Attachment 6 - Work Order.docx

This is a Work Order form template for the Illinois Department of Healthcare and Family Services, designed to establish specific tasks and responsibilities under a master contract for actuarial analysis and consulting services. The Work Order provides the framework for engaging vendors to deliver actuarial services, including review, advisement, policy support, and development of actuarially sound rates for Managed Care Organizations participating in Illinois Medicaid or related medical programs. The document is a blank template that requires completion of essential contract information, including the vendor name, contract number, work order number, commencement date, end date, and project completion details. The Work Order shall be conducted in accordance with all procedures and requirements established under the Illinois Procurement Code and associated administrative rules governing change orders and amendments.

The Work Order template includes provisions for project staffing assignments with specified roles and hourly rates, with a total estimated cost not to exceed an amount to be determined. Final invoices for each fiscal year must be submitted no later than a date to be specified. The template requires signature and authorization from both the Illinois Department of Healthcare and Family Services and the vendor, with space for printed names, titles, and execution dates. As a template document, specific pricing terms, project budgets, staffing details, and other salient information remain to be populated at the time of individual Work Order execution under the master contract.