Cost Proposal Form - RFP 746 2600000131- Rate Setting.xlsx

This is a Cost Proposal Form for RFP 746 2600000131 submitted to the State of Kentucky for Rate Setting services. The initial contract term runs from July 1, 2026, through June 30, 2028, covering a 24-month period. The scope of work encompasses five primary service categories: Project Work Plan, Long Term Care Rate Setting, Hospitals and Facilities Setting, Primary Care Centers (PCC), Federally Qualified Health Centers (FQHC), Intermediate Care Facilities for Individuals with Intellectual Disabilities and/or Developmental Disabilities (ICF/IID/DD), Community Mental Health Centers (CMHC), and Rural Health Centers (RHC) Setting, and Kentucky Resident Assessment Training. Additionally, the proposal includes provision for Ad Hoc services to be billed at an hourly rate, with an estimated 800 hours allocated for this component.

The cost proposal is structured on an hourly rate basis, with estimated hours varying across the defined project components for scoring purposes only. The form requires the vendor to specify hourly rates for each service category, with the total estimated amount to be calculated based on these rates and the estimated hours. The proposal must be executed by an owner, president, or other responsible employee with authority to sign, certifying the organization's agreement to provide the personnel and services described at the rates indicated. All financial figures shown in the provided excerpt display as zero dollars, indicating this represents a blank template or incomplete submission requiring vendor completion.