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Exhibit E.1
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| File |
Type |
Posted |
| E.1_Business_Proposal_Template01172018.xlsx |
XLSX spreadsheet |
|
| 75FCMC18R0013_amendment_0002.pdf |
PDF |
|
| E.1_Business_Proposal_Template.xlsx |
XLSX spreadsheet |
|
| 75FCMC18R0013_Amendment_0001.pdf |
PDF |
|
| E.2_MRAC_Answers_to_Questions.docx |
DOCX document |
|
| J.1_MRAC_SOW_Updated.docx |
DOCX document |
|
| 75FCMC18R0013.pdf |
PDF |
|
| J.8_-_Responsibility_Questionnaire.doc |
DOC document |
|
| J.11_Non_Disclosure_Statement.docx |
DOCX document |
|
| J.10_Consent_to_Subcontract.docx |
DOCX document |
|
| J.7_-_Virus_Detection_Certification.doc |
DOC document |
|
| J.1_MRAC_SOW.docx |
DOCX document |
|
| J.12_-_List_of_Prime_and_Sub.xlsx |
XLSX spreadsheet |
|
| J.6_Contractor_Business_Ethics_COI_and_Compliance_Program_Requirements.docx |
DOCX document |
|
| J.4_-_Past_Performance_Questionnaire.docx |
DOCX document |
|
| J.9__-_Questions_-_Answers_Template.docx |
DOCX document |
|
| J.5_CONTRACTOR_PERSONAL_CONFLICT_OF_INTEREST_FINANCIAL_DISCLOSURE_TEMPLATE.docx |
DOCX document |
|
| Presolicitation_Notice_-_MRAC.docx |
DOCX document |
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SUMMARY
| PROJECT TITLE: Medical Review Accuracy Contract |
| Firm-Fixed Price (FFP) / Time & Materials (T&M) |
| Detailed Price Summary |
| Contract Line Item Description | |
| Total Price |
| CLIN 0001AA - Standard Medical Review Base Year | |
| CLIN 0001AB - Program Integrity Medical Review Base Year | |
| CLIN 0001AC - Optional Standard Medical Review Base Year (T&M) | |
| CLIN 0001 - BASE YEAR TOTAL | |
| CLIN 0002AA - Standard Medical Review Option Year 1 | |
| CLIN 0002AB - Program Integrity Medical Review Option Year 1 | |
| CLIN 0002AC - Optional Standard Medical Review Option Year 1 (T&M) | |
| CLIN 0002 - OPTON YEAR 1 TOTAL | |
| CLIN 0003AA - Standard Medical Review Option Year 2 | |
| CLIN 0003AB - Program Integrity Medical Review Option Year 2 | |
| CLIN 0003AC - Optional Standard Medical Review Option Year 2 (T&M) | |
| CLIN 0003 - OPTION YEAR 2 TOTAL | |
| CLIN 0004AA - Standard Medical Review Option Year 3 | |
| CLIN 0004AB - Program Integrity Medical Review Option Year 3 | |
| CLIN 0004AC - Optional Standard Medical Review Option Year 3 (T&M) | |
| CLIN 0004 - OPTION YEAR 3 TOTAL | |
| CLIN 0005AA - Standard Medical Review Option Year 4 | |
| CLIN 0005AB - Program Integrity Medical Review Option Year 4 | |
| CLIN 0005AC - Optional Standard Medical Review Option Year 4 (T&M) | |
| CLIN 0005 - OPTION YEAR 4 TOTAL | |
| TOTAL VALUE OF CONTRACT | |
STANDARD MEDICAL REVIEW
| PROJECT TITLE: Medical Review Accuracy Contractor |
| Firm-Fixed Price (FFP) |
| Standard Medical Reviews |
| Contract Line Item Description | CLIN 0001AA Base Period (Transition) | | | | CLIN 0001AA Base Period (Fully Operational) | | | | CLIN 0002AA Option Year One | | | | CLIN 0003AA Option Year Two | | | | CLIN 0004AA Option Year Three | | | | CLIN 0005AA Option Year Four | | | | Grand Total | |
| Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Total Price |
| Task 1 - Administrative | 3 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 8 | $ - |
| Task 2 - Transition | 4 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 7 | $ - |
| Task 3 - Meetings/Conference Calls | 3 | Each | | $ - | 9 | Each | | $ - | 12 | Each | | $ - | 12 | Each | | $ - | 12 | Each | | $ - | 12 | Each | | $ - | 60 | $ - |
| Task 4 - Standard Medical Review Part A | | | | $ - | 2000 | Each | | $ - | 2600 | Each | | $ - | 2600 | Each | | $ - | 2600 | Each | | $ - | 2600 | Each | | $ - | 12400 | $ - |
| Task 4 - Standard Medical Review Part B | | | | $ - | 3300 | Each | | $ - | 4600 | Each | | $ - | 4600 | Each | | $ - | 4600 | Each | | $ - | 4600 | Each | | $ - | 21700 | $ - |
