Amended Attachment B - Cost Response Instructions and Workbook.xlsx
XLSX spreadsheet 57 KB Posted
- Solicitation number
- BD-26-1039-EHS01-ASHWA-128591
- Issued by
- Suffolk County, Boston City, Massachusetts
About this file
This is a Cost Response Instructions and Workbook document for a state and local contract opportunity administered by the Massachusetts Executive Office of Health and Human Services (EOHHS). The workbook provides a standardized template for bidders to submit their cost proposals across multiple functional areas including Provider Enrollment and Revalidation, Provider Data Management, Provider Training and Onboarding, Provider Contact Center operations, Claims Processing, Document Management and Fulfillment, NETA Provider Directory, Provider MIS, Business Operations, and Software/Portal costs. The contract includes a startup/implementation period from October 1, 2026 through June 30, 2027, followed by five contract years beginning July 1, 2027 through June 30, 2032, with two optional extension years available at the option of EOHHS through June 30, 2034.
Bidders are required to submit costs organized into four categories: Direct Costs for FTEs with direct client contact, Indirect Costs for support staff, Administrative Costs, and Software/Portal costs, with the restriction that Administrative Costs plus an Earnings Factor shall not exceed 12.5% of total paid costs. The workbook utilizes a standardized FTE calculation methodology where one FTE equals 2,080 hours per year, expressed to two decimal places, with instructions to avoid double-counting staff across functional areas. Bidders must complete the Cost Proposal Execution page with authorized signatures and contact information and provide detailed narrative explanations and assumptions supporting their cost proposals for each contract period. All costs should include associated salary, fringe benefits, and overhead allocations for applicable FTEs and resources.
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Summary of Total Cost Attachment B - Cost Response Instructions and workbook
| Cost Proposal Execution page | |
| Bidder Name: | |
| Name & Title of the person signing on behalf of the bidder: | |
| Email: | |
| Phone Number: | |
| Mailing Address: | |
| City, State, Zip: | |
| Bidder's Authorized Signature | Date: |
| Summary of Total Cost | |
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) |
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) |
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. |
| Cells in gray require no data entry | Do not double-count the time for an individual across functional areas. |
| Summary of Total Cost | Total Start up/Implementtaion Cost | Total Cost Year 1 | Total Cost Year 2 | Total Cost Year 3 | Total Cost Year 4 | Total Cost Year 5 | Total Cost Extension Year 1 | Total Cost Extension Year 2 |
| $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Table of Content |
| Narratives and Assumptions |
| Implementation Cost |
| Contract Year 1 |
| Contract Year 2 |
| Contract Year 3 |
| Contract Year 4 |
| Contract Year 5 |
| Extension Year 1 (Optional) |
| Extension Year 2(Optional) |
&F &A
&P of &N
Narrative and Assumptions Attachment B - Cost Response Instructions and workbook
| Cost Narrative |
| Cost is distributed in 4 categories, |
1. Direct Cost - FTEs directly involved with the end customer to complete the business functions
2. Indirect Cost - Support FTEs (either supporting Direct FTE or Systematic Support) to complete the business functions
3. Administrative Cost - Cost of managerial resources
4. Software / Portal cost - Cost of software
Direct Costs and Indirect Costs for resources that fall into each category include those resources' associated salary, fringe, and overhead. For additional clarification, Administrative Costs plus Earnings Factor shall not exceed 12.5% of the total paid, as calculated within each Table.
