122125 O3 Deloitte File 5 of 9 Cost Sheet.pdf

Cost Sheet

RFP#: 122125 O3

Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics solution

State of Nebraska, Department of Health and Human Services

Bidder Name: Deloitte Financial Advisory Services LLP (“Deloitte”)

Important Instructions: Bidders are to complete all fields highlighted in yellow.

Do not alter existing format or content within the Cost Sheet. However, if Bidder identifies that other items are essential in Part I and/or Part II to create full functionality, and meet the requirements as outlined in the RFP document and any related attachments, then additional lines may be inserted as needed. Such additional lines must be included in Part I and Part II pricing and be reflected in the Total Overall Cost. Any inclusion of additional lines must still conform within the stated percentages as outlined in Part I and follow the prescribed format as provided. Important: In case of a mathematical error in extension of price, unit price shall govern.

Please indicate the “Total Overall Cost” for the PICM / FADS Analytics solution $ 12,083,027 This amount shall equal the sum of the Total for both Part I and Part II. Do not include any costs for Part III and Part IV in the “Total Overall Cost”, as these sections are not included in the cost evaluation.

Part I: Project section requirements as outlined in Section (VI)(A) of the Request for Proposal (RFP) document and any related attachments. Bidder to provide pricing for each of the project deliverable categories listed. The sum of all project deliverable categories listed directly below constitutes the Part I – Total. Important: Bidders are to ensure that allocation of their percentages are based on the % provided for each category and that the total of all categories within Part I does not exceed 100%.

Description % Breakdown by Category for Part I

Number of Units

Unit of Measure

(UOM)

Cost (Unit Price)

Executive Kick off

Executive Kick- Off (i–iii) &

Project Initiation (i-ix):

Shall equal 5% of the total cost for Part I

1 Each $200,262

i. Pre-Kick off

ii. Kick off

iii. Post-Kick off Project Initiation

i. Develop a Master Project Plan

ii. Develop an Integrated Master Project Schedule

iii. Develop a Project Management Plan

iv. Develop a Risk Management Plan

v. Develop an Issue Management Plan

vi. Develop a Communication Plan

vii. Develop a Staffing Plan

viii. Develop a Change Management Plan

ix. Develop an Application Configuration and Maintenance plan

Requirements Validation Requirements Validation:

Items i. through

iv. shall equal 5% of the total cost for Part I

1 Each $200,262

i. Develop a Requirements Validation Matrix

ii. Coordinate and facilitate Requirements gathering session(s)

iii. Formally demonstrate key features and functions

iv. Develop a Requirements Traceability Matrix (RTM).

Design and Configuration

Design and Configuration:

Items i. through

viii. shall equal 5% of the total cost for Part I

1 Each $200,262

i. Establish and utilize a deliverable review and acceptance Process;

ii. Configure environments for Development, Testing, Training and Production;

iii. Complete Standard System Configuration;

iv. Assist the State with configuration of system;

v. Assist the State with user role determination;

vi. Develop Infrastructure plan;

vii. Develop system security plan; and

viii. Obtain acceptance from the State on Design and System.

Part I Continued in next page

Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics solution

State of Nebraska, Department of Health and Human Services Development and Testing

Development and Testing:

Items i. through

viii. shall equal 10% of the total cost for Part I

1 Each $400,524

i. Complete all necessary custom development;

ii. Complete all necessary reports;

iii. Complete all necessary Integrations (Interfaces, Imports, and Exports);

iv. Develop a Testing Plan;

v. Execute and evaluate Testing;

vi. Document Testing Results;

vii. Assist the State with User Acceptance Testing (UAT); and

viii. Obtain acceptance from the State on Testing Results

Data/File Conversion and Migration Data/File

Migration:

Items i. through

v. shall equal 5% of the total cost for Part I

Each $200,262

i. Develop a Data/File Conversion and Migration Plan;

ii. Develop a Conversion Mapping Guide;

iii. Perform the Data/File Conversion and Migration;

iv. Provide a Data/File Conversion and Migration Results Report;

v. Obtain acceptance from the State on Data/File Conversion and Migration Results.