| Task 5 - Disagreement Process | | | | $ - | 470 | Each | | $ - | 460 | Each | | $ - | 442 | Each | | $ - | 431 | Each | | $ - | 414 | Each | | $ - | 2216 | $ - |
| Task 6 - Status Reports | | | | $ - | 10 | Each | | $ - | 13 | Each | | $ - | 13 | Each | | $ - | 13 | Each | | $ - | 13 | Each | | $ - | 62 | $ - |
| Direct Labor | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| ODC's | | | | | | | |
| Travel | | | | | | | $ - |
| Subcontracts | | | | | | | $ - |
| Materials | | | | | | | $ - |
| Subtotal ODCs | | | | | | | $ - |
| Total Estimated Yearly Values | | | | | | | $ - |
Assumptions:
| Contract Line Item Description | | CLIN 0001AA Base Period (Transition) | | | | CLIN 0001AA Base Period (Fully Operational) | | | | CLIN 0002AA Option Year One | | | | CLIN 0003AA Option Year Two | | | | CLIN 0004AA Option Year Three | | | | CLIN 0005AA Option Year Four | | | | Grand Total | |
| Total FTE | FTE | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | Hours | Total Price |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| Total FTE | 0.00 | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Direct Labor | | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | $ - |
| Labor Category Crossover |
| Proposed Labor Category (Bureau of Labor Statistics Equivalent) |
PROGRAM INTEGRITY
| PROJECT TITLE: Medical Review Accuracy Contractor |
| Firm-Fixed Price (FFP) |
| Program Integrity Medical Reviews |
| Contract Line Item Description | CLIN 0001AB Base Period (Transition) | | | | CLIN 0001AB Base Period (Fully Operational) | | | | CLIN 0002AB Option Year One | | | | CLIN 0003AB Option Year Two | | | | CLIN 0004AB Option Year Three | | | | CLIN 0005AB Option Year Four | | | | Grand Total | |
| Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Unit | Unit Price | Total Price | Quantity | Total Price |
| Task 1 - Administrative | 3 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 8 | $ - |
| Task 2 - Transition | 4 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 1 | Each | | $ - | 7 | $ - |
| Task 3 - Meetings/Conference Calls | 3 | Each | | $ - | 9 | Each | | $ - | 9 | Each | | $ - | 9 | Each | | $ - | 9 | Each | | $ - | 9 | Each | | $ - | 48 | $ - |
| Task 4 - Program Integrity Medical Review Part A | | | | $ - | 2000 | Each | | $ - | 3200 | Each | | $ - | 3200 | Each | | $ - | 3200 | Each | | $ - | 3200 | Each | | $ - | 14800 | $ - |
| Task 4 - Program Integrity Medical Review Part B | | | | $ - | 5500 | Each | | $ - | 7229 | Each | | $ - | 7229 | Each | | $ - | 7229 | Each | | $ - | 7229 | Each | | $ - | 34414 | $ - |
| Task 5 - Disagreement Process | | | | $ - | 836 | Each | | $ - | 884 | Each | | $ - | 884 | Each | | $ - | 890 | Each | | $ - | 890 | Each | | $ - | 4385 | $ - |
| Task 6 - Status Reports | | | | $ - | 10 | Each | | $ - | 13 | Each | | $ - | 13 | Each | | $ - | 13 | Each | | $ - | 13 | Each | | $ - | 62 | $ - |
| Direct Labor | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| ODC's | | | | | | | |
| Travel | | | | | | | $ - |
| Subcontracts | | | | | | | $ - |
| Materials | | | | | | | $ - |
| Subtotal ODCs | | | | | | | $ - |
| Total Estimated Yearly Values | | | | | | | $ - |
Assumptions:
| Contract Line Item Description | | CLIN 0001AB Base Period (Transition) | | | | CLIN 0001AB Base Period (Fully Operational) | | | | CLIN 0002AB Option Year One | | | | CLIN 0003AB Option Year Two | | | | CLIN 0004AB Option Year Three | | | | CLIN 0005AB Option Year Four | | | | Grand Total | |
| Total FTE | FTE | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | | Hours | Rates | Total Price | FTE | Hours | Rates | Total Price | Hours | Total Price |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | 0 | $ - |
