C260493_ICE.pdf
PDF 545 KB Posted
- Solicitation number
- 260493
- Issued by
- Orange County, California
About this file
This is an Independent Cost Estimate (ICE) document prepared by the Orange County Transportation Authority (OCTA) for procurement of Centers for Medicare & Medicaid Services (CMS) Medicare Section 111 liability reporting agent services. The project involves integrating CMS Medicare Section 111 liability claims reporting with Origami Risk to ensure compliance by January 1, 2027. The procurement is structured as a three-year firm-fixed-price contract with a term ending July 15, 2026. The scope of work encompasses both implementation and post-implementation phases, requiring account management and regional compliance consultant support during initial deployment and ongoing program maintenance.
The total estimated cost for the three-year contract is $36,000, comprised entirely of direct labor costs. Implementation costs total $13,250, including 50 hours of MMSEA Compliance Manager support at $175 per hour ($8,750) and 30 hours of Regional Compliance Consultant support at $150 per hour ($4,500). Post-implementation costs total $22,750, consisting of 82 hours of MMSEA Compliance Manager services ($14,350) and 56 hours of Regional Compliance Consultant services ($8,400). No overhead, materials, IT support, travel, subcontractor, or other direct costs are included in the estimate. The cost estimate reflects an expanded scope compared to the current agreement (Purchase Order No. A56213) which costs $2,600 annually; the new contract requires the vendor to handle increased data volume, provide customized reporting, and submit information directly to CMS rather than relying on OCTA's self-reporting within the vendor's system. Requestor Yamille Welch, WC Program Specialist, Senior, prepared the estimate on July 15, 2026.
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INDEPENDENT COST ESTIMATE (ICE)
FA-CAMM-006.docm (09/25/15) Page 1 of 3
INSTRUCTIONS
Complete and submit all three pages to Contracts Administration & Materials Management (CAMM), along with your requisition and scope of work. CAMM will not start the procurement until all three documents have been received.
PART I – GENERAL INFORMATION
Project Description: OCTA is procuring a three-year firm-fixed-price CMS Medicare Section 111 liability reporting agent to integrate with Origami Risk for compliance of liability claims by 1/1/27.
SHADED AREA FOR PROCUREMENT USE ONLY
Assigned Buyer No.:
D/M/WBE%:
Purchase Requisition No.: R002515
New Contract / Procurement
Contract Amendment Current IFAS Printout Contract / PO No.:
(Required for Amendments)
Contract Task Order
Option Term
Date: 7/15/2026
Requestor: Yamille Welch WC Program Specialist, Senior Phone Ext.:
Name Title
Signature:
Cost
Estimate: $ 36,000.00 (include shipping, handling and taxes, if applicable)
PART II – ESTIMATE GUIDE
Please substantiate the estimate using the following information.
Estimate Type Items to Include Where to Find Supporting Information
Services (Other than A&E)
1. Tasks you want done
2. Types of people needed (i.e., supervisor, administrative assistant, other)
3. Positions required (i.e., Project Manager, Deputy PM, Senior Engineer / Planner, other)
4. Estimated hours by position
5. Salary / billing rates applied
6. Prevailing wage rate category applied
7. Profit / applied fee
8. Direct expenses
9. Completion schedule
1. Current or past contracts for similar services
2. Other properties / departments doing similar work
3. Historical price and cost data
Estimate Guide Continued
FA-CAMM-006.docm (09/25/15) Page 2 of 3
Estimate Type Items to Include Where to Find Supporting Information
Architects, Engineers, Designers
1. Tasks you want done
2. Types of people needed (i.e., engineers, administrative assistant, other)
3. Positions (Project Manager, Deputy PM, Senior Engineer / Planner, other)
4. Estimated hours by position
5. Salary / billing rates applied
6. Profit / applied fee
7. Overhead rate (%)
8. Direct expenses
9. Completion schedule
1. Current or past contracts for similar services
2. Other properties / departments doing similar work
3. Historical price and cost data
Goods/Equipment 1. Product needed
2. Quantity
3. Unit price
4. Markups, overhead, profit
5. Delivery schedule desired
6. Warranty
1. Vendor survey / market survey
2. Current or past contracts for the same or similar product
3. Historical price and cost data
4. Various published indices
Construction 1. Product needed
2. Labor (at a minimum use Davis Bacon)
3. Materials
4. Bonds
5. Insurance
6. Mobilization
7. Equipment
8. Markups, fringes, overheads, profit
9. Completion schedule
1. “Means Book”
2. “Blue Book”
3. Davis Bacon wage rates / prevailing wages
4. Current or past contracts for the same project
5. Historical price and cost data
Additional Information: Estimated hours and direct costs are based on market research conducted by the project manager for account management and regional compliance consultant support during implementation and ongoing program maintenance. While the current agreement (Purchase Order No. A56213), which expires on December 31, 2026, is $2,600 annually, the proposed procurement reflects a broader scope of services. The new contract will require the contractor to handle more data, customize reporting, and submit information directly to Centers for Medicare & Medicaid Services (CMS), whereas the current service model relies on OCTA self-reporting within the vendor’s system at a reduced fee.
FA-CAMM-006.docm (09/25/15) Page 3 of 3
PART III – INDEPENDENT COST ESTIMATE
Using the information provided in Part II, prepare the ICE for your procurement.
Use any or all of the categories listed below.
Prepared By: Yamille Welch Date: 7/15/26
Signature:
DESCRIPTION OF COST ELEMENTS
1. DIRECT LABOR
(List of Labor Categories)
Estimated Hours
Rate Per Hour ($)
Estimated Cost ($)
Total Est.
Cost ($)
Implementation $ $ 0.00 MMSEA Compliance Manger 50 $ 175.00 $ 8,750.00 Regional Compliance Consultant 30 $ 150.00 $ 4,500.00 Post-Implementation $ $ 0.00 MMSEA Compliance Manger 82 $ 175.00 $ 14,350.00 Regional Compliance Consultant 56 $ 150.00 $ 8,400.00
Total Direct Labor: $ 36,000.00
2. OVERHEAD
Rate (%)
(use decimal input)
Total Labor ($)
Estimated Cost ($)
Total Est.
Cost ($)
% $ 36,000.00 $ 0.00 $ 0.00
3. MATERIALS/SERVICES (Excluding Information Technology [IT]) Estimated Cost ($)
Total Est.
Cost ($)
$ $ 0.00
4. INFORMATION TECHNOLOGY SUPPORT
Estimated Cost ($)
Total Est.
Cost ($)
Total IT Support: $ 0.00
5. TRAVEL
Estimated
Cost ($) Total Est.
Cost ($)
$ $ 0.00
6. SUBCONTRACTOR(S) / CONSULTANT(S)
Estimated
Cost ($) Total Est.
Cost ($)
Total Subcontractor(s) / Consultant(s): $ 0.00
7. OTHER DIRECT COSTS
Estimated
Cost ($) Total Est.
Cost ($)
$ $ 0.00
8. TOTAL ESTIMATED COST: $ 36,000.00
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