Appendix F Pricing Worksheet.docx

This is a pricing worksheet appendix for a Request for Proposals issued by the Colorado Department of Health Care Policy and Financing for the administration of Long Term Care Programs serving the Colorado Home and Community Based Services population in Chaffee and Lake Counties. The solicitation number is RFP UHAA 2015000076. The worksheet requests pricing information for three primary service categories: Screening and Referral, Eligibility Determination, and Case Management. Offerors are required to submit pricing on a per-client-per-month basis for each service category.

The pricing worksheet establishes a straightforward cost structure requiring offerors to provide unit pricing for each service line item. The document does not specify minimum or maximum pricing parameters, funding sources, or set-aside requirements. Offerors must complete the worksheet by entering their proposed monthly costs per client for the three identified service components, providing the financial terms that will support their bid evaluation and eventual contract administration if selected.