| Total FTE | 0.00 | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Direct Labor | | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | | | $ - | | $ - |
| Labor Category Crossover |
| Proposed Labor Category (Bureau of Labor Statistics Equivalent) |
&F&D&T
OPTIONAL STANDARD
| PROJECT TITLE: Medical Review Accuracy Contractor |
| Time & Materials (T&M) |
| Optional Standard Medical Reviews |
Assumptions:
| Labor Category | FTE | CLIN 001AC Base Period (Optional Task) | | | CLIN 0002AC Option Year One (Optional Task) | | | CLIN 0003AC Option Year Two (Optional Task) | | | CLIN 0004AC Option Year Three (Optional Task) | | | CLIN 0005AC Option Year Four (Optional Task) | | | Grand Total | |
| | Hours | Rates | Total Price | Hours | Rates | Total Price | Hours | Rates | Total Price | Hours | Rates | Total Price | Hours | Rates | Total Price | Hours | Total Price |
| Total FTEs |
| Direct Labor |
| ODC's |
| Travel |
| Subcontracts |
| Materials |
| Subtotal ODCs |
| Total Estimated Yearly Values |
| Labor Category Crossover |
| Proposed Labor Category (Bureau of Labor Statistics Equivalent) |
Travel
| Travel Estimates - Base Period | | | | | | | | | | | | | |
| Reason for Trip | SLIN | From | To | Number of People | Times per PoP | Airfare/Train | Hotel | Number of Nights | Meals & Incidentals Per Diem | Car Rental | Home Airport/train Parking | Milage/Tolls/ Parking/Misc* | Sub-Total |
| 0001AA | | | | | | | | | | | | |
| TOTAL | 0001AA | | | | | | | | | | | | |
| 0001AB | | | | | | | | | | | | |
| TOTAL | 0001AB | | | | | | | | | | | | |
| 0001AC | | | | | | | | | | | | |
| TOTAL | 0001AC | | | | | | | | | | | | |
| TOTAL | 0001 | | | | | | | | | | | | |
| Travel Estimates - Option Period 1 | | | | | | | | | | | | | |
| Reason for Trip | SLIN | From | To | Number of People | Times per PoP | Airfare/Train | Hotel | Number of Nights | Meals & Incidentals Per Diem | Car Rental | Home Airport/train Parking | Milage/Tolls/ Parking/Misc* | Sub-Total |
| 0002AA | | | | | | | | | | | | |
| TOTAL | 0002AA | | | | | | | | | | | | |
| 0002AB | | | | | | | | | | | | |
| TOTAL | 0002AB | | | | | | | | | | | | |
| 0002AC | | | | | | | | | | | | |
| TOTAL | 0002AC | | | | | | | | | | | | |
| TOTAL | 0002 | | | | | | | | | | | | |
| Travel Estimates - Option Period 2 | | | | | | | | | | | | | |
| Reason for Trip | SLIN | From | To | Number of People | Times per PoP | Airfare/Train | Hotel | Number of Nights | Meals & Incidentals Per Diem | Car Rental | Home Airport/train Parking | Milage/Tolls/ Parking/Misc* | Sub-Total |
| 0003AA | | | | | | | | | | | | |
| TOTAL | 0003AA | | | | | | | | | | | | |
| 0003AB | | | | | | | | | | | | |
| TOTAL | 0003AB | | | | | | | | | | | | |
| 0003AC | | | | | | | | | | | | |
| TOTAL | 0003AC | | | | | | | | | | | | |
| TOTAL | 0003 | | | | | | | | | | | | |
| Travel Estimates - Option Period 3 | | | | | | | | | | | | | |
| Reason for Trip | SLIN | From | To | Number of People | Times per PoP | Airfare/Train | Hotel | Number of Nights | Meals & Incidentals Per Diem Per FTR | Car Rental | Home Airport/train Parking | Milage/Tolls/Parking/Misc* | Total |
| 0004AA | | | | | | | | | | | | |
| TOTAL | 0004AA | | | | | | | | | | | | |
| 0004AB | | | | | | | | | | | | |
| TOTAL | 0004AB | | | | | | | | | | | | |
| 0004AC | | | | | | | | | | | | |
| TOTAL | 0004AC | | | | | | | | | | | | |
| TOTAL | 0004 | | | | | | | | | | | | |
| Travel Estimates - Option Period 4 | | | | | | | | | | | | | |
| Reason for Trip | SLIN | From | To | Number of People | Times per PoP | Airfare/Train | Hotel | Number of Nights | Meals & Incidentals Per Diem Per FTR | Car Rental | Home Airport/train Parking | Milage/Tolls/Parking/Misc* | Total |
| 0005AA | | | | | | | | | | | | |
| TOTAL | 0005AA | | | | | | | | | | | | |
| 0005AB | | | | | | | | | | | | |
