Amendment_0002_Exhibit_1_-_Cost_Proposal_Spreadsheet.xlsx

XLSX spreadsheet 49 KB Posted

Attached to
RAC Validation Contractor (RVC) Federal contract opportunity
Solicitation number
75FCMC18R0004
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

About this file

From the source

Amendment 0002 - Exhibit 1 - Cost Proposal Spreadsheet

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Summary by Cost Element

0001 - Base Period
CLIN/SLINDescriptionQuantity if applicableQuantity Price if applicableTotal Firm Fixed PricePeriod of Performance
0001AASOW Tasks 1, 2, 7, 8, 9, 10, 12 (Administrative)N/ATBD (12 Months)
0001ABSOW Task 3
(Accuracy Reviews)12000
0001ACSOW Task 4
(Disputes/Disagrees)Unlimited

(Assumption is 3000)

0001ADSOW Task 5
(Special Studies)500
0001AESOW Task 6.1
(New Issue Proposal Review)360
0001AFSOW Task 6.2
(RVC New Issue QA Review)360
0001AGSOW Task 6.3
(New Issue Support Services)10
0001AHSOW Task 11
(Travel)N/A
CLIN 0001 TOTAL
0002 – Option Period 1
CLIN/SLINDescriptionQuantity if applicableQuantity Price if applicableTotal Firm Fixed PricePeriod of Performance
0002AASOW Tasks 1, 2, 7, 8, 9, 10, 12 (Administrative)N/ATBD (12 Months)
0002ABSOW Task 3
(Accuracy Reviews)12000
0002ACSOW Task 4
(Disputes/Disagrees)Unlimited

(Assumption is 3000)

0002ADSOW Task 5
(Special Studies)500
0002AESOW Task 6.1
(New Issue Proposal Review)360
0002AFSOW Task 6.2
(RVC New Issue QA Review)360
0002AGSOW Task 6.3
(New Issue Support Services)10
0002AHSOW Task 11
(Travel)N/A
CLIN 0002 TOTAL
0003 – Option Period 2
CLIN/SLINDescriptionQuantity if applicableQuantity Price if applicableTotal Firm Fixed PricePeriod of Performance
0003AASOW Tasks 1, 2, 7, 8, 9, 10, 12 (Administrative)1TBD (12 Months)
0003ABSOW Task 3
(Accuracy Reviews)12000
0003ACSOW Task 4
(Disputes/Disagrees)Unlimited

(Assumption is 3000)

0003ADSOW Task 5
(Special Studies)500
0003AESOW Task 6.1
(New Issue Proposal Review)360
0003AFSOW Task 6.2
(RVC New Issue QA Review)360
0003AGSOW Task 6.3
(New Issue Support Services)10
0003AHSOW Task 11
(Travel)N/A
CLIN 0003 TOTAL
0004 – Option Period 3
CLIN/SLINDescriptionQuantity if applicableQuantity Price if applicableTotal Firm Fixed PricePeriod of Performance
0004AASOW Tasks 1, 2, 7, 8, 9, 10, 12 (Administrative)N/ATBD (12 Months)
0004ABSOW Task 3
(Accuracy Reviews)12000
0004ACSOW Task 4
(Disputes/Disagrees)Unlimited

(Assumption is 3000)

0004ADSOW Task 5
(Special Studies)500
0004AESOW Task 6.1
(New Issue Proposal Review)360
0004AFSOW Task 6.2
(RVC New Issue QA Review)360
0004AGSOW Task 6.3
(New Issue Support Services)10
0004AHSOW Task 11
(Travel)N/A
CLIN 0004 TOTAL
0005 – Option Period 4
CLIN/SLINDescriptionQuantity if applicableQuantity Price if applicableTotal Firm Fixed PricePeriod of Performance
0005AASOW Tasks 1, 2, 7, 8, 9, 10, 12 (Administrative)N/ATBD (12 Months)
0005ABSOW Task 3
(Accuracy Reviews)12000
0005ACSOW Task 4
(Disputes/Disagrees)Unlimited

(Assumption is 3000)

0005ADSOW Task 5
(Special Studies)500
0005AESOW Task 6.1
(New Issue Proposal Review)360
0005AFSOW Task 6.2
(RVC New Issue QA Review)360
0005AGSOW Task 6.3
(New Issue Support Services)10
0005AHSOW Task 11
(Travel)N/A
CLIN 0005 TOTAL
0006 – Transition/Closeout
CLIN/SLINDescriptionQuantity if applicableQuantity Price if applicableTotal Firm Fixed PricePeriod of Performance
0006Transition/Contract CloseoutN/ATBD (90 days prior to contract closeout)
CLIN 0006 TOTALTBD (90 days prior to contract closeout)
GRAND TOTAL

Travel

Base Year Travel
Reason for TripSLINFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per DiemCar RentalHome Airport/train ParkingMilage/Tolls/ Parking/Misc*Total
Option Year 1 Travel
Reason for TripSLINFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per DiemCar RentalHome Airport/train ParkingMilage/Tolls/ Parking/Misc*Total
Option Year 2 Travel
Reason for TripSLINFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per DiemCar RentalHome Airport/train ParkingMilage/Tolls/ Parking/Misc*Total
Option Year 3 Travel
Reason for TripSLINFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per DiemCar RentalHome Airport/train ParkingMilage/Tolls/ Parking/Misc*Total
Option Year 4 Travel
Reason for TripSLINFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per DiemCar RentalHome Airport/train ParkingMilage/Tolls/ Parking/Misc*Total

