Carelon Behavioral Health, Inc. v. State

CourtIdaho Supreme Court
DecidedDecember 18, 2025
Docket51462
StatusPublished

This text of Carelon Behavioral Health, Inc. v. State (Carelon Behavioral Health, Inc. v. State) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carelon Behavioral Health, Inc. v. State, (Idaho 2025).

Opinion

IN THE SUPREME COURT OF THE STATE OF IDAHO

Docket No. 51462

CARELON BEHAVIORAL HEALTH, INC., ) fka BEACON HEALTH OPTIONS, INC., ) ) Plaintiff-Appellant, ) ) v. ) ) STATE OF IDAHO, through the IDAHO ) DEPARTMENT OF ADMINISTRATION ) and the IDAHO DEPARTMENT OF ) HEALTH AND WELFARE; STEVEN ) BAILEY, solely in his official capacity; ) Boise, August 2025 Term CHELSEA ROBILLARD, solely in her official ) capacity; and MAGELLAN OF IDAHO, ) Opinion Filed: December 18, 2025 LLC; MAGELLAN HEALTH, INC., and ) MAGELLAN HEALTHCARE, INC., ) Melanie Gagnepain, Clerk ) Defendants-Respondents, ) ) and ) ) UNITED BEHAVIORAL HEALTH, INC., ) dba OPTUM IDAHO, ) ) Intervenor-Defendant- ) Respondent. ) _______________________________________ )

Appeal from the District Court of the Fourth Judicial District of the State of Idaho, Ada County. Nancy A. Baskin, District Judge.

The decision of the district court is affirmed.

Givens Pursley, LLP, Boise; Troutman Pepper Hamilton Sanders, LLP, New York, NY, for Appellant. Preston N. Carter argued.

Raúl R. Labrador, Idaho Attorney General, Boise, for Respondents State of Idaho, Idaho Department of Administration, Idaho Department of Health & Welfare, Steven Bailey and Valerie Bollinger. Alan M. Hurst argued.

Trout Law, PLLC, Boise; Bryan Cave Leighton Paisner, LLP, Denver, Colorado; Bryan Cave Leighton Paisner, LLP, San Francisco, California; Williams & 1 Connolly, LLP, Washington, D.C. 20024 for Respondents Magellan of Idaho, LLC, Magellan Health, Inc. & Magellan Healthcare, Inc. Steven M. Cady argued.

Tolman Brizee & Cannon, P.C., Twin Falls; Dorsey & Whitney, LLP, Minneapolis, Minnesota; Gibson Dunn & Crutcher, LLP, Washington, D.C., for Intervenor United Behavioral Health, Inc. d/b/a Optum Idaho. _____________________

BRODY, Justice This case concerns the availability of an original civil action against the State under the State Procurement Act, Idaho Code section 67-9201, et seq. In 2021, the Idaho Department of Administration’s (the “Administration”) Division of Purchasing (“Purchasing”) issued an invitation for vendors to bid on a contract to provide behavioral health and substance abuse services on behalf of the Idaho Department of Health and Welfare (“IDHW”), as part of Idaho’s Behavioral Health Plan (“IBHP”). Carelon Behavioral Health, Inc., formerly known as Beacon Health Options, Inc. (“Carelon”), was one of three bidders and was initially selected as the winner of the contract. However, the other two bidders, Magellan Healthcare (“Magellan”) and United Behavioral Health (“Optum”), both challenged the Administration’s notice of intent to award the contract to Carelon, contending that Carelon was ineligible to bid under Idaho Code section 67- 9230(8) because the State had previously paid Carelon for services they argued were used in creating the specifications of the contract. The Director of Administration (“Director”) appointed a determinations officer to consider the matter and, following receipt of the determinations officer’s recommendations, ultimately agreed that Carelon was ineligible to bid. The contract was subsequently awarded to Magellan. Carelon subsequently filed a complaint for declaratory relief and petition for extraordinary writ against the State and Magellan, seeking to overturn the Director’s decision that it was barred from bidding on the contract. It also sought a writ of mandate to compel the termination of the contract with Magellan and reinstate the notice of intent to award the contract to Carelon. The district court dismissed the complaint for lack of subject matter jurisdiction, concluding that Carelon’s claims were effectively a request for judicial review, which were prohibited by the State Procurement Act as it existed at the time, Idaho Code sections 67-9232(a)(ii) and 67-9229 (2023), and constituted an impermissible collateral attack on the Director’s decision. Carelon now appeals to this Court. For the reasons explained below, we affirm.

