40DHHS-S3214-Cost-Schedule-Final.xlsx

XLSX spreadsheet 30 KB Posted

Attached to
Pharmacy Benefits Manager
Solicitation number
40DHHS-S3214
Issued by
Churchill County, Nevada

About this file

This is a cost schedule Excel file for the Nevada Medication Assistance Program (NMAP) Pharmacy Benefit Manager Request for Proposal (RFP 40DHHS-S3214) issued by the Nevada Department of Health and Human Services (DHHS). The document outlines a comprehensive pharmacy benefit management services contract with an implementation year (Year 1) followed by four base contract years (Years 2-5). The contract encompasses multiple service lines including claims processing, pharmacy network management, clinical programs, prior authorization, drug utilization review, medication therapy management, reporting and analytics, and various administrative support functions for the state's medication assistance program.

The cost schedule indicates a zero-dollar ($0.00) cost structure across all contract years and service lines, which suggests this may be a placeholder or template document. The proposal includes provisions for 25 user licenses, implementation services covering planning, configuration, development, and deployment, and detailed deliverables across categories such as project management, configuration, deployment, operations, and transition. The document also includes a personnel rate section with hourly rates differentiated between the implementation year and base contract years, though specific rate amounts are not populated in this version of the document.

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NMAP_Summary Cost Sched

PHARMACY BENEFIT MANAGER
RFP 40DHHS-S3214
NEVADA MEDICATION ASSISTANCE PROGRAM (ADAP/NMAP) SUMMARY COST SCHEDULE
Cost SummaryCost
NMAP Costs - Base Contract Years
M&O Services Year 2$0.00
M&O Services Year 3$0.00
M&O Services Year 4$0.00
M&O Services Year 5$0.00

Base Contract Subtotal Section $0.00

Cost SummaryCost
NMAP Costs - Implementation Year
Implementation Year 1

Implementation Year Subtotal Section $0.00

Cost SummaryCost
NMAP Costs - Base Contract and Implementation Years
Total Base Contract Years$0.00
Total Implementation Year

Base Contract and Implementation Year Total Section $0.00

Contract Personnel Hourly RatesBlended Rate
NMAP Change Request Pool (500 Hours) Rate
Blended Hourly Rate for Change Request Pool Hours (500 Hours)
(Service Years 2-5)

Blended Rate for Change Request Pool Hours Section $0.00

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NMAP Implementation Services

PHARMACY BENEFIT MANAGER
RFP 40DHHS-S3214Implementation Year Cost Schedule - NMAP
Description of Implementation Year ServicesCost
Implementation Year Services (Year 1)
Planning and Administration
Configuration and Design
Development and Deployment

Indirect Costs

Hardware/Software and Licensing
Licensing and training for 25 users

Implementation Year SERVICES SUB-TOTAL FOR $0.00

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NMAP M&O Services

PHARMACY BENEFIT MANAGER
RFP 40DHHS-S3214Maintenance and Operations Cost Schedule, Base Contract Years - NMAP
Description of Maintentance and Operations ServicesM&O (Year 2) Cost
M&O (Year 3) Cost
M&O (Year 4) Cost
M&O (Year 5) Cost
Total Cost by Service Line

for M&O Base Contract Years

Nevada NMAP
Medical Adminstrative Costs - Direct
Conduct Annual Site Visits$0.00
Claims Processing and Operational Support$0.00
Pharmacy Network Management$0.00
Pharmacy Benefit Management and Clinical Programs$0.00
Prior Authorization Program$0.00
Support the State Appeal Process$0.00
Drug Utilization Review$0.00
Support the ADAP/NMAP Reimbursement Formula$0.00
Medication Therapy Management$0.00
Benefit Design and Consultative Support$0.00
Management of Physican-Administered Drugs$0.00
Reporting and Analytics$0.00
Quality Assurance$0.00
Management of State and CMS Drug Rebate Programs$0.00
Support of Supplemental Rebate$0.00
340 B Program Mangement$0.00
Culturally Competent Delivery of ADAP/NMAP PBM Program Services$0.00
Operations and Maintenance$0.00
Contract Transition and Closeout$0.00
Eligibility Determination for all clients requesting ADAP/NMAP$0.00
Re-establishment of the Nevada Medication Advisory Committee$0.00
$0.00
Medical Administrative Costs - Indirect$0.00
Adjudication of Long Lasting Injectibles$0.00
Adjudication of Infusion Medications$0.00
Non-Medical Administrative Costs - Direct Hardware/Software and Licensing$0.00
Licensing and training for 25 users$0.00
$0.00
M&O BASE CONTRACT YEARS SUB TOTAL$0.00$0.00$0.00$0.00$0.00

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NMAP_Deliverables Sched

PHARMACY BENEFIT MANAGER
RFP 40DHHS-S3214Deliverables Cost Schedule - NMAP
Description of DeliverablesCost
Planning and Administration
Detailed Project Plan
PBM Project Team
Project Management System
Project Management Plan
Quality Management Plan
Attendance at all scheduled meetings
Written Semi-Monthly Project Status Report
Training and Outreach Plan and Materials
Disaster Recovery and Business Continuity Plan
Security Plan
Communication Plan
Risk Management Plan
Quality Assurance Plan
Change Management Plan
Test Plan and Acceptance Criteria
UAT Test Plan and Acceptance Criteria
Implementation Plan
Interface Control Documents
Knowledge Transfer Plan
Post Implementation Evaluation Review
Configuration
Updated PBM Solution Requirements Traceability Matrix
Updated PBM System Design Document
Updated PBM Solution User Manual
Updated PBM Solution Test Plan and Acceptance Criteria
Deployment
Updated PBM Solution Requirements Traceability Matrix
PBM Solution System Test Results Report
PBM Solution Test Results Report
PBM Solution Operational Readiness Review Results
Updated PBM Solution Implementation Plan
Updated PBM Solution User Manual
Updated PBM Solution Training and Outreach Plan and Materials
PBM Solution Contract Administration Plan
Operations and Maintenance
PBM Solution Operations Review Report
Transition and Closeout
Updated PBM Vendor Services Closeout and Transition Plan
PBM Vendor Services Transition Inventory and Assets
Project Closeout and Lessons Learned Report

DELIVERABLES SUB-TOTAL $0.00

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NMAP Personnel Con Rates

PHARMACY BENEFIT MANAGER
RFP 40DHHS-S3214Personnel Rates by Year - NMAP
Item #Personnel PositionHourly Rate -
Implementation (Year 1)Hourly Rate -

Base Contract (Years 2-5)

NMAP Personnel Rates
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