J.47 CLIN 0014 Cost Proposal Template - Option Year 4 (MPIP).xlsx

This document contains cost proposal templates for a federal contract to provide Durable Medical Equipment Medicare Administrative Contractor services. The templates require proposing costs by labor categories, subcontractors, other direct costs, and travel for Option Year 4 under Solicitation Number 75FCMC19R0041. Costs are to be provided at the CLIN level using the detailed templates for direct labor, fringe benefits, subcontractors, other direct costs, indirect costs, fee, and total costs. Travel costs must be broken out using the template specifying purpose, origin, destination, number of travelers, trips, days, lodging rates, per diem, airfare, car rental, mileage and total costs. The contractor will provide specified Medicare claims processing and payment services in Jurisdiction C, which covers Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico, and the U.S. Virgin Islands. The services support the Centers for Medicare and Medicaid Services and Medicare Fee-For-Service program.