Cost Schedule revised 07.18.23.xlsx

XLSX spreadsheet 49 KB Posted

Attached to
Centralized Credentialing
Solicitation number
40DHHS-S2377
Issued by
Churchill County, Nevada

About this file

The document is a Cost Proposal Instructions file related to a Request for Proposal (RFP) for a Centralized Credentialing contract opportunity issued by the State of Nevada. The contract is for a four-year base term with an optional two-year extension. The cost proposal instructions outline the required format and contents, including tabs for the title page, cost proposal, potential changes, optional services, and personnel rates. The cost proposal covers Design, Development, and Implementation (DDI) services as well as Maintenance and Operations (M&O) services for the Centralized Credentialing solution. The RFP reference number is 40DHHS-S2377, and the contract opportunity covers the jurisdictions of Carson City.

The cost proposal instructions provide detailed guidelines for submitting cost estimates across the base contract years and optional extension years. Proposers are required to provide pricing for DDI services, M&O services, potential changes, optional services, and a recommended number of pool hours for change requests and enhancements. The instructions also specify the format for submitting personnel rates for various roles. Pricing information is to be provided at the line-item level, with the expectation that proposers will provide additional details to support their proposed costs.

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Quote Instructions.pdf PDF
10.1.6 RFP IS Change Management Plan Sample.pdf PDF
10.2.1 Contract Form.docx DOCX document
10.3.7 Reference Questionnaire.docx DOCX document
10.1.1 Terms and Conditions for Services.docx DOCX document
40DHHS-S2377 Bid Amendment 2.docx DOCX document
S2377 Letter of Intent.pdf PDF
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10.3.5 S2377 Cost Schedule.xlsx XLSX spreadsheet
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10.3.4 S2377 System Requirements Technical Questionnaire.xlsx XLSX spreadsheet
10.1.3 RFP Abbreviations.docx DOCX document
10.2.2 INSURANCE REQUIREMENTS.docx DOCX document
10.3.3 S2377 Requirements Matrix .xlsx XLSX spreadsheet
10.3.8 Attachments for Signatures.pdf PDF
RFP 40DHHS-S2377 Centralized Credentialing.docx DOCX document
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10.2.3 Service Level Agreements.docx DOCX document
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10.1.5 RFP Liquidated Damages.xlsx XLSX spreadsheet
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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:Centralized Credentialing

B. RFP: 40DHHS-S2377

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 9, COST.

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

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

XXX Summary Cost Schedule Centralized Credentialing SUMMARY COST SCHEDULE

The proposer shall review RFP Section 9 for guidance associated with this cost schedule.

Full 4-Year Contract PeriodOptional 2-Year Extension
Item #Base Contract Years and Option Year Cost SummaryYear 1
PartialYear 2Year 3Year 4Year 5
PartialYear 6
(Optional Year)Year 7

(Optional Year)

Costs - Base Contract Years
DDI Services$0.00$0.00$0.00$0.00$0.00$0.00$0.00
M&O Services$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Base Contract Subtotal Section $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Item #Base Contract Years and Option Year Potential Changes SummaryYear 1
PartialYear 2Year 3Year 4Year 5
PartialYear 6
(Optional Year)Year 7

(Optional Year)

Costs - Potential Changes - Base Contract Years
DDI Services$0.00$0.00$0.00$0.00$0.00$0.00$0.00
M&O Services$0.00$0.00$0.00$0.00$0.00$0.00$0.00
Base Contract Potential Changes Subtotal Section$0.00$0.00$0.00$0.00$0.00$0.00$0.00
Item #Optional Services Cost SummaryYear 1
PartialYear 2Year 3Year 4Year 5
PartialYear 6
(Optional Year)Year 7

(Optional Year)

Costs - Optional Services
DDI Services$0.00$0.00$0.00$0.00$0.00$0.00$0.00
M&O Services$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Optional Services Subtotal Section $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Item #Enhancement Pool HoursHoursYear 1
PartialYear 2Year 3Year 4Year 5
PartialYear 6
(Optional Year)Year 7

