Copy of BH TRP Attachment 2Cost Response FINAL.xlsx
XLSX spreadsheet 48 KB Posted
- Solicitation number
- BD-22-1039-EHS01-EHS01-74235
- Issued by
- Massachusetts
About this file
This document is a Cost Response for a Behavioral Health Treatment and Referral Platform (BH TRP) solicited by the Executive Office of Health and Human Services (EOHHS) in the state of Massachusetts. The BH TRP software system will enable acute care hospital personnel to identify patients with psychiatric diagnoses seeking inpatient psychiatric treatment and community crisis stabilization, and facilitate secure data sharing and referrals between hospitals, health plans, crisis intervention teams, and state agencies.
The Cost Response includes pricing forms for system installation and setup, organization implementation and training, ongoing SaaS subscription and licensing, time and material rates, and other initial and ongoing costs. It also includes an anticipated participant list of hospitals, behavioral health crisis providers, insurance carriers, state agencies, psychiatric facilities, and MassHealth managed care entities that may be involved in the project. Pricing details, assumptions, and instructions are provided for the various implementation and support activities required.
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Text version
Cover
| Cost Response |
| EOHHS Request for Responses for a Behavorial Health Treatment and Referral Platform |
| Bidder: |
| Submission Date: |
| Tab | Section |
| Form A | System Installation and Setup |
| Form B | Organization Installation & Implementations Services |
| Form C | SaaS Ongoing Subscription-Licensing |
| Form D | Time & Material Rates |
| Form E | Other initial and ongoing costs not otherwise specified |
| BH TRP Orgs | BH TRP Participant List (Anticipated) |
Important Reminder - Enter the company name and date submitted at the top of this page & follow the following spreadsheet naming convention: (Bidder Name) Cost Worksheet (Date Submitted)
&F - &A &P of &N
Form A
| Cost Response: Form A - System Installation and Setup |
| RFR Title: Behavioral Health Treatment and Referral Platform |
| Bidder's Name: _______________________________________________ |
System installation, setup, configuration and testing
| Description | Total Price | Comments/Notes |
| Installation, setup, configuration and testing of the Behavioral Health Treatment and Referral Platform | $ - 0 |
Total $ - 0
Notes / Instructions:
Bidder Notes:
&F - &A Page &P of &N
Form B
| Cost Response: Form B - Oganization Installation and Implementation |
| RFR Title: Behavioral Health Treatment and Referral Platform |
| Bidder's Name: _______________________________________________ |
| Organization Installation & Implementation Services | |||
| Installalation, Implementation, Reporting & Year-1 Licensing Fees | Cost | Est. # of Participants *(1) | Comments / Notes |
| Hospital Implementations | ||
| Full technical onboarding, integration and training on new technology | ||
| (for organizations not currently connected to the bidder system-network) | $ - 0 | |
| Supplemental technical work, integration and training on new technology | ||
| (for organizations currently connected to the bidder system-network) | $ - 0 | |
| One year of subscription-licensing fees | ||
| (for organizations not already subscribed to bidder system-network) | $ - 0 | |
| Other site specific installation cost | $ - 0 |
Total $ - 0 0
| Insurance Carrier Implementations | ||
| Full technical onboarding, integration and training on new technology | ||
| (for organizations not currently connected to the bidder system-network) | $ - 0 | |
| Supplemental technical work, integration and training on new technology | ||
| (for organizations currently connected to the bidder system-network) | $ - 0 | |
| Custom organization level reporting *(2) | $ - 0 | |
| One year of subscription-licensing fees | ||
| (for organizations not already subscribed to vendor network) | $ - 0 | |
| Other site specific installation cost | $ - 0 |
Total $ - 0 0
| MA State Agency Implementations | ||
| Technical onboarding and training on new technology | $ - 0 | |
| Technical integration with state systems | ||
| (TBD-costs may not be included in scope of project) | $ - 0 | |
| Comprehensive, custom state and agency level reporting *(2) | $ - 0 | |
| One year of subscription-licensing fees *(3) | $ - 0 | |
| Other site specific installation cost | $ - 0 |
Total $ - 0 0
Notes / Instructions:
*(1) Bidders should use the 'BH TRP Orgs' sheet to estimate number of participants for a given service category (i.e. technical onboarding & training, supplemental technical work, custom reporting, etc.)