| Assumptions |
| Direct Costs and Indirect Costs for resources that fall into each category include those resources' associated salary, fringe, and overhead. |
For additional clarification, Administrative Costs plus Earnings Factor shall not exceed 12.5% of the total paid,
| as calculated within each Table. | Assumption | |
| Provider Enrollment and Revalidation | ||
| Provider Data Management | ||
| Provider Training and Onboarding | ||
| Provider Contact Center (Chat, Email, Outreach) | ||
| Claims (Paper Claims and 90 day waiver) | ||
| Document Management, Fulfillment, and Mailing | ||
| NETA | ||
| Provider Directory | ||
| Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | ||
| Software / Portal | ||
| MassHealth Choices (optional) |
&F
&P of &N
Implementation Cost Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) |
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) |
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. |
| Cells in gray require no data entry | |
| Do not double-count the time for an individual across functional areas. |
| Cost Proposal for Startup Costs (10/1/2026 - 6/30/2027) | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims and 90 day waiver) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| Enter startup costs for technology and software in support of each functional area, where applicable. | ||||||||||||
| NOTE: For startup costs, report them only on the row above. Do not report them in the Cost Proposal for Contract Year 1. | ||||||||||||
| STARTUP | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
&F &A
&P of &N
Contract Year 1 Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) | |||||||||||
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) | |||||||||||
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. | |||||||||||
| Cells in gray require no data entry | ||||||||||||
| Do not double-count the time for an individual across functional areas. | ||||||||||||
| Cost Proposal for Contract Year 1 (After Contract Operational Start Date (7/1/2027 - 6/30/2028)) | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims, 90 day waiver, EDI) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| DIRECT COSTS | ||||||||||||
| Enter on line 1 below the number of FTEs that will have direct contact with clients (e.g., providers, Medicaid enrollees). | ||||||||||||
| Line 1 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 2 below the total labor and fringe benefit costs for the FTEs reported on Line 1. | ||||||||||||
| Line 2 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| INDIRECT COSTS | ||||||||||||
| Enter on line 3 below the number of FTEs that serve in a support role in the functional area, including supervisors. FTEs on Line 3 should exclude the FTEs on Line 1. | ||||||||||||
| Line 3 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 4 below the total labor and fringe benefit costs for the FTEs reported on Line 3. | ||||||||||||
| Line 4 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Enter on line 5 below the ongoing costs for technology and software in support of functional area in the year. | ||||||||||||
| Line 5 | $0 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Enter on line 6 below the costs for other items specific to a functional area not listed in Items 2, 4, or 5. | ||||||||||||
| Line 6 | $0 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
Line 7: Total Costs by Functional Area Before Administrative Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
| Enter on line 8 below the costs for Salary and Fringe Benefits of the Contract Engagement Manager. | ||
| Line 8 | $ - | The Contract Engagement Manager is classified as an Indirect Cost that is spread across all functional areas. |
| Line 9: Total Direct and Indirect Costs | $ - |
| ADMINISTRATIVE COSTS | |
| Enter on line 10 below the costs for Salary and Fringe Benefits of all other staff not reported on Lines 2, 4, or 8. | |
| Line 10 | $ - |
| Enter on line 11 below the costs for all other administrative costs not reported on Lines 2, 4, 5, 6, 8 or 10. | |
| Line 11 | $ - |
| Line 12: Total Admin Costs | $ - | |
| TOTAL COSTS | ||
| Total Cost Proposal, Year 1 | $ - | Items 9 + 12 |
| Admin Costs as % of Total | Line 12 as a percent of Total Costs |
&F &A
&P of &N
Contract Year 2 Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) | |||||||||||
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) | |||||||||||
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. | |||||||||||
| Cells in gray require no data entry | ||||||||||||
| Do not double-count the time for an individual across functional areas. | ||||||||||||
| Cost Proposal for Contract Year 2 (7/1/2028 - 6/30/2029) | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims, 90 day waiver, EDI) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| DIRECT COSTS | ||||||||||||
| Enter on line 1 below the number of FTEs that will have direct contact with clients (e.g., providers, Medicaid enrollees). | ||||||||||||
| Line 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 2 below the total labor and fringe benefit costs for the FTEs reported on Line 1. | ||||||||||||
| Line 2 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| INDIRECT COSTS | ||||||||||||
