Att D Cost Proposal-rtp.xlsx

XLSX spreadsheet 40 KB Posted

Attached to
RFP DOC Correctional Health ServicesBid Documents State and local contract opportunity
Solicitation number
27-87787
Issued by
Hendricks County, Indiana

About this file

This is a cost proposal template for the State of Indiana Department of Corrections Health Care Services contract (GovTribe ID: 7dc794662866e32e81d1f1b148e761d1). The contract encompasses comprehensive correctional health care services for an inmate population of 28,000 across a three-year initial contract term, with optional renewal periods consisting of two additional two-year extensions. Respondents must provide detailed line-item cost breakdowns across all three initial years and optional renewal years, clearly delineating expenses for each specified service category including corporate office support, clinical staffing, professional fees, off-site services, diagnostic imaging, supplies, insurance, and specialized services such as mental health, dental, and addiction recovery programs. All pricing must remain firm throughout the initial three-year contract term with no adjustments permitted for inflation or cost-of-living increases, requiring vendors to incorporate anticipated increases into their per diem capitation rates.

The cost proposal requires respondents to calculate costs on a per diem (per-day) capitation rate basis inclusive of all medical services, equipment, supplies, and administrative expenses specified in the RFP. Vendors must populate all yellow-shaded cells in the bid list tabs without altering formatting or adding conditional language, as non-compliance may result in disqualification. The template includes separate itemization sheets for equipment costs and miscellaneous costs, with specific line items such as catastrophic stoploss insurance, malpractice insurance, computer seat charges, hepatitis C treatment escrow, electronic health records systems, telehealth infrastructure, and performance and bid bond costs. Respondents are prohibited from making their costs conditional or contingent on factors outside RFP specifications.

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Instructions

State of Indiana, 27-87787; Correctional Health Care
Attachment D - Cost ProposalRespondent Name:
INSTRUCTIONS
1. Please populate ALL cells shaded in YELLOW within the Bid List tabs. Please do NOT alter the formatting of the cells or add caveats to your pricing or to the cells -- as this may potentially put your cost score at risk of disqualification. Please do not alter or enter any information on this tab.
3. All pricing must include a detailed breakdown of costs. Please provide as much detail as possible.
NOTES
The Cost proposed by the Respondent in this RFP and implemented by the Respondent for the contract resulting from this RFP shall be inclusive of the cost for all services, staffing, equipment, supplies, and administrative costs as specified in this RFP. Those Costs shall be set out in a line item format in the Line Item Pricing tab of this Cost Proposal, clearly indicating the cost for each specified services for each year of a three year initial contract term. The Resultant rate shall be the per diem (per day) capitation rate inclusive of all medical services as specificed in the RFP. The per diem capitation rate proposed by the vendor for each year shall not be subject to adjustment during the original contract term in order to account for increases in the cost of living and inflation; accordingly, the Respondent must build in any increase for inflation or cost of living increase it anticipates into its per diem capitation rate set forth for each year in its cost proposal.

The Respondent should list the total for all Miscellaneous Costs and Equipment Costs in the Line Item pricing tab, but should list these costs by item in the respective tabbed sections Miscellaneous Costs and Equipment Costs set forth herein.

Respondents shall not make its costs conditional or contingent on any factor outside of the specifications set forth in this RFP. Doing so will place the proposal outside of the specifications and subject it to disqualification.