*(2) Indicate whether reporting is included or separate cost *(3) Indicate whether subscription-licensing fees are per state or per agency Definitions:
Technical onboarding: refers to the activation, set-up of user accounts, credentials to access the platform and any facility specific configurations to support the RFR requirements Integration: refers to the use and configuration of HL7, ADT or other data interfaces with necessary data segments, identifiers and workflows to support the RFR requirements Training: refers to the participant level instructions and guidance documentation to inform end users on access, use and workflows supporting the BH TRP and the RFR requirements
Bidder Notes:
&F - &A Page &P of &N
Form C
| Cost Response: Form C - SaaS Subscription-Licensing and Support |
| RFR Title: Behavioral Health Treatment and Referral Platform |
| Bidder's Name: _______________________________________________ |
| Ongoing SaaS Subscription-Licensing and Support | ||||
| Ongoing Costs | Assumptions *(1) | Annual Cost | Est. # of Participants | Comments / Notes |
| Hospitals | |
| Ongoing Subscription-Licensing Fees | $ - 0 |
| Additional Ongoing Charges | $ - 0 |
| Total | $ - 0 |
| Insurance Carriers | |
| Ongoing Subscription-Licensing Fees | $ - 0 |
| Additional Ongoing Charges | $ - 0 |
| Total | $ - 0 |
| State Agencies | |
| Ongoing Subscription-Licensing Fees | $ - 0 |
| Additional Ongoing Charges | $ - 0 |
| Total | $ - 0 |
| Notes / Instructions: |
*(1) Assumptions should state any assumed minimum activity level or commitments or other factors which impact the rates
Bidder Notes:
&F - &A Page &P of &N
Form D
| Cost Response: Form D - Time and Material Rates |
| RFR Title: Behavioral Health Treatment and Referral Platform |
| Bidder's Name: _______________________________________________ |
Operations And Maintenance
| Technical work | Monthly Rate | Hourly Rate | Comment/Notes |
| Per Person | |||
| Project Manager | $0.00 | $0.00 | |
| Application Support Manager | $0.00 | $0.00 | |
| Technical Manager | $0.00 | $0.00 | |
| Business Analyst | $0.00 | $0.00 | |
| Architect | $0.00 | $0.00 | |
| Developer | $0.00 | $0.00 | |
| Release engineer | $0.00 | $0.00 | |
| Software QA Tester | $0.00 | $0.00 | |
| Database administrator | $0.00 | $0.00 | |
| Support technician | $0.00 | $0.00 | |
| Resource Type 1 | $0.00 | $0.00 | |
| Resource Type n | $0.00 | $0.00 |
| Business Operations Support | Monthly Rate | Hourly Rate |
| Per Person | ||
| Resource Type 1 | $0.00 | $0.00 |
| Resource Type n | $0.00 | $0.00 |
| Notes / Instructions: |
This rate table may be used if EOHHS determines that additional work products or new initiatives are necessary to accomplish the objectives of the RFR. EOHHS shall provide prior written notice of any necessary or desired Change Orders or additional work products or new initiatives to the Selected Bidder, and the parties shall negotiate the effect of such changes in Requirements on the schedule and payment terms
Bidder Notes:
&F - &A Page &P of &N
Form E
| Cost Response: Form E - Other Initial and Ongoing Costs |
| RFR Title: Behavioral Health Treatment and Referral Platform |
| Bidder's Name: _______________________________________________ |
| Ongoing Costs ========================================== | ||||||||
| Item Reference Number | Requirement Ref # from RFR | Item Description | One-Time Cost | Year-1 | Year-2 | Year-3 | Year-4 | Year-5 |
| 1 | Sample entry. | $0 | $0 | $0 | $0 | $0 | $0 | |
| 2 | ||||||||
| 3 | ||||||||
| 4 | ||||||||
| 5 | ||||||||
| 6 | ||||||||
| 7 | ||||||||
| 8 | ||||||||
| 9 | ||||||||
| 10 | ||||||||
| Notes / Instructions: |
This table may be used for additional costs and items not otherwise specified. Please describe costs and where possible, reference specific requirements or sections of the RFR
Bidder Notes:
&F - &A &P of &N
BH TRP Orgs
| Cost Response: BH TRP Participant Organization List |