(Optional Year)

Change Request/Enhancement Pool (Vendor Proposed Number of Hours)
Configuration & Deployment Tasks- 0$0.00$0.00$0.00$0.00$0.00$0.00$0.00
M&O Task- 0$0.00$0.00$0.00$0.00$0.00$0.00$0.00
M&O Option Year- 0$0.00$0.00
Enhancement Pool Hours- 0$0.00$0.00$0.00$0.00$0.00$0.00$0.00

&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P x.1.2 DDI Services Centralized Credentialing

DDI Services Cost Schedule, Base Contract Years - Centralized Credentialing
The proposer shall review RFP Section 9 for guidance associated with this cost schedule. Proposers shall provide the cost for each item identified in this schedule as well as a detailed description and associated cost for additional items identified by the proposer.
RFP Reference #Description of DDI ServicesDDI (Year 1) Cost - Partial YearDDI (Year 2) CostDDI (Year 3) CostDDI (Year 4) CostDDI (Year 5) Cost - Partial YearTotal Cost by Service Line
for DDI Base Contract YearsDDI (Year 6) Cost
Optional YearDDI (Year 7) Cost

Optional Year

Project Kick Off Meeting Task$0.00
Planning & Administration Task$0.00
Configuration & Design Task$0.00
Development & Deployment Task$0.00
CMS Operational Readiness Review of Centralized Credentialing Solution$0.00
$0.00
$0.00
$0.00
Indirect Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Hardware/Software and Licensing
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
DDI BASE CONTRACT YEARS SUB TOTAL$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Below this line, proposer shall provide additional information as needed to convey the basis of your proposed cost amounts presented in this schedule.

&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P x.1.3 M&O Services Centralized Credentialing

Maintenance & Operations Cost Schedule, Base Contract Years - Centralized Credentialing
The proposer shall review RFP Section 9 for guidance associated with this cost schedule. Proposers shall provide the cost for each item identified in this schedule as well as a detailed description and associated cost for additional items identified by the proposer.
RFP Reference #Description of Maintenance & Operations ServicesM&O (Year 1) Cost - Partial YearM&O (Year 2) CostM&O (Year 3) CostM&O (Year 4) CostM&O (Year 5) Cost - Partial YearTotal Cost by Service Line
for M&O Base Contract YearsM&O (Year 6) Cost
Optional YearM&O (Year 7) Cost

Optional Year

Direct Costs
Operations and Maintenance of the Centralized Credentialing Solution and All Components$0.00
Stakeholder Outreach and Training$0.00
Help Desk Operations$0.00
CMS Certification of Centralized Credentialing$0.00
Ongoing Certification Support$0.00
Contract Transition & Closeout$0.00
Extract/Interface with DHCFP MMIS Provider Portal/Fiscal Agent$0.00
Provider Representative Support$0.00
Extended Help Desk Hours$0.00
$0.00
Indirect Costs
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Hardware/Software and Licensing
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
M&O BASE CONTRACT YEARS SUB TOTAL$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Below this line, proposer shall provide additional information as needed to convey the basis of your proposed cost amounts presented in this schedule.

&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P x.1.4 Potential Changes DDI Centralized Credentialing

DDI Potential System Changes Cost Schedule - Centralized Credentialing
The proposer shall review RFP Section 9 for guidance associated with this cost schedule. Proposers shall provide the cost for each item identified in this schedule as well as a detailed description and associated cost for additional items identified by the proposer.
RFP Reference #Description of DDI Potential System ChangesDDI (Year 1) Cost - Partial YearDDI (Year 2) CostDDI (Year 3) CostDDI (Year 4) CostDDI (Year 5) Cost - Partial YearTotal Cost by Service Line
for Base Contract YearsDDI (Year 6) Cost
Optional YearDDI (Year 7) Cost

Optional Year

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
DDI BASE CONTRACT YEARS SUB TOTAL$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Below this line, proposer shall provide additional information as needed to convey the basis of your proposed cost amounts presented in this schedule.