| TOTAL | 0005AB | | | | | | | | | | | | |
| 0005AC | | | | | | | | | | | | |
| TOTAL | 0005AC | | | | | | | | | | | | |
| TOTAL | 0005 | | | | | | | | | | | | |
| Total Travel Estimates | |
| Total |
Materials Materials
| CLIN 0001 | Contract Year | Item Description | Quantity | Unit Cost | Overhead | G&A | Other Indirect (Specify) | Fee | Total Cost |
| SLIN 1AA | Base | | | | | | | | |
| SLIN 1AA | Base | | | | | | | | |
| SLIN 1AA | Base | | | | | | | | |
| Total | | | | | | | | | |
| SLIN 1AB | Base | | | | | | | | |
| SLIN 1AB | Base | | | | | | | | |
| SLIN 1AB | Base | | | | | | | | |
| Total | | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Base | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Base | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Base | | | | | | | | |
| Total | | | | | | | | | |
| Total | | | $ - 0 | $0 | $0 | $0 | $0 | $0 | $0 |
| CLIN 0002 | Contract Year | Item Description | Quantity | Unit Cost | Overhead | G&A | Other Indirect (Specify) | Fee | Total Cost |
| SLIN 1AA | Option Year 1 | | | | | | | | |
| SLIN 1AA | Option Year 1 | | | | | | | | |
| SLIN 1AA | Option Year 1 | | | | | | | | |
| Total | | | | | | | | | |
| SLIN 1AB | Option Year 1 | | | | | | | | |
| SLIN 1AB | Option Year 1 | | | | | | | | |
| SLIN 1AB | Option Year 1 | | | | | | | | |
| Total | | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 1 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 1 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 1 | | | | | | | | |
| Total | | | | | | | | | |
| Total | | | $ - 0 | $0 | $0 | $0 | $0 | $0 | $0 |
| CLIN 0003 | Contract Year | Item Description | Quantity | Unit Cost | Overhead | G&A | Other Indirect (Specify) | Fee | Total Cost |
| SLIN 1AA | Option Year 2 | | | | | | | | |
| SLIN 1AA | Option Year 2 | | | | | | | | |
| SLIN 1AA | Option Year 2 | | | | | | | | |
| Total | | | | | | | | | |
| SLIN 1AB | Option Year 2 | | | | | | | | |
| SLIN 1AB | Option Year 2 | | | | | | | | |
| SLIN 1AB | Option Year 2 | | | | | | | | |
| Total | | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 2 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 2 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 2 | | | | | | | | |
| Total | | | | | | | | | |
| Total | | | $ - 0 | $0 | $0 | $0 | $0 | $0 | $0 |
| CLIN 0004 | Contract Year | Item Description | Quantity | Unit Cost | Overhead | G&A | Other Indirect (Specify) | Fee | Total Cost |
| SLIN 1AA | Option Year 3 | | | | | | | | |
| SLIN 1AA | Option Year 3 | | | | | | | | |
| SLIN 1AA | Option Year 3 | | | | | | | | |
| Total | | | | | | | | | |
| SLIN 1AB | Option Year 3 | | | | | | | | |
| SLIN 1AB | Option Year 3 | | | | | | | | |
| SLIN 1AB | Option Year 3 | | | | | | | | |
| Total | | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 3 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 3 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 3 | | | | | | | | |
| Total | | | | | | | | | |
| Total | | | $ - 0 | $0 | $0 | $0 | $0 | $0 | $0 |
| CLIN 0005 | Contract Year | Item Description | Quantity | Unit Cost | Overhead | G&A | Other Indirect (Specify) | Fee | Total Cost |
| SLIN 1AA | Option Year 4 | | | | | | | | |
| SLIN 1AA | Option Year 4 | | | | | | | | |
| SLIN 1AA | Option Year 4 | | | | | | | | |
| Total | | | | | | | | | |
| SLIN 1AB | Option Year 4 | | | | | | | | |
| SLIN 1AB | Option Year 4 | | | | | | | | |
| SLIN 1AB | Option Year 4 | | | | | | | | |
| Total | | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 4 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 4 | | | | | | | | |
| (Optional Task) 'SLIN 1AC | Option Year 4 | | | | | | | | |
| Total | | | | | | | | | |
| Total | | | $ - 0 | $0 | $0 | $0 | $0 | $0 | $0 |
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