Cost Proposal Form RFP 2600000110.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Actuarial Services C5903
- Solicitation number
- RFP 746 2600000110 3
- Issued by
- Kentucky
About this file
This is a Cost Proposal Form for RFP 2600000110 related to Actuarial Services (C5903) for the State of Kentucky. The contract encompasses actuarial and financial analysis services across two contract periods: an Initial Term covering Fiscal Years 2027-2028 and a First Renewal Term covering Fiscal Years 2029-2030. The scope of work includes seven primary service categories: 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. Additionally, vendors are invited to propose hourly rates for Additional Financial Analysis Activities across five staffing categories: Project Manager (100 estimated 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).
The cost proposal form requires vendors to provide estimated costs for each fiscal year within both contract terms and to complete a supporting narrative detailing the proposed costs. Optional services are available at an average hourly rate with 500 hours allowed during the first legislative session and 1,000 hours during subsequent sessions, with additional cost estimates provided for informational purposes only. Vendors must be authorized representatives such as owners, presidents, or responsible employees and must sign and date the proposal form. All cost information is currently displayed as placeholders ($-0), indicating that the form is a template awaiting vendor-specific pricing and service proposals.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Final_RFP_746_2600000110_2_SO_FORM.PDF | ||
| Attachment A Approved Risk Adjustment Model.docx | DOCX document | |
| KY NEMT 1915(b) Approval Letter.pdf | ||
| Final_RFP_746_2600000110_1_SO_FORM.PDF | ||
| Final_RFP_746_2600000110_3_SO_FORM.PDF |
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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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