Wisewoman & INBCCP Data Mgmt & Claims AdjudicationBid Documents

The Indiana Department of Health, Chronic Disease, Primary Care and Rural Health Division, seeks a qualified contractor to provide comprehensive data management and claims adjudication services for the Indiana Breast and Cervical Cancer Program (IN-BCCP) and the Indiana WISEWOMAN program under RFP 26-85965. The procurement requires development and implementation of a single integrated, web-based system capable of managing minimum data element submissions to the CDC, maintaining searchable databases, facilitating coordination between regional coordinators and providers, supporting nurse case management, recording clinical linkages, processing provider reimbursement claims, and supporting program organization and policies. The system must serve approximately 4,000 women annually through IN-BCCP and 500 women annually through WISEWOMAN, with capacity to scale for additional early cancer detection programs, and must be 508-compliant, integrate with Access Indiana for single sign-on authentication, and comply with Indiana's Information Security Framework and HIPAA requirements. Key deliverables include system architecture documentation, user experience descriptions, security and access controls, customization features, comprehensive reporting capabilities, project management documentation, testing and training plans, data migration strategies, and detailed implementation timelines with Microsoft Project schedules. The contractor must submit claims within 14 days of receipt, issue payments to providers within seven business days of receiving funds, achieve 98 percent claim payment accuracy, provide a minimum of ten hours of monthly support for data and claims correction, and maintain disaster recovery and business continuity plans with annual updates. The contract term is five years from execution with one optional one-year renewal available for a potential total of six years. Proposals are due May 28, 2026, at 3:00 PM Eastern Time via the Supplier Portal, with a pre-proposal conference scheduled for April 29, 2026, at 9:30 AM Eastern Time, a deadline for written questions of May 6, 2026, at 3:00 PM Eastern Time, and reference check forms due by May 28, 2026, at 3:00 PM Eastern Time. Evaluation criteria allocate 55 points for management assessment and quality, 25 points for cost, and 5 points each for Buy Indiana Initiative compliance, minority business commitment, women business commitment, and veteran-owned business commitment, with bonus points available for exceeding diversity goals.

The RFP establishes subcontracting goals requiring respondents to commit 8 percent of contract value to Minority Business Enterprises (MBEs), 11 percent to Women Business Enterprises (WBEs), and 3 percent to Indiana Veteran Owned Small Businesses (IVOSBs), with evaluation points available for exceeding these benchmarks. All proposed subcontractors must be certified through the State of Indiana Certified M/W/IVOSB list or the Federal Center for Veterans Business Enterprise VETBIZ prior to the proposal due date and must submit signed commitment letters on company letterhead with the proposal. Respondents must demonstrate compliance with the Indiana Office of Technology's Risk and Assurance Management Program (RAMP) policy based on NIST 800-53 Revision 5 standards, with the State strongly preferring cloud-based solutions deployed within a state-owned cloud tenant on Microsoft Azure or Amazon Web Services under the State's enterprise agreements; vendors proposing alternative hosting arrangements must provide detailed justification. The system must integrate with the Indiana Cancer Registry and Access Indiana for authentication, and proposals must address whether AI is incorporated into the solution and whether development teams use AI tools during implementation and support phases. Respondents must submit comprehensive documentation including cost proposals for a five-year period with optional renewal years, business proposals demonstrating company qualifications and financial stability, technical proposals detailing functional requirements and implementation approach, Indiana Economic Impact statements, reference check forms from three previous clients, MWBE and IVOSB subcontractor commitments, and attestation forms confirming completion of all required sections. The RFP document does not specify a disclosed contract value or budget range.