&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P x.1.5 Potential Changes M&O Centralized Credentialing

M&O Potential System Changes Cost Schedule - Centralized Credentialing
The proposer shall review RFP Section 9 for guidance associated with this cost schedule. Proposers shall provide the cost for each item identified in this schedule as well as a detailed description and associated cost for additional items identified by the proposer.
RFP Reference #Description of M&O Potential System ChangesM&O (Year 1) Cost - Partial YearM&O (Year 2) CostM&O (Year 3) CostM&O (Year 4) CostM&O (Year 5) Cost - Partial YearTotal Cost by Service Line
for Base Contract YearsM&O (Year 6) Cost
Optional YearM&O (Year 7) Cost

Optional Year

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
M&O BASE CONTRACT YEARS SUB TOTAL$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Below this line, proposer shall provide additional information as needed to convey the basis of your proposed cost amounts presented in this schedule.

x.1.6 Optional Services DDI Centralized Credentialing

DDI Optional Services Cost Schedule - Centralized Credentialing
The proposer shall review RFP Section 9 for guidance associated with this cost schedule. Proposers shall provide the cost for each item identified in this schedule as well as a detailed description and associated cost for additional items identified by the proposer.
RFP Reference #Description of DDI Optional ServicesDDI (Year 1) Cost - Partial YearDDI (Year 2) CostDDI (Year 3) CostDDI (Year 4) CostDDI (Year 5) Cost - Partial YearTotal Cost by Service Line
for Base Contract YearsDDI (Year 6) Cost
Optional YearDDI (Year 7) Cost

Optional Year

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
DDI ANNUAL OPTIONAL SERVICES SUB-TOTAL$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Below this line, proposer shall provide additional information as needed to convey the basis of your proposed cost amounts presented in this schedule.

&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P x.1.7 Optional Services M&O Centralized Credentialing

M&O Optional Services Cost Schedule - Centralized Credentialing
The proposer shall review RFP Section 9 for guidance associated with this cost schedule. Proposers shall provide the cost for each item identified in this schedule as well as a detailed description and associated cost for additional items identified by the proposer.
RFP Reference #Description of M&O Optional ServicesM&O (Year 1) Cost - Partial YearM&O (Year 2) CostM&O (Year 3) CostM&O (Year 4) CostM&O (Year 5) Cost - Partial YearTotal Cost by Service Line
for Base Contract YearsM&O (Year 6) Cost
Optional YearM&O (Year 7) Cost

Optional Year

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
M&O ANNUAL OPTIONAL SERVICES SUB-TOTAL$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Below this line, proposer shall provide additional information as needed to convey the basis of your proposed cost amounts presented in this schedule.

x.1.8 Personnel Rates Centralized Credentialing

Personnel Rates by Year Cost Schedule - For Enhancements - Centralized Credentialing
The proposer shall review RFP Section 9 for guidance associated with this cost schedule. Proposers shall provide the cost for each item identified in this schedule as well as a detailed description and associated cost for additional items identified by the proposer.
The proposer shall also provide a recommended number of Pool Hours for Centralized Credentialing Change Requests/Enhancements.
*Each year cost(For Partial Years 1 and 5, adjust formulas to account for number of months)
RFP Reference #Pool Hours for Change Requests/EnhancementsNumber of HoursHourly RateYear 1
PartialYear 2Year 3Year 4Year 5
PartialYear 6
(Optional Year)Year 7

(Optional Year)

Configuration & Deployment Tasks$0.00$0.00$0.00$0.00$0.00$0.00$0.00
M&O Task$0.00$0.00$0.00$0.00$0.00$0.00$0.00
M&O Option Year$0.00$0.00
Item #Personnel PositionHourly Rate -
DDI (Year 1)Hourly Rate -

Base Contract (Years 2-4)

Personnel Rates
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Below this line, proposer shall provide additional information as needed to convey the basis of your proposed cost amounts presented in this schedule.

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

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