2026HCA4-ExhibitD-CostProposalWorksheet.doc

This is a Cost Proposal Worksheet for the Washington State Health Care Authority's Request for Proposals 2026HCA4 to procure an External Quality Review Organization for the Apple Health Medicaid Integrated Managed Care and Integrated Foster-Care programs. The worksheet establishes a cost proposal structure spanning six state fiscal years from SFY 2027 through SFY 2032, with SFY 2027 covering a six-month period (January 1 – June 30, 2027) and subsequent years covering full twelve-month periods through June 30, 2032, except for SFY 2032 which concludes on December 31, 2031. The scope of work encompasses multiple External Quality Review activities required under 42 C.F.R., including the MCO Evaluation and Annual Technical Report, validation of performance measures, managed care measures analysis with comparative performance assessment, validation of network adequacy, administration of Consumer Assessment of Healthcare Providers and Systems surveys, and provision of technical assistance.

The cost proposal worksheet provides line items for bidders to submit pricing for each of the identified External Quality Review activities across the entire contract period, with a grand total cost column to aggregate all proposed costs. The document serves as the standardized template for vendors to present their financial proposals for these mandatory and discretionary external quality review services that support oversight and quality assurance of Apple Health's managed care operations in compliance with federal Medicaid managed care regulations.