| Enter on line 3 below the number of FTEs that serve in a support role in the functional area, including supervisors. FTEs on Line 3 should exclude the FTEs on Line 1. | ||||||||||||
| Line 3 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 4 below the total labor and fringe benefit costs for the FTEs reported on Line 3. | ||||||||||||
| Line 4 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Enter on line 5 below the ongoing costs for technology and software in support of functional area in the year. | ||||||||||||
| Line 5 | $0 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Enter on line 6 below the costs for other items specific to a functional area not listed in Items 2, 4, or 5. | ||||||||||||
| Line 6 | $0 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
Line 7: Total Costs by Functional Area Before Administrative Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
| Enter on line 8 below the costs for Salary and Fringe Benefits of the Contract Engagement Manager. | ||
| Line 8 | $ - | The Contract Engagement Manager is classified as an Indirect Cost that is spread across all functional areas. |
| Line 9: Total Direct and Indirect Costs | $ - |
| ADMINISTRATIVE COSTS | |
| Enter on line 10 below the costs for Salary and Fringe Benefits of all other staff not reported on Lines 2, 4, or 8. | |
| Line 10 | $ - |
| Enter on line 11 below the costs for all other administrative costs not reported on Lines 2, 4, 5, 6, 8 or 10. | |
| Line 11 | $ - |
| Line 12: Total Admin Costs | $ - | |
| TOTAL COSTS | ||
| Total Cost Proposal, Year 2 | $ - | Items 9 + 12 |
| Admin Costs as % of Total | Line 12 as a percent of Total Costs |
&F &A
&P of &N
Contract Year 3 Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) | |||||||||||
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) | |||||||||||
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. | |||||||||||
| Cells in gray require no data entry | ||||||||||||
| Do not double-count the time for an individual across functional areas. | ||||||||||||
| Cost Proposal for Contract Year 3 (7/1/2029 - 6/30/2030) | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims, 90 day waiver, EDI) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| DIRECT COSTS | ||||||||||||
| Enter on line 1 below the number of FTEs that will have direct contact with clients (e.g., providers, Medicaid enrollees). | ||||||||||||
| Line 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 2 below the total labor and fringe benefit costs for the FTEs reported on Line 1. | ||||||||||||
| Line 2 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| INDIRECT COSTS | ||||||||||||
| Enter on line 3 below the number of FTEs that serve in a support role in the functional area, including supervisors. FTEs on Line 3 should exclude the FTEs on Line 1. | ||||||||||||
| Line 3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 4 below the total labor and fringe benefit costs for the FTEs reported on Line 3. | ||||||||||||
| Line 4 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Enter on line 5 below the ongoing costs for technology and software in support of functional area in the year. | ||||||||||||
| Line 5 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Enter on line 6 below the costs for other items specific to a functional area not listed in Items 2, 4, or 5. | ||||||||||||
| Line 6 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
Line 7: Total Costs by Functional Area Before Administrative Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
| Enter on line 8 below the costs for Salary and Fringe Benefits of the Contract Engagement Manager. | ||
| Line 8 | $ - | The Contract Engagement Manager is classified as an Indirect Cost that is spread across all functional areas. |
| Line 9: Total Direct and Indirect Costs | $ - |
| ADMINISTRATIVE COSTS | |
| Enter on line 10 below the costs for Salary and Fringe Benefits of all other staff not reported on Lines 2, 4, or 8. | |
| Line 10 | $ - |
| Enter on line 11 below the costs for all other administrative costs not reported on Lines 2, 4, 5, 6, 8 or 10. | |
| Line 11 | $ - |
| Line 12: Total Admin Costs | $ - | |
| TOTAL COSTS | ||
| Total Cost Proposal, Year 3 | $ - | Items 9 + 12 |
| Admin Costs as % of Total | Line 12 as a percent of Total Costs |
&F &A
&P of &N
Contract Year 4 Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) | |||||||||||
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) | |||||||||||
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. | |||||||||||
| Cells in gray require no data entry | Do not double-count the time for an individual across functional areas. | |||||||||||
| Cost Proposal for Contract Year 4 (7/1/2030- 6/30/2031) | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims, 90 day waiver, EDI) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| DIRECT COSTS | ||||||||||||
| Enter on line 1 below the number of FTEs that will have direct contact with clients (e.g., providers, Medicaid enrollees). | ||||||||||||
| Line 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 2 below the total labor and fringe benefit costs for the FTEs reported on Line 1. | ||||||||||||
| Line 2 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| INDIRECT COSTS | ||||||||||||
