3. Implementation Reviewer Cost Form Final.xlsx

This is a cost proposal form from the State of Maine Department of Health and Human Services for RFP #202512157, seeking an Implementation Reviewer to evaluate the Department's compliance with a Settlement Agreement regarding psychotropic medication administration to children and youth in foster care. The contractor will be responsible for gathering, analyzing, and reporting on statewide practices concerning psychotropic medication oversight and measuring the Department's progress against established Performance Criteria. Key deliverables include developing a sampling and data analysis plan, collecting data within 60 calendar days of each reporting period, and producing draft reports within four months of each reporting period's close. The initial performance period runs from April 1, 2026, to March 31, 2028, with three optional renewal periods available that could extend the total contract term to five years. The proposal submission deadline is December 30, 2025, at 4:00 p.m. local time via the Vendor Self Service System, with a questions deadline of December 12, 2025, at 4:00 p.m. local time.

The cost proposal must be submitted as a fixed amount for a maximum of 90 completed case reviews per review period, with the first reporting period encompassing twelve months of data and subsequent periods covering six-month intervals. Bidders must complete the budget form by entering salary information (hourly rates multiplied by total hours), subcontractor or consultant costs, travel expenses (not to exceed current State rates per Maine's travel guidelines), and supplies. The form includes designated white spaces for data entry with embedded formulas to calculate totals, and bidders must exercise caution when adding additional lines to ensure formulas remain accurate. The proposal evaluation will use a 100-point scale, with 30 points for Organization Qualifications and Experience, 40 points for Proposed Services, and 30 points for Cost Proposal. The contractor must comply with extensive confidentiality and information security requirements, including HIPAA compliance and MaineIT Policies & Standards, and maintain specific insurance coverage.