3 yr contract line item pricing

COST PROPOSAL

LINE ITEM PRICING (1st Year)LINE ITEM PRICING (2nd Year)LINE ITEM PRICING (3rd Year)
Based on a population of 28,000Based on a population of 28,000Based on a population of 28,000
DescriptionCostDescriptionCostDescriptionCost
Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management)Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management)Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management)
Salaries (nursing, clerical, CNA, QNA)Salaries (nursing, clerical, CNA, QNA)Salaries (nursing, clerical, CNA, QNA)
Professional fees ( physician, midlevel providers)Professional fees ( physician, midlevel providers)Professional fees ( physician, midlevel providers)
ProfitProfitProfit
Offsite services including ER, off-site consults, ambulance and professional feesOffsite services including ER, off-site consults, ambulance and professional feesOffsite services including ER, off-site consults, ambulance and professional fees
Audit FeesAudit FeesAudit Fees
Subcontractor feesSubcontractor feesSubcontractor fees
Inpatient hospitalizationInpatient hospitalizationInpatient hospitalization
Laboratory servicesLaboratory servicesLaboratory services
X-ray services MRI , EKG, Ultrasound, CT ScanX-ray services MRI , EKG, Ultrasound, CT ScanX-ray services MRI , EKG, Ultrasound, CT Scan
Office supplies and medical recordsOffice supplies and medical recordsOffice supplies and medical records
Medical suppliesMedical suppliesMedical supplies
Dental suppliesDental suppliesDental supplies
Waste management/biohazard disposalWaste management/biohazard disposalWaste management/biohazard disposal
Accreditation fees (includes ACA fees reimbursement to IDOC)Accreditation fees (includes ACA fees reimbursement to IDOC)Accreditation fees (includes ACA fees reiimbursement to IDOC)
Orientation and training of staffOrientation and training of staffOrientation and training of staff
Recruitment costsRecruitment costsRecruitment costs
Equipment (please list items on separate sheet)Equipment (please list items on separate sheet)Equipment (please list items on separate sheet)
AED devicesAED devicesAED devices
Catastrophic Stoploss InsuranceCatastrophic Stoploss InsuranceCatastrophic Stoploss Insurance
Malpractice insuranceMalpractice insuranceMalpractice insurance
Reimbursement for computer use (seat charges & related IT expenses)Reimbursement for computer use (seat charges & related IT expenses)Reimbursement for computer use (seat charges & related IT expenses)
Dental servicesDental servicesDental services
Mental Health servicesMental Health servicesMental Health services
Addiction Recovery/Substance Abuse servicesAddiction Recovery/Substance Abuse servicesAdditiction Recovery/Substance Abuse services
Reimbursement for Contract MonitoringReimbursement for Contract MonitoringReimbursement for Contract Monitoring
Hepatitis C Treatment/EscrowHepatitis C Treatment/EscrowHepatitis C Treatment/Escrow
Consultation for SANE NursesConsultation for SANE NursesConsultation for SANE Nurses
Re-entry Services/Parole LiaisonsRe-entry Services/Parole LiaisonsRe-entry Services/Parole Liaisons
Electronic Health RecordElectronic Health RecordElectronic Health Record
Employee Health ServicesEmployee Health ServicesEmployee Health Services
Regional Office Staff and RentalRegional Office Staff and RentalRegional Office Staff and Rental
Telehealth CostTelehealth CostTelehealth Cost
Staffing Special Medical UnitsStaffing Special Medical UnitsStaffing Special Medical Units
Bid Bond CostsBid Bond CostsBid Bond Costs
Performance Bond CostsPerformance Bond CostsPerformance Bond Costs
ContingencyContingencyContingency
Equipment Itemization (please define on separate sheet)$0.00Equipment Itemization (please define on separate sheet)$0.00Equipment Itemization (please define on separate sheet)$0.00
Miscellaneous (please define on separate sheet)$0.00Miscellaneous (please define on separate sheet)$0.00Miscellaneous (please define on separate sheet)$0.00
Total Cost for 1st year of contract:$0.00Total Cost for 2nd year of contract:$0.00Total Cost for 3rd year of contract:$0.00
Cost Per Inmate Per Day (1st Year)$0.00Cost Per Inmate Per Day (2nd Year)$0.00Cost Per Inmate Per Day (3rd Year)$0.00

Total Cost for Initial Contract Term $0.00 (Use as Total Bid Amount for Attachments A-IVOSB)

