INDIANA DEPARTMENT OF ADMINISTRATION

RISK-BASED MANAGED CARE SERVICES FOR AGED, BLIND AND

DISABLED MEDICAID BENEFICIARIES

(HOOSIER CARE CONNECT)REQUEST FOR PROPOSAL 15-001

on behalf of theFamily and Social Services Administration

INDIANA DEPARTMENT OF ADMINISTRATION

GENERAL INFORMATION

• Attendee Sign-In Sheet

• Sign-In Sheet and PowerPoint will be posted on State’s Solicitation Website

INDIANA DEPARTMENT OF ADMINISTRATION

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

Email: MAROBINSON@idoa.in.gov

Fax: 317.232.7312

INDIANA DEPARTMENT OF ADMINISTRATION

ACCESSING RFP DOCUMENTS

www.in.gov/idoa/proc

INDIANA DEPARTMENT OF ADMINISTRATION

ACCESSING RFP DOCUMENTS

INDIANA DEPARTMENT OF ADMINISTRATION

INDIANA DEPARTMENT OF ADMINISTRATION

KEY RFP DATES

INDIANA DEPARTMENT OF ADMINISTRATION

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:

1. Background2. Administrative Requirements3. Covered Benefits4. Member Services5. Care Coordination6. Provider Network Requirements7. Quality Management and Utilization Management8. Information Systems9. Performance Reporting and Incentives10. Failure to Perform/Non-compliance Remedies11. Termination Provisions

INDIANA DEPARTMENT OF ADMINISTRATION

RFP OUTLINE

INDIANA DEPARTMENT OF ADMINISTRATION

RFP OUTLINE (Cont.)

INDIANA DEPARTMENT OF ADMINISTRATION

BUSINESS PROPOSALCompany 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

TECHNICAL PROPOSAL

INDIANA DEPARTMENT OF ADMINISTRATION

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

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

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

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 27-8-11-1(c).

1 Legal Name of firm:2 Address/City/State/Zip Code:3 Telephone #/Fax #/Website:4 Federal Tax Identification

Number:5 State/Country of

domicile/incorporation:6 Location of firm's

headquarters or principal place of business:

7 Name of parent company or holding company (if applicable):

8 State/Country of domicile/incorporation of company listed in #7:

9 Address of company listed in #7:

10 IN Department of Workforce Development (DWD) account number:

11 IN Department of Revenue (DOR) account number:

12 Number of Indiana resident employees per most recently completed IRS Form W-2 distribution:

13 Total number of employees per most recently completed IRS Form W-2 distribution:

14 Total amount of payroll paid to Indiana resident employees per most recently completed IRS Form W-2 distribution:

15 Total amount of payroll paid to all employees per the most recently completed IRS Form W-2 distribution:

16 Administrative amount of this proposal, bid, or current contract.

150,835,903.00$

This information is required by the Indiana Department of Administration for all contractors, vendors/suppliers to the State of Indiana (complete all 22 items).

INDIANA ECONOMIC IMPACT - PROPOSALS AND CONTRACTSState Form 51778 (R4 / 1-06)DEPARTMENT OF ADMINISTRATIONApproved by State Board of Accounts, 2006

INDIANA DEPARTMENT OF ADMINISTRATION

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

QUESTIONS AND ANSWERS

INDIANA DEPARTMENT OF ADMINISTRATION

ADDITIONAL INFORMATIONIDOA PROCUREMENT LINKS AND NUMBERS

http://www.in.gov/idoa/2354.htm1-877-77BUYIN (8946) For Vendor Registration Questions

http://www.in.gov/idoa/2464.htmFor Inquiries Regarding Substantial Indiana Economic Impact

A. Link to the developing “one stop shop” for vendor registry with IDOA and Secretary of State. http://www.in.gov/idoa/2467.htm

B. Secretary of State of Indiana: Can be reached at (317) 232-6576 for registration assistance. www.in.gov/sos

C. Vendor Handbook: Online version available at http://www.in.gov/idoa/files/vendor_handbook.doc

D. Minority and Women Owned Business Enterprises: http://www.in.gov/idoa/files/Certification_List(48).xls for table of IDOA certified MBEs and WBEs. For more WBE’s information http://www.in.gov/idoa/2352.htm

E. RFP posting and updates: Go to http://www.in.gov/idoa/2354.htm (select “State of Indiana Opportunities” link) Drag through table until you find desired RFP/RFI number on left-hand side and click the link.