41NHA-S3818 - Cost Schedule Final 06.09.26.xlsx

This is a cost proposal instruction document for RFP 41NHA-S3818, issued by the Nevada Health Authority for Medicaid Third Party Liability (TPL), Recovery Audit Contracting (RAC), and Medicaid Estate Recovery (MER) services. The proposal opening is scheduled for August 10, 2026, at 2:00 P.M. The contract term spans from May 1, 2027, through April 30, 2031, with two additional optional years available. The scope of work encompasses nine primary service areas including general program and enterprise requirements, TPL activities and revalidations (50,000 annually), managed care TPL data exchange, managed care secondary recovery, RAC activities, MER database services, subrogation and casualty reduction, cost avoidance activities, and Health Insurance Premium Payment (HIPP) services (10 new applications monthly and 300 members for case management). Ad hoc reporting services for up to five TPL reports annually are also included. All deliverables have projected due dates of June 30 each year or end of month for monthly submissions.

Vendors must submit detailed cost proposals in columns F through J for fiscal years one through five, with all costs including travel, per diem, out-of-pocket expenses, and administrative overhead fully detailed. Costs for several deliverables must be provided as a percentage of collections, including TPL activities, managed care secondary recovery, RAC activities, subrogation and casualty reduction, and cost avoidance activities. Monthly cost submissions are required for the 210 Program Overview and MER database services, while per-application and per-member-per-month costs are specified for HIPP services. Vendors must provide complete cost methodology documentation and backup support for all cost schedules. All proposal terms, including pricing, remain valid for a minimum of 180 days after the proposal due date, and for the awarded vendor, throughout the entire contract term.