Cost Proposal Form - RFP 736 26_209.xlsx

XLSX spreadsheet 31 KB Posted

Attached to
Title IV-E Claims Assistance C6064
Solicitation number
RFP 736 2600000209 2
Issued by
Kentucky

About this file

This is a Cost Proposal Form for RFP 736 2600000209 submitted to the State of Kentucky for Title IV-E Claims Assistance services. The contract term is 12 months, running from July 1, 2026, through June 30, 2027. The scope of work encompasses six service categories: onsite technical assistance regarding expenditure and eligibility data (1,000 estimated hours), assistance in planning the IV-E audit (100 estimated hours), Family First Foster Care updates (350 estimated hours), prevention claiming management (650 estimated hours), Title IV-E eligibility redetermination management (500 estimated hours), and independent systematic review (200 estimated hours), for a total of 2,800 estimated hours. The form requires the vendor to provide hourly rates for each service category, though the specific rates are not populated in the template shown.

The cost proposal requires submission by a responsible officer of the organization with signature authority, including printed name, title, and date. The estimated hours provided are stated for scoring purposes only and may vary during the contract period. The form indicates this is part of a larger procurement package that includes additional RFPs for related services such as actuarial services, managed care consulting services, and forensic accounting, suggesting a comprehensive engagement with Kentucky's child welfare or related state agency.

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Text version

Cost Proposal Form

COST PROPOSAL FORM

RFP 736 2600000209

Title IV-E Claims Assistance

Vendor Name:

Based on 12 month term - 07/01/2026-06/30/2027
Project - Title IV-E Claims AssistanceHourly RateEstimate of Hours required to complete Service. Estimated hours vary and are stated here for scoring purposes onlyTotal
1. Onsite Technical Assistance regarding expenditure and eligibility data$ - 01,000$ - 0
2. Assistance in planning the IV-E Audit$ - 0100$ - 0
3. Family First Foster Care Updates$ - 0350$ - 0
4. Prevention Claiming Management$ - 0650$ - 0
5. Title IV-E Eligibility Redetermination Management$ - 0500$ - 0
6. Independent Systematic Review$ - 0200$ - 0
$ - 0
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:

APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064

ACTUARIAL SERVICES

APPENDIX 2 &18COST PROPOSAL FORM RFP 746 1400000064

ACTUARIAL SERVICES

&18COST PROPOSAL FORM RFP 746 1800000253

MANGED CARE CONSULTING SERVICES

&18COST PROPOSAL FORM RFP 727 2000000345

Forensic Accounting RFP

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