120174 O3 COST PROPOSAL.pdf
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- Solicitation number
- 120174 O3
- Issued by
- Douglas County, Nebraska
About this file
This is a Cost Proposal document for Request for Proposal (RFP) 120174 O3 issued by the Nebraska Department of Correctional Services (NDCS) seeking a third-party administrator to process medical and dental claims for incarcerated individuals. The solicitation requires a vendor to provide comprehensive claims processing services for an estimated average daily population of 5,872 inmates, with the contractor responsible for electronic claims management, provider network administration, monthly reporting, and maintaining an electronic analytics dashboard. The contract will have an initial four-year term with two optional two-year renewal periods, and bidders must submit electronic bid submissions by January 22, 2025, at 2:00 PM Central Time, with an evaluation period scheduled from January 24 to February 19, 2025.
The cost proposal mandates two pricing options: a monthly flat rate and a rate per incarcerated individual, with the state reserving the right to select the most advantageous option. Pricing must remain fixed for the first four years, with subsequent increases limited to 5% per period. The annual claims processing volume is approximately $15.6 million for medical services and $51,454 for dental services. Bidders must provide network coverage in specific Nebraska cities, including Omaha, Lincoln, York, Tecumseh, and McCook, and process claims according to Nebraska Medicaid/Medicare rates or negotiated PPO rates. Five companies submitted responses, and the incumbent's administrative fee term has been extended through September 30, 2025. The contractor will be required to maintain various insurance coverages and potentially post a $500,000 performance bond.
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Text version
Cost Proposal
RFP 120174 O3
Third-party administrator to process payments for claims/ invoices for an incarcerated individual(s) healthcare services.
Bidder Name: _________________________________________
All expenses associated with these services must be bid as all-inclusive. No other costs shall be billed. This is an estimated usage contract based on historical data and will fluctuate based on the average daily population (ADP). The bidder may use the ADP of 5872 and may refer to the historical information provided in the RFP to help aid in developing cost. This contract shall have no minimum/maximum ADP requirements.
The bidder shall provide two (2) cost solutions for the Medical and Dental payment processing fees. One (1) cost solution will be for a flat monthly rate and one (1) cost solution at a rate per incarcerated individual. The State will determine if the award will be based on the monthly flat rate or award at the rate per incarcerated individual, whichever is deemed in the best interest of the State.
1. Bidder shall:
a. Provide a monthly flat rate for both the Medical Payment Processing Fee and the Dental Payment Processing Fee.
2. Bidder shall:
a. Provide a rate per incarcerated individual for the Medical Payment Processing Fee and the Dental Payment Processing Fee.
i. For billing purposes, the formula used to calculate the processing fee shall be “fee per incarcerated individual multiplied by the average daily population”, the formula used shall be on every monthly invoice.
1. Example: “$19.50 (fee) x 5872 (ADP) = $114,504”.
Monthly flat rate Unit of Measure ADP Initial contract term cost per month Renewal 1 (Optional)
Renewal 2 (Optional)
Medical payment processing fee Per month 5872
Dental payment processing fee Per month 5872
Rate per incarcerated individual Unit of Measure ADP Initial contract term cost per individual Renewal 1 (Optional)
Renewal 2 (Optional)
Medical payment processing fee Per person 5872
Dental payment processing fee Per person 5872
Cost Proposal
RFP 120174 O3
Third-party administrator to process payments for claims/ invoices for an incarcerated individual(s) healthcare services.
Bidder Name: _________________________________________
3. OPTIONAL SERVICES, NOT REQUIRED.
a. NDCS may consider awarding optional services as outlined in section V.K. at the time of award or after contract award, if deemed in the best interest of the State.
b. If optional services are provided with the RFP response, the bidder must provide cost for optional services with the response.
c. Bidder may add additional rows if needed.
Description of Optional Service Unit of Measure
Initial contract term cost
Renewal 1 (Optional)
Renewal 2 (Optional)
File details come from the government source that posted it. Updated .