| This list represents the organizations and agencies that are anticipated to be included in this project. It is not a final participant list. There may be organizations or agencies listed here that may be removed or redefined and conversely organizations not listed here that will be later added as participants. Additionally, EOHHS anticipates vendor specific scoping will be needed to identify the organizations which are currently connected to the bidder system-network and will only require implementation and training on new technology vs. organizations that need to be fully on-boarded, implemented and trained on the new technology. |
| # | Facility Name | Currently connected to bidders system-network? | |
| Yes / No | Anticipate Full Technical Onboarding, Integration & Training | ||
| (Org not connected to bidder system-network) | Anticipate Supplemental Technical Work and Training on new technology |
(Org connected to bidder system-network)
| Hospitals | |
| 1 | Addison Gilbert Hospital |
| 2 | Anna Jaques Hospital |
| 3 | Athol Hospital |
| 4 | Baystate Franklin Medical Center |
| 5 | Baystate Medical Center |
| 6 | Baystate Noble Hospital |
| 7 | Baystate Wing Hospital |
| 8 | Berkshire Medical Center |
| 9 | Berkshire Medical Center - North Adams Satellite Emergency Facility |
| 10 | Beth Israel Deaconess Hospital – Milton |
| 11 | Beth Israel Deaconess Hospital – Needham |
| 12 | Beth Israel Deaconess Hospital – Plymouth |
| 13 | Beth Israel Deaconess Medical Center |
| 14 | Beverly Hospital |
| 15 | Boston Children's Hospital |
| 16 | Boston Medical Center |
| 17 | Brigham and Women's Faulkner Hospital |
| 18 | Brigham And Women's Hospital |
| 19 | Cambridge Health Alliance |
| 20 | Cambridge Health Alliance – Everett Hospital |
| 21 | Cambridge Health Alliance – Somerville Campus |
| 22 | Cape Cod Hospital |
| 23 | Carney Hospital |
| 24 | Charlton Memorial Hospital |
| 25 | Cooley Dickinson Hospital |
| 26 | Emerson Hospital |
| 27 | Fairview Hospital |
| 28 | Falmouth Hospital |
| 29 | Good Samaritan Medical Center |
| 30 | Harrington HealthCare at Webster |
| 31 | Harrington Hospital |
| 32 | Heywood Hospital |
| 33 | Holy Family Hospital - Methuen |
| 34 | Holy Family Hospital-Haverhill |
| 35 | Holyoke Medical Center |
| 36 | Lahey Hospital - Burlington |
| 37 | Lahey Hospital - Peabody |
| 38 | Lawrence General Hospital |
| 39 | Lawrence Memorial Hospital of Medford |
| 40 | Lowell General Hospital |
| 41 | Lowell General Saints Campus |
| 42 | Martha's Vineyard Hospital |
| 43 | Massachusetts Eye and Ear |
| 44 | Massachusetts General Hospital |
| 45 | Melrose-Wakefield Medical |
| 46 | Mercy Medical Center - MA |
| 47 | MetroWest Medical Center - Framingham |
| 48 | MetroWest Medical Center - Leonard Morse Hospital |
| 49 | Milford Regional Medical Center |
| 50 | Morton Hospital |
| 51 | Mount Auburn Hospital |
| 52 | Nantucket Cottage Hospital |
| 53 | Nashoba Valley Medical Center |
| 54 | Newton-Wellesley Hospital |
| 55 | North Shore Medical Center - Salem |
| 56 | North Shore Medical Center - Union |
| 57 | Norwood Hospital |
| 58 | Saint Anne's Hospital |
| 59 | Saint Vincent Hospital |
| 60 | Signature Healthcare Brockton Hospital |
| 61 | South Shore Hospital |
| 62 | St. Elizabeth's Medical Center |
| 63 | St. Luke's Hospital |
| 64 | Sturdy Memorial Hospital |
| 65 | Tobey Hospital |
| 66 | Tufts Medical Center |
| 67 | UMass Memorial - Clinton |
| 68 | UMass Memorial - HealthAlliance |
| 69 | UMass Memorial - Marlborough |
| 70 | UMass Memorial - Medical Center University |
| 71 | UMass Memorial Health Care |
| 72 | UMass Memorial Medical Center |
| 73 | Winchester Hospital |
| Behavioral Health Crisis Intervention Providers | |
| 1 | Advocates |
| 2 | Aspire Health Alliance (FKA South Shore Mental Health) |
| 3 | Bay Cove |
| 4 | Behavioral Health Network |
| 5 | Boston Medical Center |