&Z&F

Optional 2+2 year pricing Optional Years Line Pricing

First Optional 1st YearFirst Optional 2nd YearSecond Optional 1st YearSecond Optional 2nd Year
Based on a population of 28,000Based on a population of 28,000Based on a population of 28,000Based on a population of 28,000
DescriptionCostCostDescriptionCostCost
Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management)Corporate Office Support (payroll, finance, IT, claims processing, legal, human resources, executive management)
Salaries (nursing, clerical, CNA, QNA)Salaries (nursing, clerical, CNA, QNA)
Professional fees ( physician, midlevel providers)Professional fees ( physician, midlevel providers)
ProfitProfit
Offsite services including ER, off-site consults, ambulance and professional feesOffsite services including ER, off-site consults, ambulance and professional fees
Audit FeesAudit Fees
Subcontractor feesSubcontractor fees
Inpatient hospitalizationInpatient hospitalization
Laboratory servicesLaboratory services
X-ray services MRI , EKG, Ultrasound, CT ScanX-ray services MRI , EKG, Ultrasound, CT Scan
Office supplies and medical recordsOffice supplies and medical records
Medical suppliesMedical supplies
Dental suppliesDental supplies
Waste management/biohazard disposalWaste management/biohazard disposal
Accreditation fees (includes ACA fees reimbursement to IDOC)Accreditation fees (includes ACA fees reimbursement to IDOC)
Orientation and training of staffOrientation and training of staff
Recruitment costsRecruitment costs
Equipment (please list items on separate sheet)Equipment (please list items on separate sheet)
AED devicesAED devices
Catastrophic Stoploss InsuranceCatastrophic Stoploss Insurance
Malpractice insuranceMalpractice insurance
Reimbursement for computer use (seat charges & related IT expenses)Reimbursement for computer use (seat charges & related IT expenses)
Dental servicesDental services
Mental Health servicesMental Health services
Addiction Recovery/Substance Abuse servicesAddiction Recovery/Substance Abuse services
Reimbursement for Contract MonitoringReimbursement for Contract Monitoring
Hepatitis C Treatment/EscrowHepatitis C Treatment/Escrow
Consultation for SANE NursesConsultation for SANE Nurses
Re-entry Services/Parole LiaisonsRe-entry Services/Parole Liaisons
Electronic Health RecordElectronic Health Record
Employee Health ServicesEmployee Health Services
Regional Office Staff and RentalRegional Office Staff and Rental
Telehealth CostTelehealth Cost
Staffing Special Medical UnitsStaffing Special Medical Units
Bid Bond CostsBid Bond Costs
Performance Bond CostsPerformance Bond Costs
ContingencyContingency
Equipment Itemization (please define on separate sheet)$ - 0Equipment Itemization (please define on separate sheet)$ - 0
Miscellaneous (please define on separate sheet)$ - 0Miscellaneous (please define on separate sheet)$ - 0
Total Cost for Optional Year$ - 0$ - 0Total Cost for Optional Years$ - 0$ - 0
Cost Per Inmate Per Day (1st Year)$ - 0Cost Per Inmate Per Day (Optional Years)$ - 0

Total Cost for first set of optional years $ - 0 (Use as Total Bid Amount for Attachments A-IVOSB) Total Cost for second set of optional years $ - 0 (Use as Total Bid Amount for Attachments A-IVOSB)

Miscellaneous Itemization Miscellaneous Itemization

Miscellaneous (1st Year)Miscellaneous (2nd Year)Miscellaneous (3rd Year)Miscellaneous -First Optional Year 1 & Year 2Miscellaneous -Second Optional Year 1 & Year 2
DescriptionCostDescriptionCostDescriptionCostDescriptionCostDescriptionCost

Total Cost $0.00 Total Cost $0.00 Total Cost $0.00 Total Cost $0.00 Total Cost $0.00

Equipment Itemization Equipment Itemization

Equipment Itemization (1st Year)Equipment Itemization (2nd Year)Equipment Itemization (3rd Year)Equipment Itemization Optional First & Second YearEquipment Itenization Optional Second First & Second Year
DescriptionCostDescriptionCostDescriptionCostDescriptionCostDescriptionCost

Total Cost Total Cost $0.00 Total Cost $0.00 Total Cost $0.00 Total Cost $0.00

File details come from the government source that posted it. Updated .