions, 2,648 inpatient claims, and 2,651 Medicare Part B claims. Key deliverables include denial management, provider enrollments, chart reviews, Medicare portal administration, and monthly Revenue Cycle Dashboard reporting. The contractor must also compile cost reports for fiscal years ending June 30, 2027, and June 30, 2028, utilizing the State's electronic health record system and associated software. The RFP was issued on January 14, 2026, with a pre-proposal conference on January 28, 2026, at 9:30 AM Eastern Time, written questions due by February 4, 2026, and proposal submissions required through the Supplier Portal by February 25, 2026, at 3:00 PM Eastern Time. The evaluation criteria total 100 points (103 with bonuses), with 47 points for management assessment and quality, 33 points for cost, and additional points for Buy Indiana preference and diversity commitments.

The solicitation establishes specific diversity goals, including 8% for Minority Business Enterprises (MBE), 11% for Women Business Enterprises (WBE), and 3% for Indiana Veteran Owned Small Businesses (IVOSB). Subcontractors must be certified and listed in appropriate registries, with prime contractors prohibited from counting their own workforce toward these goals. The contract term is four years from execution, with two optional one-year renewals possible for a total potential contract period of six years. Contractors must comply with Indiana's technology security standards established by the Indiana Office of Technology (IOT) and provide documentation of financial responsibility, Secretary of State registration, and compliance certifications. The RFP requires respondents to disclose any artificial intelligence usage in both their proposed solution and development processes, with specific requirements for explaining AI capabilities, control mechanisms, and future implementation plans. While no specific budget range is explicitly stated, respondents must submit detailed cost proposals using the provided Excel template, with pricing to be firm for a minimum of 180 days from award issuance. The State reserves the right to extend contract pricing to other governmental bodies and anticipates announcing an Award Recommendation on April 10, 2026.