Base Period

Base PeriodTask 1
Project PlanTask 2
RVC Operations ManualTask 3
Accuracy ReviewsTask 4
Disputes/DisagreesTask 5
Special StudiesTask 6(1)
New Issue ReviewTask 6(2)
RVC New Issue Quality Assurance ReviewTask 6(3)
New Issue Support ServicesTask 7
Contractor Quality AssuranceTask 8
Monthly Progress ReportsTask 9
Annual ReportTask 10
Meetings and Conference CallsTask 11
TravelTask 12
CMS Security RequirementsGRAND TOTAL
Cost ElementsTotal FTEsHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal

Subtotal Direct Labor

Fringe Benefits
Overhead
Subtotal Line Items, Fringe and Overhead
Other Direct Costs
Subcontracts
Subtotal ODCs
Subtotal - All Costs
G&A
Fee/Profit
Total

Overall Total Firm Fixed Price - Base Period

Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

OY1

Option Year 1Task 1
Project PlanTask 2
RVC Operations ManualTask 3
Accuracy ReviewsTask 4
Disputes/DisagreesTask 5
Special StudiesTask 6(1)
New Issue ReviewTask 6(2)
RVC New Issue Quality Assurance ReviewTask 6(3)
New Issue Support ServicesTask 7
Contractor Quality AssuranceTask 8
Monthly Progress ReportsTask 9
Annual ReportTask 10
Meetings and Conference CallsTask 11
TravelTask 12
CMS Security RequirementsGRAND TOTAL
Cost ElementsTotal FTEsHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal

Subtotal Direct Labor

Fringe Benefits
Overhead
Subtotal Line Items, Fringe and Overhead
Other Direct Costs
Subcontracts
Subtotal ODCs
Subtotal - All Costs
G&A
Fee/Profit
Total Cost

Overall Total Firm Fixed Price - Option Year 1

Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

OY2

Option Year 2Task 1
Project PlanTask 2
RVC Operations ManualTask 3
Accuracy ReviewsTask 4
Disputes/DisagreesTask 5
Special StudiesTask 6(1)
New Issue ReviewTask 6(2)
RVC New Issue Quality Assurance ReviewTask 6(3)
New Issue Support ServicesTask 7
Contractor Quality AssuranceTask 8
Monthly Progress ReportsTask 9
Annual ReportTask 10
Meetings and Conference CallsTask 11
TravelTask 12
CMS Security RequirementsGRAND TOTAL
Cost ElementsTotal FTEsHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal

Subtotal Direct Labor

Fringe Benefits
Overhead
Subtotal Line Items, Fringe and Overhead
Other Direct Costs
Subcontracts
Subtotal ODCs
Subtotal - All Costs
G&A
Fee/Profit
Total Cost

Overall Total Firm Fixed Price - Option Year 2

Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

OY3

Option Year 3Task 1
Project PlanTask 2
RVC Operations ManualTask 3
Accuracy ReviewsTask 4
Disputes/DisagreesTask 5
Special StudiesTask 6(1)
New Issue ReviewTask 6(2)
RVC New Issue Quality Assurance ReviewTask 6(3)
New Issue Support ServicesTask 7
Contractor Quality AssuranceTask 8
Monthly Progress ReportsTask 9
Annual ReportTask 10
Meetings and Conference CallsTask 11
TravelTask 12
CMS Security RequirementsGRAND TOTAL
Cost ElementsTotal FTEsHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal

Subtotal Direct Labor

Fringe Benefits
Overhead
Subtotal Line Items, Fringe and Overhead
Other Direct Costs
Subcontracts
Subtotal ODCs
Subtotal - All Costs
G&A
Fee/Profit
Total Cost

Overall Total Firm Fixed Price - Option Year 3

Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

OY4

Option Year 4Task 1
Project PlanTask 2
RVC Operations ManualTask 3
Accuracy ReviewsTask 4
Disputes/DisagreesTask 5
Special StudiesTask 6(1)
New Issue ReviewTask 6(2)
RVC New Issue Quality Assurance ReviewTask 6(3)
New Issue Support ServicesTask 7
Contractor Quality AssuranceTask 8
Monthly Progress ReportsTask 9
Annual ReportTask 10
Meetings and Conference CallsTask 11
TravelTask 12
CMS Security RequirementsGRAND TOTAL
Cost ElementsTotal FTEsHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal

Subtotal Direct Labor

Fringe Benefits
Overhead
Subtotal Line Items, Fringe and Overhead
Other Direct Costs
Subcontracts
Subtotal ODCs
Subtotal - All Costs
G&A
Fee/Profit
Total Cost

Overall Total Firm Fixed Price - Option Year 4

Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

Transition

Transition/Contract CloseoutTransition/Contract Closeout
Cost ElementsTotal FTEsHoursRatesTotal

Subtotal Direct Labor

Fringe Benefits
Overhead
Subtotal Line Items, Fringe and Overhead
Other Direct Costs
Subcontracts
Subtotal ODCs
Subtotal - All Costs
G&A
Fee/Profit
Total Cost

Overall Total Firm Fixed Price - Transition

Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

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