Cost Proposal Form RFP 2600000110.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Actuarial Services C5903
- Solicitation number
- RFP 746 2600000110 2
- Issued by
- Elliott County, Kentucky
About this file
This is a Cost Proposal Form for RFP 2600000110 related to Actuarial Services (C5903) for the State of Kentucky. The procurement seeks actuarial services including managed care services with value-based payment plans, risk adjustment, non-emergency medical transportation (NEMT), directed payments, budget forecasting services, medical loss ratio adjustment, and encounter data monitoring. The contract includes an Initial Term covering fiscal years 2027 and 2028, with a First Renewal Term covering fiscal years 2029 and 2030. Additional Financial Analysis Activities are available on an hourly basis with specific rates for Project Manager (100 hours), Director-Actuary (175 hours), Consultants in Actuarial or IT (300 hours), Associates in IT or Support Staff (400 hours), and Administrative Support Staff (25 hours). Optional Services are available at an average hourly rate with 500 hours allowed per legislative session in the first year and 1,000 hours in the second year.
Vendors must complete the cost proposal form by providing estimated costs for each fiscal year in both the Initial Term and Renewal Term periods, along with hourly rates for additional services and optional services. The form requires a supporting narrative detailing the costs proposed and must be signed by an authorized representative of the vendor organization. The form structure indicates separate cost calculations for each fiscal year, with totals computed for both terms, and provides space for optional service cost estimates for informational purposes only. All cost entries are currently blank in the template, indicating this is a blank form awaiting vendor completion and submission.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| KY NEMT 1915(b) Approval Letter.pdf | ||
| Final_RFP_746_2600000110_2_SO_FORM.PDF | ||
| Attachment A Approved Risk Adjustment Model.docx | DOCX document | |
| Final_RFP_746_2600000110_1_SO_FORM.PDF | ||
| No Bid Form C5903 RFP Actuarial Services.docx | DOCX document |
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Text version
Cost Proposal Vendor Name:
| INITIAL TERM (FY27/28) | |||
| Project | Est FY27 Cost* | Est FY28 Cost* | Total Estimated Cost |
| 1. Managed Care Services (including value-based payment plan) | |||
| 2. Risk Adjustment | |||
| 3. NEMT | |||
| 4. Directed Payments | |||
| 5. Budget Forecasting Services | |||
| 6. Medical Loss Ratio Adjustment | |||
| 7. Encounter Data Monitoring | |||
| Set Projects Subtotals | $ - 0 | $ - 0 |
| Project | Estimated Hours | Rate | Est FY27 Cost | Est FY28 Cost |
| 8. Additional Financial Analysis Activities (Hourly Rate) | ||||
| Project Manager | 100 | $ - 0 | $ - 0 | |
| Director - Actuary | 175 | $ - 0 | $ - 0 | |
| Consultants - Actuarial or IT | 300 | $ - 0 | $ - 0 | |
| Associates - IT or Support Staff | 400 | $ - 0 | $ - 0 | |
| Administrative - Support Staff | 25 | $ - 0 | $ - 0 | |
| Additional Services Subtotals | 1000 | $ - 0 | $ - 0 |
| FY27 Total | FY28 Total | |
| $ - 0 | $ - 0 | $ - 0 |
| OPTIONAL SERVICES | ||||
| Average Hourly Rate Bid | $ - 0 | $ - 0 | ||
| Hours Allowed per Legislative Session | 500 | 1000 | ||
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 | ||
| $ - 0 | $ - 0 | $ - 0 |
| Total Contract Amount if Optional Services Bid | $ - 0 | ||
| 1st RENEWAL TERM (FY29/30) | |||
| Project | Est FY29 Cost* | Est FY30 Cost* | Total Estimated Cost |
| 1. Managed Care Services (including value-based payment plan) | |||
| 2. Risk Adjustment | |||
| 3. NEMT | |||
| 4. Directed Payments | |||
| 5. Budget Forecasting Services | |||
| 6. Medical Loss Ratio Adjustment | |||
| 7. Encounter Data Monitoring | |||
| Set Projects Subtotals | $ - 0 | $ - 0 |
| Project | Estimated Hours | Rate | Est FY29 Cost | Est FY30 Cost |
| 8. Additional Financial Analysis Activities (Hourly Rate) | ||||
| Project Manager | 100 | $ - 0 | $ - 0 | |
| Director - Actuary | 175 | $ - 0 | $ - 0 | |
| Consultants - Actuarial or IT | 300 | $ - 0 | $ - 0 | |
| Associates - IT or Support Staff | 400 | $ - 0 | $ - 0 | |
| Administrative - Support Staff | 25 | $ - 0 | $ - 0 | |
| Additional Services Subtotals | 1000 | $ - 0 | $ - 0 |
| FY29 Total | FY30 Total | |||
| $ - 0 | $ - 0 | $ - 0 | ||
| OPTIONAL SERVICES | ||||
| Average Hourly Rate Bid | $ - 0 | $ - 0 | ||
| Hours Allowed per Legislative Session | 500 | 1000 | ||
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 | ||
| $ - 0 | $ - 0 | $ - 0 |
| Total Contract Amount if Optional Services Bid | $ - 0 |
| * Supporting narrative details of cost proposed required. | |
| 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: |
&18COST PROPOSAL FORM RFP 746 2600000110
ACTUARIAL SERVICES
Supporting Narrative
Optional Services
| Vendor Name: | |||
| Additional Cost Estimates for Optional Service Hours is for Informational Purposes Only | |||
| OPTIONAL SERVICES FY27/28 | |||
| Average Hourly Rate | $ - 0 | $ - 0 | |
| Hours Allowed per Legislative Session | 500 | 1000 | |
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 | |
| 1st RENEWAL TERM (FY29/30) | |||
| OPTIONAL SERVICES FY29/30 | |||
| Average Hourly Rate | $ - 0 | $ - 0 | |
| Hours Allowed per Legislative Session | 500 | 1000 | |
| Additional Cost Estimate for Optional Services Hours | $ - 0 | $ - 0 |
APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064
ACTUARIAL SERVICES
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