| Enter on line 3 below the number of FTEs that serve in a support role in the functional area, including supervisors. FTEs on Line 3 should exclude the FTEs on Line 1. | ||||||||||||
| Line 3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 4 below the total labor and fringe benefit costs for the FTEs reported on Line 3. | ||||||||||||
| Line 4 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Enter on line 5 below the ongoing costs for technology and software in support of functional area in the year. | ||||||||||||
| Line 5 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Enter on line 6 below the costs for other items specific to a functional area not listed in Items 2, 4, or 5. | ||||||||||||
| Line 6 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
Line 7: Total Costs by Functional Area Before Administrative Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
| Enter on line 8 below the costs for Salary and Fringe Benefits of the Contract Engagement Manager. | ||
| Line 8 | $ - | The Contract Engagement Manager is classified as an Indirect Cost that is spread across all functional areas. |
| Line 9: Total Direct and Indirect Costs | $ - |
| ADMINISTRATIVE COSTS | |
| Enter on line 10 below the costs for Salary and Fringe Benefits of all other staff not reported on Lines 2, 4, or 8. | |
| Line 10 | $ - |
| Enter on line 11 below the costs for all other administrative costs not reported on Lines 2, 4, 5, 6, 8 or 10. | |
| Line 11 | $ - |
| Line 12: Total Admin Costs | $ - | |
| TOTAL COSTS | ||
| Total Cost Proposal, Year 4 | $ - | Items 9 + 12 |
| Admin Costs as % of Total | Line 12 as a percent of Total Costs |
&F &A
&P of &N
Contract Year 5 Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) | |||||||||||
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) | |||||||||||
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. | |||||||||||
| Cells in gray require no data entry | ||||||||||||
| Do not double-count the time for an individual across functional areas. | ||||||||||||
| Cost Proposal for Contract Year 5 (7/1/2031- 6/30/2032) | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims, 90 day waiver, EDI) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| DIRECT COSTS | ||||||||||||
| Enter on line 1 below the number of FTEs that will have direct contact with clients (e.g., providers, Medicaid enrollees). | ||||||||||||
| Line 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 2 below the total labor and fringe benefit costs for the FTEs reported on Line 1. | ||||||||||||
| Line 2 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| INDIRECT COSTS | ||||||||||||
| Enter on line 3 below the number of FTEs that serve in a support role in the functional area, including supervisors. FTEs on Line 3 should exclude the FTEs on Line 1. | ||||||||||||
| Line 3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 4 below the total labor and fringe benefit costs for the FTEs reported on Line 3. | ||||||||||||
| Line 4 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Enter on line 5 below the ongoing costs for technology and software in support of functional area in the year. | ||||||||||||
| Line 5 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Enter on line 6 below the costs for other items specific to a functional area not listed in Items 2, 4, or 5. | ||||||||||||
| Line 6 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
Line 7: Total Costs by Functional Area Before Administrative Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
| Enter on line 8 below the costs for Salary and Fringe Benefits of the Contract Engagement Manager. | ||
| Line 8 | $ - | The Contract Engagement Manager is classified as an Indirect Cost that is spread across all functional areas. |
| Line 9: Total Direct and Indirect Costs | $ - |
| ADMINISTRATIVE COSTS | |
| Enter on line 10 below the costs for Salary and Fringe Benefits of all other staff not reported on Lines 2, 4, or 8. | |
| Line 10 | $ - |
| Enter on line 11 below the costs for all other administrative costs not reported on Lines 2, 4, 5, 6, 8 or 10. | |
| Line 11 | $ - |
| Line 12: Total Admin Costs | $ - | |
| TOTAL COSTS | ||
| Total Cost Proposal, Year 5 | $ - | Items 9 + 12 |
| Admin Costs as % of Total | Line 12 as a percent of Total Costs |
&F &A
&P of &N
Extension Year 1 (Optional) Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) | |||||||||||
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) | |||||||||||
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. | |||||||||||
| Cells in gray require no data entry | ||||||||||||
| Do not double-count the time for an individual across functional areas. | ||||||||||||
| Cost Proposal for Contract Year 6 (at Option of EOHHS ((7/1/2032- 6/30/2033)) - Optional | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims, 90 day waiver, EDI) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| DIRECT COSTS | ||||||||||||
| Enter on line 1 below the number of FTEs that will have direct contact with clients (e.g., providers, Medicaid enrollees). | ||||||||||||
| Line 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 2 below the total labor and fringe benefit costs for the FTEs reported on Line 1. | ||||||||||||
