Attachment+D+-+Cost+Proposal.docx
DOCX document 23 KB Posted
- Solicitation number
- 325-25-415-027
- Issued by
- North Dakota
About this file
This is a cost proposal attachment (Attachment D) for RFP 325-25-415-027 issued by a state agency seeking comprehensive Medicaid reimbursement audit and calculation services. The solicitation requests five key deliverables: annual certified audits of the Disproportionate Share Hospital (DSH) Program, annual Hospital Upper Payment Limits (UPL) for inpatient and outpatient services including institutions for mental diseases (IMD), Intermediate Care Facilities (ICF) UPL and Medicaid institutional payment transparency services, annual cost settlements for Critical Access Hospitals (CAH), and calculation of Medicaid Inpatient Utilization Rates (MIUR). The contract period spans two years from January 1, 2026 through December 31, 2027.
The cost proposal template requires bidders to provide separate pricing for each year of the contract as well as total costs for the two-year period across all five deliverables. The document structure indicates this is a formal competitive procurement where vendors must submit detailed cost breakdowns for each service component, though the actual dollar amounts are not filled in within this template form. The procurement appears to be for specialized healthcare reimbursement consulting services requiring expertise in Medicaid regulations and hospital financial auditing.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment+C+-+Business+Associate+Agreement.docx | DOCX document | |
| RFP+325-25-415-027.docx | DOCX document | |
| Attachment+B+-+Sample+POS+Agreement.docx | DOCX document | |
| Attachment+A+-+ND+Medicaid+State+Plan.pdf | ||
| Attachment+E+-+Evaluation+Tool.docx | DOCX document |
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Text version
ATTACHMENT D
COST PROPOSAL
RFP Title: Disproportionate Share Hospital Audit, Hospital Upper Payment Limits, Intermediate Care Facilities Upper Payment Limits and Payment Transparency, Critical Access Hospital Cost Settlement and Medicaid Inpatient Utilization Rate Calculation
Solicitation Number: 325-25-415-027
| Service Description |
| First Year |
Costs (January 1, 2026, through December 31, 2026) Second Year Costs (January 1, 2027, through December 31, 2027) Total for First and Second Years (January 1, 2026, through December 31, 2027)
| Deliverable One: Annual Certified Audit of the DSH Program |
| $ |
| $ |
| Deliverable Two: Annual Hospital UPL for Inpatient and Outpatient Services and IMD |
| $ |
| $ |
| Deliverable Three: ICF UPL and Medicaid Institutional Payment Transparency |
| $ |
| $ |
| Deliverable Four: Annual Cost Settlement of CAH |
| $ |
| $ |
| Deliverable Five: Calculation of MIUR |
| $ |
| $ |
Total Amount for all Five Deliverables
File details come from the government source that posted it. Updated .