E.1_Price_Proposal_Spreadsheet.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- Medical Review Accuracy Contractor (MRAC)
- Solicitation number
- 75FCMC23R0015
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 75FCMC23R0015_0004.pdf | ||
| 75FCMC23R0015_0003.pdf | ||
| E.7_Medical_Records_Factor_1.pdf | ||
| E.4_Prime_Proposal_Checklist_revised.docx | DOCX document | |
| E.2_MRAC_Q&As.docx | DOCX document | |
| 75FCMC23R0015_0001.pdf | ||
| E.2_MRAC_Questions_Submission_Template.docx | DOCX document | |
| E.6_Medical_Review_Decision_Worksheet.docx | DOCX document | |
| E.4_Prime_Proposal_Checklist.docx | DOCX document | |
| E.5_Past_Performance_Questionnaire.docx | DOCX document | |
| E.3_Responsibility_Questionnaire.docx | DOCX document | |
| D.1_MRAC_SOW.docx | DOCX document | |
| D.2_Contractor_Offeror_COI_Template.docx | DOCX document | |
| 75FCMC23R0015_SF1449.pdf |
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Text version
B.3
| CLIN 0001 | Base Year | Amount per Unit | Estimated Number of Units | Total |
| SLIN 0001AA | Administrative Costs* - Standard | 10 | $ - 0 | |
| SLIN 0001AB | Administrative Costs* - PI | 10 | $ - 0 | |
| SLIN 0001AC | Task 4 - Standard Medical Review** | 10,000 | $ - 0 | |
| SLIN 0001AD | Task 4 - Program Integrity Medical Review** | 6,667 | $ - 0 | |
| SLIN 0001AE | Task 5 - Agreement/Disagreement Worksheets - Standard Workload** | 200 | $ - 0 | |
| SLIN 0001AF | Task 5 - Disagreement Worksheets - PI Workload** | 100 | $ - 0 | |
| SLIN 0001AG | Task 2 - Transition In*** - Standard | 2 | $ - 0 | |
| SLIN 0001AH | Task 2 - Transition In*** - PI | 2 | $ - 0 | |
| CLIN 0001 Total | $ - 0 |
| CLIN 0002 | OY1 | Amount per Unit | Estimated Number of Units | Total |
| SLIN 0002AA | Administrative Costs* - Standard | 12 | $ - 0 | |
| SLIN 0002AB | Administrative Costs* - PI | 12 | $ - 0 | |
| SLIN 0002AC | Task 4 - Standard Medical Review** | 12,000 | $ - 0 | |
| SLIN 0002AD | Task 4 - Program Integrity Medical Review** | 8,000 | $ - 0 | |
| SLIN 0002AE | Task 5 - Agreement/Disagreement Worksheets - Standard Workload** | 100 | $ - 0 | |
| SLIN 0002AF | Task 5 - Disagreement Worksheets - PI Workload** | 100 | $ - 0 | |
| CLIN 0002 Total | $ - 0 |
| CLIN 0003 | OY2 | Amount per Unit | Estimated Number of Units | Total |
| SLIN 0003AA | Administrative Costs* - Standard | 12 | $ - 0 | |
| SLIN 0003AB | Administrative Costs* - PI | 12 | $ - 0 | |
| SLIN 0003AC | Task 4 - Standard Medical Review** | 12,000 | $ - 0 | |
| SLIN 0003AD | Task 4 - Program Integrity Medical Review** | 8,000 | $ - 0 | |
| SLIN 0003AE | Task 5 - Agreement/Disagreement Worksheets - Standard Workload** | 100 | $ - 0 | |
| SLIN 0003AF | Task 5 - Disagreement Worksheets - PI Workload** | 100 | $ - 0 | |
| CLIN 0003 Total | $ - 0 | |||
| CLIN 0004 | OY3 | Amount per Unit | Estimated Number of Units | Total |
| SLIN 0004AA | Administrative Costs* - Standard | 12 | $ - 0 | |
| SLIN 0004AB | Administrative Costs* - PI | 12 | $ - 0 | |
| SLIN 0004AC | Task 4 - Standard Medical Review** | 12,000 | $ - 0 | |
| SLIN 0004AD | Task 4 - Program Integrity Medical Review** | 8,000 | $ - 0 | |
| SLIN 0004AE | Task 5 - Agreement/Disagreement Worksheets - Standard Workload** | 100 | $ - 0 | |
| SLIN 0004AF | Task 5 - Disagreement Worksheets - PI Workload** | 100 | $ - 0 | |
| CLIN 0004 Total | $ - 0 | |||
| CLIN 0005 | OY4 | Amount per Unit | Estimated Number of Units | Total |
| SLIN 0005AA | Administrative Costs* - Standard | 12 | $ - 0 | |
| SLIN 0005AB | Administrative Costs* - PI | 12 | $ - 0 | |
| SLIN 0005AC | Task 4 - Standard Medical Review** | 12,000 | $ - 0 | |
| SLIN 0005AD | Task 4 - Program Integrity Medical Review** | 8,000 | $ - 0 | |
| SLIN 0005AE | Task 5 - Agreement/Disagreement Worksheets - Standard Workload** | 100 | $ - 0 | |
| SLIN 0005AF | Task 5 - Disagreement Worksheets - PI Workload** | 100 | $ - 0 | |
| CLIN 0005 Total | $ - 0 | |||
| CLIN 0006 | Amount per Unit | Estimated Number of Units | Total | |
| SLIN 0006AA | Transition Out**** - Standard | 2 | $ - 0 | |
| SLIN 0006AB | Transition Out**** - PI | 2 | $ - 0 | |
| CLIN 0006 Total | $ - 0 | |||
| * Administrative Costs will include all activities necessary for SOW Tasks 1, 3 and 6, as well as all necessary ODCs. The yearly amount will be equally divided into SLINs XXXAA and XXXAB to allow for payments from two different sources of funding. In addition, the amounts will be paid evenly monthly throughout a period of performance to cover all administrative expenses associated with this contract. | ||||
| ** Those prices are per each work product and will be paid after the final deliverable for each work product is accepted by the Government. Refer to the appropriate SOW section for description of each deliverable. | ||||
| *** Transition In price will cover 60 days of transition activities as described in Task 2 of the SOW and also all necessary ODCs for this Task. The amount will be equally divided into SLINs 0001AG and 0001AH to allow for payments from two different sources of funding. Each amount will be equally paid monthly throughout 60 days of Transition In. | ||||
| **** Transition Out price will cover 60 days of transition activities as described in Task 2 of the SOW. The amount will be equally divided into SLINs 0006AA and 0006AB to allow for payments from two different sources of funding. Each amount will be equally paid monthly throughout 60 days of Transition Out. |
B.5
| CLIN | Description | Total Price |
| 0001 | Base Period | $ - 0 |
| 0002 | Option Year 1 | $ - 0 |
| 0003 | Option Year 2 | $ - 0 |
| 0004 | Option Year 3 | $ - 0 |
| 0005 | Option Year 4 | $ - 0 |
| 0006 | Transition Out | $ - 0 |
| Total | $ - 0 |
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