2 I. FACTUAL AND PROCEDURAL BACKGROUND A. Background on the State Procurement Act The State Procurement Act mandates that state agencies seeking to acquire property and services must do so by engaging in an open and competitive process in order to “maximize the value received by the state with attendant benefits to the citizens.” I.C. § 67-9202(1)-(2). The Act creates the Division of Purchasing within the Department of Administration. I.C. § 67-9204(1). The Purchasing Administrator, who is appointed by the Director, oversees the procurement process. Id. To secure a contract for services (also called a procurement), the State issues a solicitation, such as a request for a proposal, an invitation to bid, or an invitation to negotiate. I.C. §§ 67- 9208(2), 67-9209. After the State receives bids from interested vendors, Purchasing coordinates an objective scoring and evaluation process to identify the chosen contractor. I.C. § 67-9210(1); IDAPA 38.05.01.081. The State may also engage in additional rounds of negotiations with the bidders when the evaluation process reveals that further negotiation could result in a more advantageous contract or reduced costs to the State. IDAPA 38.05.01.084.01.d. The chosen contractor must be the “lowest responsible bidder,” which means the vendor whose bid—after comparative performance evaluations have been conducted and “the relative score of valued specifications” have been weighed in accordance with the specifications—“reflects the lowest acquisition price to be paid by the state.” I.C. §§ 67-9203(10), 67-9210(1). Once the Purchasing Administrator has selected “the lowest responsible bidder,” the bidders who were not selected have five working days to challenge the determination. I.C. § 67- 9232(3)(a). A challenge is made to the Director by application and must explain the reasons why the challenger believes the Purchasing Administrator’s determination is erroneous. Id. The Director then has five days to take one of three prescribed courses of action with respect to the challenge: (1) deny the application; (2) appoint a determinations officer, who is an independent agency adjudicator to provide a recommendation to the Director as to whether the selection of the “lowest responsible bidder” was correct; or (3) appoint a determinations officer with the authority to conduct a contested case hearing pursuant to the Idaho Administrative Procedure Act (“APA”). I.C. § 67-9232((3)(a)(i)-(iii). “Only appeals conducted as contested cases [the third prescribed course of action] pursuant to section 67-9232(3)(a)(iii), Idaho Code, shall be subject to the judicial review provisions of [the APA].” I.C. § 67-9229(1). 3 B. Factual Background 1. The State begins the procurement process for the administration of the Idaho Behavioral Health Plan. In December 2021, Purchasing, acting on behalf of IDHW, issued an invitation to negotiate (the “ITN”) to “secure a Contractor to serve as a Managed Care Organization (MCO) to provide IDHW with administrative support services to operate the [IBHP].” The ITN detailed the negotiation process, the requirements for a responsive bid submission, and the scope of services to be provided by the MCO in administering the IBHP. Three vendors submitted timely bids or proposals in response to the ITN: Carelon, Magellan, and Optum. A nine-member committee, whose members were not employees of Purchasing, evaluated the three proposals based on technical merit and cost. After reviewing the evaluations, the Purchasing Administrator informed the bidders that Carelon and Magellan were selected as the two finalists to proceed to the next stage of negotiations; as the lowest-ranking bidder, Optum was not invited to continue negotiating. Purchasing then continued negotiations with Carelon and Magellan, and at the conclusion of those negotiations each finalist submitted its best and final offers.

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Carelon Behavioral Health, Inc. v. State, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carelon-behavioral-health-inc-v-state-idaho-2025.