| 6 | Child and Family Services of New Bedford |
| 7 | Clinical & Support Options |
| 8 | Community Healthlink, Inc |
| 9 | Community Counseling of Bristol County |
| 10 | Eliot Community Services |
| 11 | Fall River Emergency Services |
| 12 | Lahey Behavioral Health |
| 13 | Riverside Community Care |
| 14 | The Brien Center for Mental Health and Substance Abuse |
| Insurance Carriers | |
| 1 | Aetna |
| 2 | Allways Health Plan |
| 3 | Blue Cross Blue Shield of Massachusetts |
| 4 | BMC Healthnet Plan |
| 5 | Cigna |
| 6 | Commonwealth Care Alliance |
| 7 | Fallon Health |
| 8 | Health New England |
| 9 | Point32Health (FKA Tufts Health Plan/Harvard Pilgrim) |
| 10 | United Health |
| State Agencies | |
| 1 | MassHealth |
| 2 | Department of Mental Health |
| 3 | Department of Children and Families |
| 4 | Department of Developmental Services |
| 5 | Department of Youth Services |
| IP Psychiatric Units and Freestanding Psychiatric Facilities | |
| 1 | Anna Jaques Hospital |
| 2 | Arbour Hospital |
| 3 | Austen Riggs Center |
| 4 | Bayridge Hospital |
| 5 | Baystate Health |
| 6 | Baystate Noble Hospital |
| 7 | Berkshire Health Systems |
| 8 | Beth Israel Deaconess Medical Center |
| 9 | Beth Israel Deaconess/Plymouth |
| 10 | Boston Children's Hospital |
| 11 | Bournewood Hospital |
| 12 | Brigham and Faulkner Hospitals |
| 13 | Cambridge Health Alliance |
| 14 | Cape Cod Healthcare |
| 15 | Cooley Dickinson Hospital |
| 16 | Emerson Hospital |
| 17 | Franciscan Children`s |
| 18 | Fuller Hospital |
| 19 | Harrington Memorial Hospital |
| 20 | Haverhill Pavilion Hospital |
| 21 | Henry Heywood Hospital |
| 22 | Holyoke Medical Center |
| 23 | Hospital for Behavioral Medicine |
| 24 | HRI Hospital |
| 25 | Marlborough Hospital |
| 26 | Massachusetts General Hospital |
| 27 | McLean Hospital |
| 28 | MelroseWakefield Healthcare |
| 29 | MetroWest Medical Center |
| 30 | Mount Auburn Hospital |
| 31 | Newton Wellesley Hospital |
| 32 | North Shore Medical Center |
| 33 | Pembroke Hospital |
| 34 | Signature Healthcare Brockton Hospital |
| 35 | Southcoast Behavioral Health |
| 36 | St. Vincent Hospital |
| 37 | Steward Health Care System |
| 38 | TaraVista Behavioral Health |
| 39 | Tufts Medical Center |
| 40 | UMass Memorial Health Care |
| 41 | Walden Behavioral Care |
| 42 | Westborough Behavioral Hospital |
| MassHealth Managed Care Entities | |
| 1 | Be Healthy Partnership |
| 2 | Berkshire Fallon Health Collaborative |
| 3 | BMC HealthNet Plan Community Alliance |
| 4 | BMC HealthNet Plan Mercy Alliance |
| 5 | BMC HealthNet Plan Signature Alliance |
| 6 | BMC HealthNet Plan Southcoast Alliance |
| 7 | Community Care Cooperative (C3) |
| 8 | Fallon 365 Care |
| 9 | Mass General Brigham |
| 10 | My Care Family |
| 11 | Steward Health Choice |
| 12 | Tufts Health Together with Atrius Health |
| 13 | Tufts Health Together with BIDCO |
| 14 | Tufts Health Together with Boston Children’s ACO |
| 15 | Tufts Health Together with CHA |
| 16 | Wellforce Care Plan |
| 17 | The Lahey MassHealth ACO |
| 18 | BMC HealthNet Plan |
| 19 | Tufts Health Together |
| 20 | Massachusetts Behavioral Health Partnership |
| 21 | NaviCare (HMO) |
| 22 | Commonwealth Care Alliance (SCO and One Care) |
| 23 | Senior Whole Health by Molina Healthcare |
| 24 | Tufts Health Plan Senior Care Options |
| 25 | United Health Care (SCO and One Care) |
| 26 | Boston Medical Center HealthNet Plan Senior Care Options |
| 27 | Tufts Health Unify |
| Programs of All-inclusive Care for the Elderly (PACE): | |
| 1 | CHA PACE |
| 2 | Neighborhood PACE |
| 3 | Elder Service Plan of Harbor Health Services |
| 4 | Element Care |
| 5 | Fallon Health-Summit Eldercare |
| 6 | Mercy Life |
| 7 | Serenity Care |
| 8 | Upham’s Elder Service Plan |
Other groups and state agencies may be identified; some groups may be removed
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