ATTM 008.xlsx

XLSX spreadsheet 46 KB Posted

Attached to
Pharmacy Benefit Services (PBS)
Solicitation number
5400029905
Issued by
Richland County, South Carolina

About this file

This is a Price Proposal and Pricing Tables spreadsheet for a state and local contract opportunity involving claims adjudication, benefit plan support, prior authorization, drug utilization review, and drug rebate management services. The contract is structured in multiple phases: Implementation, Operations, and Turnover. The Operations phase includes both core services and optional services, with a base contract period of three years (Years 1-3) and four optional renewal years (Years 4-7). All bidders must provide pricing for every line item across all tabs or their proposal will be deemed non-responsive. Contractors must enter their company name, contract start month, and pricing for each milestone and service category in designated green cells, while white cells automatically calculate totals and blue cells provide directions.

The pricing structure includes a fixed Implementation Phase price with three payment milestones (Requirements Approval, UAT Completion, and System Go-Live), with 10% retainage for CMS System Certification. The Operations Phase requires monthly fixed prices for claims adjudication, prior authorization, retroactive drug utilization review, drug rebates for fee-for-service plans, and drug rebates per managed care organization (MCO), with separate pricing for optional value-based drug rebate services. A Turnover Phase price for contract transition is also required. The total all-inclusive evaluated price includes the implementation cost, operations core services, operations optional services, turnover cost, and a modification pool not to exceed $5,000,000 for agency-approved system modifications during operations and maintenance. Contractors must submit a completed Rate Card with hourly labor rates for various categories to support any subsequent change orders.

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1 - Directions

ATTM 008 PRICE PROPOSAL AND PRICING TABLES

A response is required for all cells shaded GREEN in the Bidding Schedule tabs.

For example, enter the CONTRACTOR NAME in green cell below.

WHITE cells will automatically calculate based on your input
BLUE cells include directions and information.

NOTE: A bid is required and must be received for every line item on each tab or your offer will be considered non-responsive and will not be accepted. This completed spreadsheet should be saved and attached as an Excel file online with your offer.

List Of Pricing Tables
TableTitle
Sheet 2Total All-Inclusive Price
Sheet 3Implementation Phase Price
Sheet 4Operations Phase Price
Sheet 5Turnover Phase Price
Sheet 6Rate Card

Enter Contractor Name --->

Enter Contract month to begin operations --->

&A

2 - Total

Total All-Inclusive Evaluated Price
Contractor:0
Pricing TableAmountNotes
3- Implementation Phase$ -Populated from cell G10 on sheet 3 - Implementation
4 - Operations Phase - Core Services$ -Populated from cell J13 on sheet 4 - Operations
4 - Operations Phase - Optional Services$ -Populated from cell G23 on sheet 4 - Operations
5 - Turnover Phase$ -Populated from cell D3 on sheet 5 - Turnover
Modification Pool$ 5,000,000Shall not exceed $5,000,000. Shall be used for modifications to the system during O&M, only with prior agency approval and subject to the rate card provided in sheet 6 - Rate Card.
Total All-Inclusive Price To Be Used for Evaluation$ 5,000,000Calculated as the sum of B4 to B8 on this sheet.

3 - Implementation

Implementation Phase Price
Contractor:0
Contract Month of Targeted Operational Start Date:0
Payment Milestone No.Milestone NameFixed PricePayment PercentageCertification WithholdPayment AmountNotes
1Requirements Approval0.00%$ -$ -RTM populated and all requirements signed off and approved
2UAT Completion0.00%$ -$ -Exit Critiera for UAT met and system approved to proceed to Go Live
3System Go-Live0.00%$ -$ -Exit Critiera for Go-Live met and project shifts into M&O phase
Subtotals$ -0%$ -$ -
Certification$ -CMS System Certification Withhold Payment

(Milestone results in payment of 10% retainage) Total Implementation Price $ - This amount calculated from the payment milestones above and used to calculate the Total All-Inclusive Price in Sheet 2 - Total

4 - Operations

Operations Phase Price
Contractor:0
Contract Month of Targeted Operational Start Date:0
Core Services
Contract YearMonthly Fixed Price for Claims Adjudication and Benefit Plan SupportMonthly Fixed Price for Prior AuthorizationMonthly Fixed Price for Retroactive Drug Utilization ReviewMonthly Fixed Price for Drug Rebate for Fee-For-ServiceMonthly Fixed Price for Drug Rebate per MCOAnticipated MCOsTotal Monthly Fixed Price for MCO Drug RebatesTotal Monthly Fixed Price for OperationsTotal Annual Fixed Price for Operations
Base - Year 15$ - 0$ - 0$ - 0
Base - Year 25$ - 0$ - 0$ - 0
Base - Year 35$ - 0$ - 0$ - 0
Optional - Year 45$ - 0$ - 0$ - 0
Optional - Year 55$ - 0$ - 0$ - 0
Optional - Year 65$ - 0$ - 0$ - 0
Optional - Year 75$ - 0$ - 0$ - 0
Total Estimated Price for Operations Phase - Core Services$ -
Optional Services
Contract YearMonthly Fixed Price for Value-Based
Drug Rebates for Fee-For-ServiceAnticipated MCOsMonthly Fixed Price for
Value-Based Drug Rebate per MCOTotal Monthly Fixed Price for MCO Drug RebatesTotal Monthly Fixed Price

for Value-Based Drug Rebates Total Annual Fixed Price for Value-Based Drug Rebates

Base - Year 15$ - 0$ - 0$ - 0
Base - Year 25$ - 0$ - 0$ - 0
Base - Year 35$ - 0$ - 0$ - 0
Optional - Year 45$ - 0$ - 0$ - 0
Optional - Year 55$ - 0$ - 0$ - 0
Optional - Year 65$ - 0$ - 0$ - 0
Optional - Year 75$ - 0$ - 0$ - 0
Total Estimated Price for Operations Phase - Optional Services$ -

5 - Turnover

Turnover Phase Price
Contractor:0
Total Price for Contract TurnoverTotal

6 - Rate Card Rate Card

Rates provided in this sheet will be used to estimate any modifications made to the contract due to scope requested by the agency outside of this RFP. Offerors shall include all costs necessary to deliver the scope of the RFP within Sheet 3 - Implementation, Sheet 4 - Operations, and Sheet 5 - Turnover. Additional work defined as scope changes shall be subject to this card and limited to the modification pool defined on Sheet 2 - Total.

Proposers are encouraged to include categories necessary for the delivery of the scope of work defined in this RFP so that such resources can be included for any subsequent change orders.

Contractor Name: 0

Labor Category Hourly Rate

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