Cost Schedule CCBHC QIP.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
Certified Community Behavioral Healthcare Centers Data Project
Solicitation number
40DHHS-S3183
Issued by
Nevada

About this file

This document is a Cost Schedule and Cost Proposal Instructions for the Nevada Department of Health and Human Services (DHHS) Certified Community Behavioral Healthcare Centers (CCBHC) Quality Incentive Payment (QIP) Rate Setting project. The contract spans a full 4-year period from January 1, 2026, to June 30, 2029, with two optional one-year extensions. The project involves calculating eight administrative or survey-based measures annually for up to 17 CCBHCs, with rates to be calculated at least once per State Fiscal Year. The final deliverables will include QIP payment structure calculations as outlined in Nevada's State Plan, with annual PPS payments to be provided by Nevada Medicaid.

The cost proposal requires detailed backup documentation and must remain valid for 180 days after the proposal due date. The vendor's proposed costs are to be comprehensive, covering all expenses including travel, per diem, out-of-pocket, administrative, and overhead costs. While the current document shows placeholder rates of $0.00 for all line items, it provides a template for vendors to complete their professional hourly rates and project costs. The proposal must be submitted as a single PDF file and will be evaluated based on the detailed cost schedule and proposed hourly rates for professional staff assigned to the project.

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Cost Proposal Instructions

COST PROPOSAL INSTRUCTIONS
Contents of the cost proposal shall be as follows:
1.Tab I - Title Page
The title page shall include the following:
A.Cost Proposal for:CERTIFIED COMMUNITY BEHAVIORAL HEALTHCARE CENTERS (CCBHC) QUALITY INCENTIVE PAYMENT (QIP) RATE SETTING

B. RFP: 40DHHS-XXXX

C.Proposer Information:Name:
Address:

D. Proposal opening date: (Purchasing to complete)

E. Proposal opening time: (Purchasing to complete)

2.Tab II - Cost Proposal
A.Cost proposal shall be in the format identified in Section XXX, COST SCHEDULE.

C. Proposers shall provide one (1) PDF Cost Proposal file.

&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P

BID TAB

COST SCHEDULE
CERTIFIED COMMUNITY BEHAVIORAL HEALTHCARE CENTERS (CCBHC) QUALITY INCENTIVE PAYMENTS (QIP) RATE SETTING

INSTRUCTIONS FOR COMPLETING THE COST SCHEDULE

Enter the proposed costs in Bid Boxes - Columns B-F (below) as related to the Project Deliverables for CCBHC QIP services as outlined in Column A10 below as per the RFP.

The cost for deliverables shall be complete and inclusive of all expenses, including travel, per diem and out-of-pocket expenses, as well as administrative and/or overhead expenses. Detailed backup shall be provided for all cost schedules completed. All proposal terms, including proposed cost, shall remain in effect for a minimum of 180 days after the proposal due date. In the case of the awarded vendor, all proposal terms, including proposed cost, shall remain in effect throughout the contract term.

Full 4-Year Contract PeriodOptional Year Extensions
PROJECT DELIVERABLESFiscal Year 1 Partial
01/01/26 - 06/30/26Year 2
07/01/26 - 06/30/27Year 3
07/01/27 - 06/30/28Year 4
07/01/28 - 06/30/29Year 5 Partial
07/01/29 - 12/31/294-YEAR TOTALOptional Year 1
ExtensionOptional Year 2

Extension PLANNING AND PROJECT MANAGEMENT and CCBHC QIP CALCULATIONS AND RATE SETTING

These activitIies are inclusive in the costs and will encompass the QIP tasks for the CCBHC payment structure as outlined Nevada's State Plan.$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
- A total of Eight (8) measures shall be calculated for each fiscal year for QIP payment
- No measures will require medical record review
- All measures wil be administrative-based measures or survey based
- Rates will be calculated for up to 17 CCBHCs
- Results will be stratified by CCBHC only
- Annual PPS payment to CCBHCs will be provided by Nevada Medicaid
- Rate calculations will be conducted a minimum of once following each State Fiscal Year

FORMULATED FROM BID BOXES - DO NOT ALTER

PROFESSIONAL HOURLY RATES
List professional levels and hourly rates for Vendor staff that shall work on this project
PROPOSED HOURLY RATE
1$0.00
2$0.00
3$0.00
4$0.00
5$0.00
6$0.00
7$0.00
8$0.00
9$0.00
10$0.00
(add additional if needed)$0.00
$0.00
$0.00
$0.00

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