Copy of Amended and Restated Attachment B_Cost Response Template.xlsx
XLSX spreadsheet 19 KB Posted
- Solicitation number
- BD-20-1039-EHS01-EHS01-51861
- Issued by
- Massachusetts
About this file
This document is an Attachment B Cost Response Template for the COVID-19 Strategic Testing Expansion Program (STEP) RFR issued by the Massachusetts Executive Office of Health and Human Services (EOHHS). The RFR solicits applications from eligible bidders to serve as specimen collection and test resulting providers for the STEP program. The initial contract term is anticipated to run until December 31, 2020, with possible extensions up to 18 additional months. The Cost Response Template provides instructions for completing the required pricing information, including anticipated project revenues, costs for personnel, supplies, and infrastructure, and a proposed rate structure based on site size and test volume. Bidders are required to provide detailed descriptions for all non-personnel costs. The proposed rate structure provides benchmark rates per test based on site size, with a minimum monthly payment for authorized sites.
The pricing terms indicate that EOHHS will provide an overhead payment in addition to test-based reimbursements from insurers. Bidders are required to list the codes they expect to bill and the anticipated reimbursement rates and test volumes for each. The template also includes placeholders for various cost categories that bidders can customize as needed. Bidders may add an "Other Costs" table if necessary. This RFR is being issued on a rolling basis, and applications will be considered on an ongoing basis.
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Instructions
| Attachment B: Strategic Testing Expansion Program to Diagnose and Surveille COVID-19 (STEP) | ||
| Cost Response Instructions | ||
| Please complete all yellow-highlighted sections of the Cost Template (next tab). | ||
| Cells filled with grey do not need to be populated. | ||
| Anticipated Project Revenues | ||
| EOHHS Testing Overhead Payment rate should be an estimate of the blended rate included in your Proposed Rate Structure, | ||
| based on what you think your typical site size will be. | ||
| Please list each code you expect to bill to insurers, along with the rate at which you expect to be reimbursed. | ||
| Additionally, you should list how many tests you expect to be reimbursed for at that rate, which may vary line-by-line. | ||
| - For example, if you plan to bill one code for all specimen collections, but another code only for follow-up with COVID-19 | ||
| positive patients, then the "# Reimbursed Tests/Day" should be lower for the second code than the first code. | ||
| Anticipated Project Costs | ||
| Certain item names have already been populated and must be included: | ||
| - Testing Kits | ||
| - Personal Protective Equipment | ||
| - Signage | ||
| - Maintenance | ||
| However, Bidders are welcome to disaggregate these into more granular categories if helpful. | ||
| Additionally, placeholders have been provided in many lines, which should be edited, supplemented, or removed. | ||
| All placeholders are indicated with "Insert here". | ||
| Formulas have been provided to indicate expected calculations in the Cost Template. | ||
| However, these have been left unlocked for situations in which they need to be manipulated. | ||
| Please maintain proposed calculations to the greatest extent possible. | ||
| For all Supplies and Infrastructure costs, please provide additional description on the Cost Descriptions tab. | ||
| Some examples include: | ||
| If you listed "Laptop computers" as an item, the Cost Description should describe how these computers will be used, | ||
| including whether they will be at the testing site or at an offsite administrative office. | ||
| If you listed "Large Tent" as an infrastructure expense, the Cost Description should describe what is included in this cost, | ||
| such as heating/electricity costs, vendor set-up/take-down costs, etc. | ||
| You may add an additional "Other Costs" table to the Cost Template if necessary. | ||
| However, this should only be provided if these costs cannot be appropriately included in the Personnel, Supplies, or Infrastructure categories. |
Cost Template
| Strategic Testing Expansion Program to Diagnose and Surveille COVID-19 (STEP) |
| Cost Response Template |
| Organization: |
| Contact Name: |
| Date: |
| Proposed Rate Structure |
| Site Size (# of tests completed) | Benchmark for EOHHS Priority | Proposed Rate Per Test |
| 1 to 50 | $20/test | |
| 51 to 250 | $15/test | |
| 251+ | $10/test |
| Authorized Site Minimum Monthly Payment | |
| Proposed Authorized Site Minimum Monthly Payment |
Anticipated Project Revenues
| Summary | Average Rate/Test | # Reimbursed Tests/Day | Daily Payment |
| EOHHS Testing Overhead Payment | $0 | ||
| Insert billed code #1 here | $0 | ||
| Insert billed code #2 here | $0 | ||
| … | $0 | ||
| Total | $0 |
Anticipated Project Costs
| Summary | Cost/Test |
| Personnel | ERROR:#DIV/0! |
| Supplies | ERROR:#DIV/0! |
| Infrastructure | ERROR:#DIV/0! |
| Total | ERROR:#DIV/0! |
| Personnel | # Staffed | Salary | % FTE | Daily Rate per person | Total Daily Spend | # Tests/Day | Cost/Test |
| Insert position #1 title here | $0 | ERROR:#DIV/0! | |||||
| Insert position #2 title here | $0 | ERROR:#DIV/0! | |||||
| Insert position #3 title here | $0 | ERROR:#DIV/0! | |||||
| … | $0 | ERROR:#DIV/0! | |||||
| Insert position #N title here | $0 | ERROR:#DIV/0! | |||||
| Total Daily Personnel Costs | $0 | ERROR:#DIV/0! |
| Supplies | Units | Cost/Unit | Total Cost | # Tests/Day | Cost/Test |
| Test Kits | $0 | ERROR:#DIV/0! | |||
| Personal Protective Equipment | $0 | ERROR:#DIV/0! | |||
| Insert office supplies #1 here | $0 | ERROR:#DIV/0! | |||
| Insert office supplies #2 here | $0 | ERROR:#DIV/0! | |||
| … | $0 | ERROR:#DIV/0! | |||
| Insert software #1 here | $0 | ERROR:#DIV/0! | |||
| Insert software #2 here | $0 | ERROR:#DIV/0! | |||
| … | $0 | ERROR:#DIV/0! | |||
| Insert hardware #1 here | $0 | ERROR:#DIV/0! | |||
| … | $0 | ERROR:#DIV/0! | |||
| Signage | $0 | ERROR:#DIV/0! | |||
| Total Supplies Costs | $0 | ERROR:#DIV/0! |
| Infrastructure | Cost/Week | # Tests/Week | Cost/Test |
| Insert rent amount #1 here | ERROR:#DIV/0! | ||
| … | ERROR:#DIV/0! | ||
| Insert tent #1 here | ERROR:#DIV/0! | ||
| … | ERROR:#DIV/0! | ||
| Insert vehicle cost #1 here | ERROR:#DIV/0! | ||
| … | ERROR:#DIV/0! | ||
| Insert utilities #1 here | ERROR:#DIV/0! | ||
| … | ERROR:#DIV/0! | ||
| Maintenance | ERROR:#DIV/0! | ||
| Total Infrastructure Costs | 0 | ERROR:#DIV/0! |
Cost Descriptions
| Strategic Testing Expansion Program to Diagnose and Surveille COVID-19 (STEP) | ||
| Cost Response Descriptions | ||
| Please provide detail for all non-Personnel costs below. | ||
| Supplies | ||
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| … | … | |
| Infrastructure | ||
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| Insert Item Name Here | Insert Description Here | |
| … | … |
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