3. Implementation Reviewer Cost Form Final.xlsx

This is a cost proposal form for the State of Maine Department of Health and Human Services seeking an Implementation Reviewer for Child Welfare Psychotropic Medication Performance Criteria under RFP# 202512157. The contract requires the selected bidder to complete a maximum of ninety (90) cases per review period, with the initial reporting period covering twelve (12) months of data following the contract start date. Subsequent reporting periods encompass six (6) month intervals. Bidders must propose all personnel positions with corresponding hourly rates and total hours to be worked, along with any subcontractor or consultant arrangements necessary to fulfill the requirements.

The cost proposal must be submitted as a fixed amount covering all expenses associated with completing the maximum ninety cases per review period. Allowable costs include salaries for proposed positions, subcontractor and consultant fees, travel expenses (including mileage, lodging, and airfare) not to exceed current State of Maine travel rates as referenced on the Office of the State Controller website, and supplies with appropriate justifications. Bidders are instructed to complete all white spaces in the budget form while exercising caution when adding additional lines to ensure existing formulas calculate correctly. The form provides structured sections for itemizing each cost category with a final total line for the complete cost of completing ninety cases per review period.