1. INDIANA DEPARTMENT OF ADMINISTRATION
RISK-BASED MANAGED CARE SERVICES FOR AGED, BLIND AND DISABLED MEDICAID BENEFICIARIES
(HOOSIER CARE CONNECT) REQUEST FOR PROPOSAL on behalf of the Family and Social Services Administration
INDIANA DEPARTMENT OF ADMINISTRATION

2. GENERAL INFORMATION Attendee Sign-In Sheet
Sign-In Sheet and PowerPoint will be posted on State’s Solicitation Website
INDIANA DEPARTMENT OF ADMINISTRATION

3. RFP QUESTIONS AND ANSWERS
Questions answered verbally today are not official nor binding and should be submitted in writing if it will affect your proposal response (Q/A Template).
General RFP questions must be submitted using the Question and Answer Template provided by 3:00 PM Eastern Time on August 6, 2014
Capitation Rate questions must be submitted using the Question and Answer Template provided by 3:00 PM Eastern Time on August 8, 2014
Fax:
INDIANA DEPARTMENT OF ADMINISTRATION

4. ACCESSING RFP DOCUMENTS
INDIANA DEPARTMENT OF ADMINISTRATION

5. ACCESSING RFP DOCUMENTS
INDIANA DEPARTMENT OF ADMINISTRATION

6. INDIANA DEPARTMENT OF ADMINISTRATION

7. KEY RFP DATES
INDIANA DEPARTMENT OF ADMINISTRATION

8. PURPOSE AND SCOPE OF RFP 15-001
The purpose of this RFP is to select managed care entities (MCEs) to deliver risk-based managed care services to Medicaid beneficiaries enrolled in the State of Indiana’s Hoosier Care Connect program. The State intends to contract on a statewide basis with MCEs with a demonstrated capacity to actively manage and coordinate care for low income disabled populations. This includes specific experience and demonstrated success in operating care coordination programs for low income individuals with significant health needs.
Scope of Work Table of Contents
The following elements are included in the Scope of Work:
Background
Administrative Requirements
Covered Benefits
Member Services
Care Coordination
Provider Network Requirements
Quality Management and Utilization Management
Information Systems
Performance Reporting and Incentives
Failure to Perform/Non-compliance Remedies
Termination Provisions
INDIANA DEPARTMENT OF ADMINISTRATION

9. RFP OUTLINE
INDIANA DEPARTMENT OF ADMINISTRATION

10. RFP OUTLINE (Cont.)
INDIANA DEPARTMENT OF ADMINISTRATION

11. BUSINESS PROPOSAL Company Financial Information (Section 2.3.3)
Confidential information must be kept separate from the proposal in both hard and soft copy.
INDIANA DEPARTMENT OF ADMINISTRATION

12. TECHNICAL PROPOSAL
INDIANA DEPARTMENT OF ADMINISTRATION

13. MINORITY AND WOMEN’S BUSINESS ENTERPRISE
Complete Attachment A, MWBE Form
- Include sub-contractor letters of commitment
Goals for this RFP:
- 8% Minority Business Enterprise
- 8% Women’s Business Enterprise
INDIANA DEPARTMENT OF ADMINISTRATION

14. MINORITY AND WOMEN’S BUSINESS ENTERPRISE
The 4-year administrative bid amount of $150,835,903 is calculated by the State and assumes the CY 2015 capitation rates, 1/3 of total enrollment per MCE, and an administrative expense and profit of 11.25%. These assumptions are strictly for the purposes of establishing a standard response basis.
INDIANA DEPARTMENT OF ADMINISTRATION

15. INDIANA VETERANS’ BUSINESS ENTERPRISES SUBCONTRACTOR COMMITMENT (ATTACHMENT A1)
Complete Attachment A1, IVBE Form
- Include sub-contractor letters of commitment
Goal for this RFP: 3%
INDIANA DEPARTMENT OF ADMINISTRATION

16. INDIANA ECONOMIC IMPACT
The State defines FTE as a measurement of an employee's productivity on a specific project or contract.
A FTE of 1 would mean that there is one (1) worker fully engaged on a project; forty (40) hours a week, fifty-two (52) weeks a year. If there are two (2) employees each spending 1/2 of their working time, 20 hours per week, on a project that would also equal 1. NOTE, THESE COUNTS MUST NOT INCLUDE EMPLOYEES THAT PROVIDE HEALTH CARE SERVICES AS DEFINED IN IC (c).
INDIANA DEPARTMENT OF ADMINISTRATION

17. RFP SCORING AND EVALUATION
Notes:
The State reserves the right to exclude proposals from the “short list” on the basis of financial stability. The financial stability of Respondents to this RFP will be evaluated based on Risk Based Capital Ratio (“RBC Ratio”).
There is no Cost Proposal for this RFP. Actuarially sound capitation rates have been set by the State.
INDIANA DEPARTMENT OF ADMINISTRATION

18. QUESTIONS AND ANSWERS
INDIANA DEPARTMENT OF ADMINISTRATION

19. ADDITIONAL INFORMATION IDOA PROCUREMENT LINKS AND NUMBERS
BUYIN (8946) For Vendor Registration Questions
For Inquiries Regarding Substantial Indiana Economic Impact
Link to the developing “one stop shop” for vendor registry with IDOA and Secretary of State.
Secretary of State of Indiana: Can be reached at (317) for registration assistance.
Vendor Handbook: Online version available at
Minority and Women Owned Business Enterprises: for table of IDOA certified MBEs and WBEs. For more WBE’s information
RFP posting and updates: Go to (select “State of Indiana Opportunities” link) Drag through table until you find desired RFP/RFI number on left-hand side
and click the link.
INDIANA DEPARTMENT OF ADMINISTRATION