Attachment 3 - Submittal Form H - Cost Proposal.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
RFP 2026-1600-0063 SAMHSA Unified Performance Reporting Tool (SUPRT)
Solicitation number
1626-009
Issued by
Anchorage Municipality, Alaska

About this file

This document is a Cost Proposal Submittal Form (RFP 2026-1600-0063) for the Alaska Department of Health (DOH), specifically for the Division of Behavioral Health (DBH). The project involves developing and maintaining a HIPAA-compliant online data submission platform for Substance Abuse and Mental Health Services (SOR) grantees to enter client-level GPRA (Government Performance and Results Act) data. The contract spans five years, with key deliverables including a one-time security assessment, hosting an online solution, data management, platform maintenance and licensing, report development, compliance reporting, and technical assistance.

The cost proposal template shows all deliverables priced at $0, suggesting this might be a placeholder document or that pricing details are to be filled in by the bidder. The project focuses on creating a rules-based data submission platform for subrecipient agency grantees to enter client-level program participant data, with requirements for batch uploads to SPARS (Strategic Prevention Alternative Response System), error identification and correction, and ongoing technical support. The solution must meet federal mandates and DOH business needs, with specific emphasis on quality review of grantee compliance for client intake, discharge, and 6-month follow-up processes.

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Sheet1

SUBMITTAL FORM H - COST PROPOSAL
RFP 2026-1600-0063
Offerors must enter the Annual Cost in each of the below deliverables for each Contract Year. The embedded formulae will calculate the Annual Cost for each category against the total contract length, including renewals, to arrive at a subtotal cost for each contract performance year. Those subtotals will then be added together to equal the Total Evaluated Cost. In addition, offerors should consider the Table referenced below also found in SEC. 3.03 Deliverables for Months 1 and 2, and Month 3 and Ongoing when entering costs in the highlighted spaces provided.
Table 1. TIMELINES
MONTHS 1 AND 2MONTH 3 AND ONGOING
A.Customization and testing of data collection portal and SPARS batch upload solution, as per SPARS-GPRA and DOH requirementsHMaintains portal for DOH for SOR survey deletion and return codes
B.Production launch of customized data collection portalIOngoing maintenance and updates for the portal project site and batch upload

code, based on DOH/Provider’s needs.

C.Production launch of batch upload interface for DOH SPARS submissionJConducts weekly batch upload and error correction or identification
D.Data management (includes developing site-specific operational reporting pages and managing Alaska requests for survey modifications)KProvides technical assistance, as needed
E.Batch upload notification and error resolution for rejected/failed Alaska GPRA data to SPARS (includes correction of idiosyncratic errors and identification of systematic errors for correction)LProvides ongoing project management support
F.Develop training materials for Alaska SOR DOH staffMMaintains Alaska SOR grantee/program resource website
G.Develops Alaska SOR grantee/program resource websiteNConducts training webinar(s) for Alaska SOR grantees
OProvides individualized TA for Alaska SOR grantees, as needed
PEmail updates/communications to grantees regarding GPRA submission

progress and upcoming six-month follow-ups

DEL. NO.DELIVERABLE DESCRIPTIONYEAR 1 TotalYEAR 2 TotalYEAR 3 TotalYEAR 4 TotalYEAR 5 TotalTOTAL EVALUATED COSTS
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 a rules-based data submission platform for Division of Behavioral Health (DBH) subrecipient agency grantees and/or contracted vendors to enter client-level GPRA data for SOR-funded program participants.
DEL.#3DATA MANAGEMENT$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•Manage collected GPRA data and code for batch upload to SPARS.
DEL.#4MAINTENANCE AND LICENSING$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•Perform ongoing maintenance, and licensing and updates of the platform and batch upload code, to align with federally mandated changes or DBH business need.
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 reporting to support DBH’s quality review of subrecipient grantee compliance performing GPRA at client intake, discharge and 6-month follow.
DEL.#7TECHNICAL ASSISTANCE$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
•Develop and maintain provider technical assistance resource webpage.
TOTAL PROPOSED COSTS:$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

RFP 2026-1600-0063 Page &P of &N Printed: &D

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