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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 40DHHS-S3214-Reference-Questionnaire.pdf | ||
| Quote Instructions.pdf | ||
| Terms-and-conditions-for-services~6.pdf | ||
| 40DHHS-S3214-Insurance-Schedule.pdf | ||
| Standard-form-contract~5.docx | DOCX document | |
| 40DHHS-S3214 Pharmacy Benefits Manager Bid Q and A Answers.pdf | ||
| 40DHHS-S3214-NMAP-MAC BI-LAWS.pdf | ||
| 40DHHS-S3214-Scope-of-Work.docx | DOCX document | |
| Certification-regarding-lobbying~5.pdf | ||
| 40DHHS-S3214-RFP-Pharmacy-Benefit-Manager.docx | DOCX document |
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Text version
NMAP_Summary Cost Sched
| PHARMACY BENEFIT MANAGER |
| RFP 40DHHS-S3214 |
| NEVADA MEDICATION ASSISTANCE PROGRAM (ADAP/NMAP) SUMMARY COST SCHEDULE |
| Cost Summary | Cost | |
| 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 Summary | Cost | |
| NMAP Costs - Implementation Year | ||
| Implementation Year 1 |
Implementation Year Subtotal Section $0.00
| Cost Summary | Cost | |
| 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 Rates | Blended 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-S3214 | Implementation Year Cost Schedule - NMAP |
| Description of Implementation Year Services | Cost |
| 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-S3214 | Maintenance and Operations Cost Schedule, Base Contract Years - NMAP |
| Description of Maintentance and Operations Services | M&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-S3214 | Deliverables Cost Schedule - NMAP |
| Description of Deliverables | Cost |
| 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-S3214 | Personnel Rates by Year - NMAP |
| Item # | Personnel Position | Hourly Rate - | |
| Implementation (Year 1) | Hourly Rate - |
Base Contract (Years 2-5)
| NMAP Personnel Rates | |
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