| Line 2 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| INDIRECT COSTS | ||||||||||||
| Enter on line 3 below the number of FTEs that serve in a support role in the functional area, including supervisors. FTEs on Line 3 should exclude the FTEs on Line 1. | ||||||||||||
| Line 3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 4 below the total labor and fringe benefit costs for the FTEs reported on Line 3. | ||||||||||||
| Line 4 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Enter on line 5 below the ongoing costs for technology and software in support of functional area in the year. | ||||||||||||
| Line 5 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Enter on line 6 below the costs for other items specific to a functional area not listed in Items 2, 4, or 5. | ||||||||||||
| Line 6 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
Line 7: Total Costs by Functional Area Before Administrative Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
| Enter on line 8 below the costs for Salary and Fringe Benefits of the Contract Engagement Manager. | ||
| Line 8 | $ - | The Contract Engagement Manager is classified as an Indirect Cost that is spread across all functional areas. |
| Line 9: Total Direct and Indirect Costs | $ - |
| ADMINISTRATIVE COSTS | |
| Enter on line 10 below the costs for Salary and Fringe Benefits of all other staff not reported on Lines 2, 4, or 8. | |
| Line 10 | $ - |
| Enter on line 11 below the costs for all other administrative costs not reported on Lines 2, 4, 5, 6, 8 or 10. | |
| Line 11 | $ - |
| Line 12: Total Admin Costs | $ - | |
| TOTAL COSTS | ||
| Total Cost Proposal, Year 6 | $ - | Items 9 + 12 |
| Admin Costs as % of Total | Line 12 as a percent of Total Costs |
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Extension Year 2 (Optional) Attachment B - Cost Response Instructions and workbook
| Cost Proposal Template | Definition for Displaying Full Time Equivalents (FTEs) | |||||||||||
| Respondents enter values in the green cells | FTE = 2,080 hours per year; express FTEs out two decimal points (e.g., 2.88 FTEs = 5,990 hours/year) | |||||||||||
| Calculations are shown in the blue cells | When displaying FTEs, this should indicate the number of FTEs dedicated to the functional area. If staff cross functional areas, prorate their FTE time accordingly. | |||||||||||
| Cells in gray require no data entry | ||||||||||||
| Do not double-count the time for an individual across functional areas. | ||||||||||||
| Cost Proposal for Contract Year 7 (at Option of EOHHS (7/1/2033- 6/30/2034))-- Optional | TOTAL | Provider Enrollment and Revalidation | Provider Data Management | Provider Training and Onboarding | Provider Contact Center (Chat, Email, Outreach) | Claims (Paper Claims, 90 day waiver, EDI) | Document Management, Fulfillment, and Mailing | NETA | Provider Directory | Provider Mis Business Ops (EDI, Audit, Provider Material, PRC) | Software / Portal | MassHealth Choices (Optional) |
| DIRECT COSTS | ||||||||||||
| Enter on line 1 below the number of FTEs that will have direct contact with clients (e.g., providers, Medicaid enrollees). | ||||||||||||
| Line 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 2 below the total labor and fringe benefit costs for the FTEs reported on Line 1. | ||||||||||||
| Line 2 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| INDIRECT COSTS | ||||||||||||
| Enter on line 3 below the number of FTEs that serve in a support role in the functional area, including supervisors. FTEs on Line 3 should exclude the FTEs on Line 1. | ||||||||||||
| Line 3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Enter on line 4 below the total labor and fringe benefit costs for the FTEs reported on Line 3. | ||||||||||||
| Line 4 | 0.00 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Enter on line 5 below the ongoing costs for technology and software in support of functional area in the year. | ||||||||||||
| Line 5 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
| Enter on line 6 below the costs for other items specific to a functional area not listed in Items 2, 4, or 5. | ||||||||||||
| Line 6 | 0.00 | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - |
Line 7: Total Costs by Functional Area Before Administrative Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
| Enter on line 8 below the costs for Salary and Fringe Benefits of the Contract Engagement Manager. | ||
| Line 8 | $ - | The Contract Engagement Manager is classified as an Indirect Cost that is spread across all functional areas. |
| Line 9: Total Direct and Indirect Costs | $ - |
| ADMINISTRATIVE COSTS | |
| Enter on line 10 below the costs for Salary and Fringe Benefits of all other staff not reported on Lines 2, 4, or 8. | |
| Line 10 | $ - |
| Enter on line 11 below the costs for all other administrative costs not reported on Lines 2, 4, 5, 6, 8 or 10. | |
| Line 11 | $ - |
| Line 12: Total Admin Costs | $ - | |
| TOTAL COSTS | ||
| Total Cost Proposal, Year 7 | $ - | Items 9 + 12 |
| Admin Costs as % of Total | Line 12 as a percent of Total Costs |
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File details come from the government source that posted it. Updated .