Cost Proposal - Financial Mgmt. for PDS in 1915(c)HCBS Waiver Programs - RFP 746 2500000254.xlsx

XLSX spreadsheet 31 KB Posted

Attached to
Financial Mgmt. for PDS in 1915(c)HCBS Waiver Programs C5684
Solicitation number
RFP 746 2500000254 2
Issued by
Kentucky

About this file

This is a Cost Proposal Form for Financial Management services for Person-Directed Services (PDS) in 1915(c) Home and Community-Based Services (HCBS) Waiver Programs under RFP 746 2500000254. The proposal document serves as the pricing submission template for vendors responding to this state procurement opportunity. The form requires vendors to provide a rate per member per month and an administrative cost per month, with evaluation based on an estimated annual number of 16,750 waiver participants. The cost proposal tab is locked to prevent alterations and is designated for evaluation purposes only. The document also references related RFPs within the same procurement series, including RFP 727 for Forensic Accounting, RFP 746 for Managed Care Consulting Services, and RFP 746 for Actuarial Services.

Vendors must complete the cost proposal by providing their proposed rates in the designated fields, which display as $0.00 pending vendor input. The form requires authorization by an owner, president, or other responsible employee with signature authority to execute the proposal on behalf of the organization. The annual estimated number of waiver participants is provided solely for cost evaluation calculations and does not represent a guaranteed volume. No specific contract term, renewal options, set-asides, or funding source information is detailed within this cost proposal form itself, as it functions primarily as the pricing submission mechanism within the broader RFP process.

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Text version

Cost Proposal Vendor Name:

INITIAL TERM
RateAnnual Estimated Number of the Waiver ParticipantsEstimated Annual Cost
Rate per member/per month$0.0016,750$0.00
Administrative Cost per month$0.00$0.00

As owner, president, or other responsible employee of this organization with the authority to sign proposals, agree to provide personnel and services as described in this proposal at the rates indicated.

Signature:
Printed Name:
Title:
Date:
Cost proposal tab SHALL NOT be Altered
(Note: Annual Estimated Number of the Waiver Participants are provided for evaluation puropses only)

&18COST PROPOSAL FORM RFP 727 2000000345

Forensic Accounting RFP

&18COST PROPOSAL FORM RFP 746 1800000253

MANGED CARE CONSULTING SERVICES

APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064

ACTUARIAL SERVICES

APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064

ACTUARIAL SERVICES

&"Arial,Regular"COST PROPOSAL Financial Mgmt. for PDS in 1915(c) HCBS Waiver Programs

RFP 746 2500000254

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