Training

Training:

Items i. through

iv. shall equal 5% of the total cost for Part I

1 Each $200,262

i. Develop Training materials;

ii. Coordinate and facilitate Training Instruction;

iii. Provide online reference Training Materials for Administrator and User Manuals; and

iv. Obtain acceptance from the State on Training Results.

CMS Certification Requirements

CMS

Certification

Requirements (i-v) & CMS Certification

Support (i-iv):

Shall equal 5% of the total cost for Part I

1 Each $200,262

i. General

ii. Pre-Operational Readiness Review;

iii. Operational Readiness Review;

iv. Certification Review;

v. Operations CMS Certification Support

i. CMS Certification Plan;

ii. Assist the State with Advanced Planning Document (APD) Supporting Materials;

iii. Assist the State with Operational Readiness Review (ORR);

iv. Assist the State with Certification Review (CR);

Pre-Implementation and Pilot

Pre- Implementation and Pilot:

Items i. through

xi. shall equal

10% of the total cost for Part I

1 Each

$400,524

i. Develop Implementation Plan;

ii. Develop Implementation Checklist(s);

iii. Facilitate Go\No Go Decision;

iv. Develop Pilot Plan;

v. Implement Pilot;

vi. Develop cut over Playbook;

vii. Develop Contingency Plan;

viii. Conduct Third-Party Security Assessment;

ix. Complete Pre-Go Live Third-Party Penetration Test;

x. Develop Disaster Recovery and Business Continuity Plan;

and

xi. Complete Production Readiness Assessment.

Part I Continued in next page

Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics solution

State of Nebraska, Department of Health and Human Services Implementation

Implementation:

Items i. through

iv. shall equal

40% of the total cost for Part I

1 Each $1,602,095

i. Perform and Complete all Aspects of the Implementation;

ii. Go-live;

iii. Assist the State with on-site Implementation assistance for Go-live week; and

iv. Obtain acceptance from the State on Implementation Results.

Post-Implementation

Post- Implementation:

Items i. through

v. shall equal

10% of the total cost for Part I

1 Each $400,524

i. Warranty Period

ii. Coordinate and Facilitate Post-Implementation Review Teleconference Meeting

iii. Conduct Lessons Learned

iv. Develop Lessons Learned Document

v. Provide a Plan for Enhancement Requests

vi. Provide a Transition Plan from Implementation to Maintenance, Operations and Support

Part I – Total $4,005,239

Part II – Maintenance, Operations and Support (Note: These items would be paid on a quarterly basis)

During the Maintenance, Operations and Support period of the initial contract term and all subsequent renewals, the vendor must accommodate requests from the State for any necessary modifications necessary to comply with any Federal or State statutory or regulatory requirements or any system enhancement or modification deemed necessary by the PI team. These changes shall be offered at no cost to the State for up to 500 Vendor hours annually. Any additional hours required beyond this allocation will be billed at the appropriate rates specified in the Cost Sheet under Part IV – Optional Services.

Bidder’s price for Maintenance, Operations and Support shall include all associated costs or fees (including but not limited to subscriptions costs). Important: Do not include statements in the RFP proposal submittals, attachments, etc. indicating that there will be additional fees which are not included in the table below. The sum of the extended cost (Number of Units x Unit Price) constitutes the Part II – Total.

Description Contract Term Unit of Measure

(UOM)

Number of Units Cost

(Unit Price) Extended Cost

Maintenance, Operations and Support, and any additional costs or fees (including but not limited to subscriptions) - Post Warranty period

Year Two (2) of the Initial Term* Monthly 12 $161,225 $1,934,700

Maintenance, Operations and Support, and any additional costs or fees (including but not limited to subscriptions)

Year three (3) of the Initial Term Monthly 12 $166,223 $1,994,676

Maintenance, Operations and Support, and any additional costs or fees (including but not limited to subscriptions)

Year Four (4) of the Initial Term Monthly 12 $170,137 $2,041,644

Maintenance, Operations and Support, and any additional costs or fees (including but not limited to subscriptions)

Year Five (5) of the Initial Term Monthly 12 $175,564 $2,106,768

Part II - Total $8,077,788

*No Maintenance, Operations and Support compensation shall be paid until all requirements of the Warranty Period have been satisfied.

Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics solution

State of Nebraska, Department of Health and Human Services Optional Services

Part III – Optional Renewal for Maintenance, Operations and Support (Do not include these amounts in the Total Overall Cost associated with Part I and Part II)

Example (Example applies to Part II and Part III of Cost Sheet)

Measure

(UOM)

Number of Units Cost

(Unit Price) Extended Cost

Maintenance, Operations and Support, and any additional costs or fees Year Two (2) Monthly 12 $10 $120

Extended Cost = Number of Units x Unit Price (12 x 10) = $120

Important: In case of a mathematical error in extension of price, unit price shall govern.

Optional Two (2) Year Renewal Period One (1)

Measure

(UOM)

Number of Units

Cost (Unit Price)

Extended Cost

Maintenance, Operations and Support and any additional costs or fees (including but not limited to subscriptions)

Year One (1) of the Renewal Period One (1)

Monthly

12 $180,022 $2,160,264

Maintenance, Operations and Support, and any additional costs or fees (including but not limited to subscriptions)

Year Two (2) of the Renewal Period One (1)

12 $186,011 $2,232,132

Total Cost for Optional Renewal Period One (1) $4,392,396

Optional Two (2) Year Renewal Period Two (2)

Measure

(UOM)

Number of Units

Cost (Unit Price)

Extended Cost

Maintenance, Operations and Support and any additional costs or fees (including but not limited to subscriptions)

Year One (1) of the Renewal Period Two (2)

12 $190,991 $2,291,892

Maintenance, Operations and Support, and any additional costs or fees (including but not limited to subscriptions)

Year Two (2) of the Renewal Period Two (2)

12 $197,528 $2,370,336

Total Cost for Optional Renewal Period Two (2) $4,662,228

Program Integrity Case Management (PICM) and Fraud Abuse Detection System (FADS) Analytics solution

State of Nebraska, Department of Health and Human Services Part IV – Optional Services Miscellaneous Enhancements (Do not include these amounts in the Total Overall Cost associated with Part I and Part II)

Custom Programming and Additional Features Work may be needed that was not originally delineated in this RFP but considered within the scope of work (i.e., Custom Programming).

This additional work may stem from legislative mandates, emerging technologies, secondary research and/or data integration solutions not otherwise addressed in this RFP or known at the time this RFP was issued. If additional work is needed, the Contractor must submit a detailed Scope of Work and detailed pricing to include items such as, but not limited to, Title/Role(s), number of hours, unit of measure, and due dates/deliverables for DHHS review and approval. The bidder shall provide hourly pricing for any current and future custom programming needs to meet specific requirements for the PICM / FADS Analytics solution as requested and mutually agreed upon by the bidder and DHHS.

Hourly Rates for Miscellaneous Support/Maintenance (beyond RFP/Contract requirements) The Bidder should provide the Title/Role with each respective hourly rate to perform additional services*.

*Bidder may add additional lines as needed.

Title / Role such as, but no limited to: Hourly Rate Program Executive $380 Program Manager $350 Lead Project Manager $320 Technology Lead $290 Data Analytics Lead $280 Reporting Lead $250 Auditor Junior $110 Auditor Senior $140 Business Analyst $95 Business Architect $280 Clinician – Junior $170 Clinician – Senior $200 Cloud Engineer $300 Data Analyst $170 Data Architect $290 Database Administrator $300 Investigator - Junior $120 Investigator - Senior $160 Medical Coder $120 Operations Analyst $175 Program Integrity SME $380 Programmer Analyst $180 Security Analyst $200 Security Manager $350 Senior Business Analyst $280 Testing Analyst $95 Testing Coordinator $275 Training Manager $250