Indiana Medicaid Managed Care Organization Services

The State of Indiana is seeking one or more managed care organizations to provide statewide Medicaid managed care services for four programs serving approximately 1.5 million beneficiaries.

Indiana > Department of Administration > Procurement Division > Family and Social Services Administration > Office of Medicaid Policy and Planning


General
Open
Nov 06, 2026 12:00 PM
Aug 28, 2026 10:54 AM
4 years base + 2 × 1 year options
Veteran-Owned Business
Request for Proposal (RFP)
State
Ask AI about this solicitation
Original Solicitation Links
Contact
rcohen@idoa.in.gov
402 West Washington Street, Indianapolis, IN, USA
Description

The State of Indiana, through the Indiana Department of Administration on behalf of the Family and Social Services Administration's Office of Medicaid Policy and Planning, is seeking one or more managed care organizations to provide statewide managed care services for Indiana PathWays for Aging, Hoosier Care Connect, Hoosier Healthwise, and the Healthy Indiana Plan. The programs collectively serve approximately 1.5 million beneficiaries and cover populations including children, low-income adults, pregnant women, foster children and high-risk youth, aged, blind, and disabled individuals, dual-eligible individuals, and people receiving managed long-term services and supports. Eligible respondents must currently provide managed care organization services for at least one state government and have at least five years of such experience. Before the contract effective date, each respondent must be an Indiana-licensed health maintenance organization and must demonstrate financial stability, including the ability to maintain a risk-based capital ratio of at least 300%. For the PathWays program, awarded respondents must obtain annual CMS approval and execute a State Medicaid Agency Contract to operate a dual-eligible special needs plan. The solicitation requires an executive summary, business proposal, technical proposal, attestation form, infrastructure overview, artificial-intelligence technical proposal responses, and specified attachments and templates. The contract term is four years from execution, with two optional one-year renewals.

Classification Codes
NAICS923120Administration of Public Health Programs
PSCG007Government Health Insurance Programs
Smart Codes
medicaid managed care serviceshealth plan administrationlong-term services support
Specifications
Service Only
Timeline
Sep 10, 2026-Pre-Proposal Conference (optional)
Conference Room C; virtual attendance will also be available, but the joining link was not provided.
Sep 11, 2026-Deadline to Submit Written Questions (Round 1)
Oct 2, 2026-Response to Written Questions/Amendments (Round 1)
Oct 9, 2026-Deadline to Submit Written Questions (Round 2)
Oct 23, 2026-Response to Written Questions/Amendments (Round 2)
Nov 6, 2026-Submission Due Date
Jul 1, 2027-Award Recommendation
Requirements
Required
Location
Local Preference:Local Preference
Documents
TitleDate Posted
rfp082826rAug 28, 2026 10:54 AM
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