Attachment 03 - Submittal Form H - Cost Proposal.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
RFP 2027-1600-0043 - Substance Abuse and Mental Health Services Administration (SAMHSA) Unified Performance Reporting Tool (SUPRT)
Solicitation number
1627-003
Issued by
Alaska

About this file

This is a Cost Proposal Submittal Form for RFP 2027-1600-0043 issued by the Alaska Department of Health (DOH) for a SUPRT (Substance Use Problem Recognition Tool) data collection and management system. The project involves developing and maintaining a HIPAA-compliant online platform for DBH subrecipient agency grantees to submit client-level SUPRT data, with subsequent batch upload to the SPARS interface. The contract spans five years with seven deliverables: one-time security assessment and Authority to Operate (ATO) completion, hosting of the HIPAA-compliant solution, data management and formatting, ongoing platform maintenance and licensing, report development for batch upload feedback, compliance reporting and quality review, and technical assistance and provider support including a resource website and training materials. Offerors must account for all costs including personnel (salaries, wages, and fringe benefits), direct and indirect costs, materials, supplies, equipment, and administrative overhead within their pricing for each deliverable and contract year.

The maximum total evaluated cost across all five performance years cannot exceed $1,250,000.00, with any proposal exceeding this threshold deemed non-responsive. Offerors must submit all proposed costs in designated yellow-highlighted cells on the worksheet, which automatically calculates the five-year total. Costs should be allocated based on the provided Timeline and Activities table, which specifies when each deliverable occurs (Months 1-2, Month 3 and ongoing). The contract assumes 12-month performance years, though the initial and final terms may be prorated to align with a desired performance period end date if required by the state.

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Sheet1

ATTACHMENT #3
SUBMITTAL FORM H - COST PROPOSAL
RFP 2027-1600-0043
INSTRUCTIONS FOR COMPLETING THE COST PROPOSAL WORKSHEET
Offerors must enter all proposed costs in the yellow-highlighted cells within the Cost Proposal below. Costs should be provided for each deliverable (RFP SEC. 3.04 Specific Deliverables to be Provided by the Contractor to the State) and for each Contract Year, as applicable. The worksheet will automatically sum all five performance years in the Total Evaluated Cost column. Offerors should assume 12 months for each contract year. Depending on start date of the contract, the initial term and final term could be prorated to align with any desired performance period end date if alignment to a specific end date is required. Costs proposed per deliverable must be all-inclusive. Offerors shall account for all anticipated expenses and assumptions necessary to complete each deliverable, including personnel costs (salaries, wages, and fringe benefits), direct and indirect costs, materials and supplies, equipment, and any administrative and other overhead expenses.

The following Table 1. Timelines and Activities, is provided to clarify when each associated deliverable of RFP SEC. 3.04 is expected to occur. The “Associated Deliverables” columns identifies which deliverable numbers correspond to specific activities and time periods (e.g., Months 1–2, and Month 3 and Ongoing Timeline and Activites). These deliverable numbers directly cross-reference the deliverables listed in the Cost Proposal which are from RFP SEC. 3.04:

For example, activities marked with “3” in the Timeline table correspond to DEL.#3 – Data Management in the Cost Proposal. If multiple deliverable numbers are listed (e.g., “3, 4, 7”), those activities relate to multiple cost categories and should be reflected accordingly in the pricing. Total evaluated costs in excess of $1,250,000.00 referenced in RFP SEC. 1.02 - Budget - will be considered non-responsive.

Offerors should use the Timelines table as a guide to:

• Understand when work will occur, and

• Allocate costs appropriately across contract years for each deliverable.

TABLE 1. TIMELINES AND ACTIVITIES
Associated Deliverable(s)MONTHS 1 AND 2Associated Deliverable(s)MONTH 3 AND ONGOING TIMELINE AND ACTIVITIES
1,2Contractor has 45 days from receipt of the email requesting the start of the Security Assessment and the submission of all of the initial paperwork requested by the Department Security Office.4Ongoing maintenance and updates for the portal project site and batch upload

code, based on DOH/Provider’s needs.

3Customization and testing of data collection portal and SPARS batch upload solution, as per SPARS-SUPTR and DOH requirements.5Maintains portal functionality supporting management of SUPRT survey deletion and return codes associated with client records that fail during the batch upload process.
3Production launch of customized data collection portal.5Conducts weekly batch upload and error correction or identification.
3Production launch of batch upload interface for DOH SPARS submission.6Email updates/communications to grantees regarding SUPTR submission progress and upcoming six-month follow-ups.
3,4,7Data management (includes developing site-specific operational reporting pages and implementing survey modifications only when formally required by SAMHSA revisions to the SUPRT instrument).7Provides technical assistance, as needed.
5Batch upload notification and error resolution for rejected/failed Alaska SUPTR data to SPARS (includes correction of idiosyncratic errors and identification of systematic errors for correction).7Maintains Alaska SUPRT grantee/program resource website.
7Develop training materials for Alaska DOH staff.7Provides individualized TA for Alaska SUPRT grantees, as needed.
7Develop Alaska SUPRT grantee/program resource website.1-7Provides ongoing project management support.
4, 7Conducts training webinar(s) for Alaska SUPRT grantees.
DEL. NO.DELIVERABLE DESCRIPTIONYEAR 1 TotalYEAR 2 TotalYEAR 3 TotalYEAR 4 TotalYEAR 5 TotalTOTAL EVALUATED COST
DEL.#1ONE-TIME SECURITY ASSESSMENT COMPLETION TO ATO$ - 0$ - 0
•Contractor will work in collaboration with Department of Health Security Office to complete a full DOH/Health Insurance and Portability Act (HIPAA) Security Assessment for the proposed software or system solution(s) until Authority To Operate (ATO) is granted. This is a one-time cost. See RFP SEC 3.04 - HIPAA Security Assessment Requirements.
DEL.#2HOST ONLINE HIPAA-COMPLIANT SOLUTION$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•The solution will be rules-based data submission platform for DBH subrecipient agency grantee and/or contracted vendor to enter client-level SUPRT data for SAMHSA-funded program participants.
DEL.#3DATA MANAGEMENT$ - 0$ - 0$ - 0$ - 0$ - 0ov$ - 0
•Manage collected SUPRT data and format for batch upload to SPARS interface to DBH’s grant workspace.
DEL.#4MAINTENANCE AND LICENSING$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•Perform ongoing maintenance and updates of the platform and batch upload code to align with federally mandated changes, DBH business needs, and any formal revisions issued by SAMHSA to the SUPRT reporting instrument.
DEL.#5REPORT DEVELOPMENT$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•Develop feedback reporting of success and failure of batch upload, with error identification of idiosyncratic errors and identification of systematic errors for follow-up resolution.
DEL.#6COMPLIANCE REPORTING AND QUALITY REVIEW$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•Develop operational and program evaluation reporting using SUPRT-collected data. Reporting will support DBH quality review and monitoring of SUPRT reporting requirements, including baseline intake, six-month follow-up, annual follow-up, and discharge assessments.
DEL.#7TECHNICAL ASSISTANCE AND PROVIDER SUPPORT$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•Develop and maintain a provider technical assistance resource website and documentation that provides access to the SUPRT data collection platform, training resources, technical assistance materials, and other relevant resources approved by DBH.
TOTAL PROPOSED COSTS:$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

RFP 2027-1600-0043 Page &P of &N Printed: &D

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