Copy of Attachment B Staffing Form.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
23EHSCOVID19IRRFR: RFR for COVID-19 Isolation and Recovery Site Services
Solicitation number
BD-23-1039-EHS01-ASHWA-79905
Issued by
Massachusetts

About this file

This document is an Attachment B: Staffing Form for a Request for Responses (RFR) issued by the Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) to provide Isolation and Recovery Site services related to COVID-19. The RFR seeks to solicit responses to provide shelter locations for individuals to isolate while recovering from COVID-19, ensure appropriate clinical staffing at such locations, and provide management services. The form requests information on budgetary line items, full-time equivalent (FTE) positions, proposed budgets, supplementary funding sources, and total budgets for various staff roles such as case workers, direct care staff, and program support.

The RFR indicates that compensation for administrative staff should be reported under UFR codes 510 or 410 as outlined in the UFR Audit and Preparation manual. The form also specifies that positions listed under "Direct Care / Program Staff" must meet the UFR code definitions as detailed in the manual. Respondents are to use the provided UFR codes when completing the staffing form.

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Other files

File Type Posted
Q and A for COVID19 IR RFR.docx DOCX document
Amendment 1 COVID-19 IR Site Services RFR.docx DOCX document
Attachment C Additional Contract Terms~1.docx DOCX document
Attachment A Application Form.docx DOCX document
Required Forms_3.zip ZIP file
COVID-19 I and R RFR.docx DOCX document
Attachment D Required Bidder Certifications Form.doc DOC document

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Text version

Staffing Overview

Request for Responses for COVID-19 Isolataion and Recovery Site (I&R) Services
Attachment B: Staffing Form
Uniform Financial Report Title # (if known)Budgetary Line Description (i.e. type of staffing)FTEProposed Budget (i.e. amount requested from EOHHS)Supplementary Funding (i.e. other funding contributing to total budget)Sources of Supplementary FundingTotal Budget (i.e. Proposed Budget + Offsets)
example131Case Worker/Manager - Master's$0.00
example132Case Worker/Manager$0.00
example135Direct Care/Program Staff II$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
SUBTOTAL STAFF0.000.00
150Payroll Taxes$0.00
151Fringe Benefits$0.00
T 100Total Direct Care/Program Staff0.000.00$0.00
UFR Codes can be found starting on on page 116 of the UFR Audit and Preparation manual under 808 CMR 1.00 You can find the document at:https://www.mass.gov/doc/ufr-audit-and-preparation-manual-for-fy-2021/download
Positions listed under "Direct Care / Program Staff" must meet UFR code definitions as oulined in the UFR Audit and Preparation manual. Compensation for administrative staff is thorugh UFR codes 510 or 410

https://www.mass.gov/doc/ufr-audit-and-preparation-manual-for-fy-2021/download

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