Att D - Cost Proposal.xlsx

This is a Cost Proposal template for the State of Indiana RFP 26-87449 regarding a Teleconsult Telehealth Landscape Assessment. The project is structured around four sequential payment phases totaling 100 percent of the contract value. Payment 1 (Planning) represents 10 percent of total cost and includes deliverables for a Project Management Plan and Assessment Methodology and Instruments. Payment 2 (Data Gathering and Analysis Part 1) accounts for 35 percent of costs and encompasses a Specialty Care Provider and Program Assessment along with a National Models and Evidence Scan. Payment 3 (Data Gathering and Analysis Part 2) comprises 35 percent of total cost and requires a Stakeholder Engagement Summary, Billing, Coverage, and Reimbursement Assessment Summary, and a Gap Analysis and Needs Identification Report. Payment 4 (Final Report) represents the remaining 20 percent and culminates in an Indiana Statewide Telehealth and Teleconsultation Plan with an Executive Presentation.

Respondents are required to submit only two pieces of information on the cost proposal template: the organization name and the total proposed cost amount. All remaining cost calculations and payment distributions automatically populate based on the percentages assigned to each phase. The template is designed to standardize cost submissions across all bidders and establish a clear payment schedule tied to specific deliverables. The total bid amount entered on this attachment must also be reported in Attachments A and C of the proposal response.