4-DHHS26065 Cost Proposal Form.doc

This is a Cost Proposal Form for DHHS26065 submitted by the Department of Health and Human Services (DHHS) for optometry services at Utah State Hospital. The solicitation requests providers to submit pricing proposals for comprehensive optometric services delivered to patients at the hospital facility. The cost proposal structure requires vendors to specify a base rate per patient visit and provide percentage discounts across multiple service categories including eyeglasses, frames, contact lenses, repairs, and warranties.

Pricing for this contract opportunity is structured as a combination of per-patient service rates and tiered discount percentages applied to various optical products and services. Vendors must complete the cost proposal form by providing their per-patient service fee and discount percentages for each specified category, allowing the state to evaluate total cost of care delivery. The proposal format enables DHHS to assess both direct service costs and product-related expenses, facilitating comprehensive price comparison among bidders and ensuring cost-effective procurement of optometry services for Utah State Hospital patients.