E.9 - Business Proposal Template.xlsx

XLSX spreadsheet 92 KB Posted

Attached to
State Medicaid Program Integrity Audits Federal contract opportunity
Solicitation number
75FCMC24RJ002
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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Written by GovTribe AI ·

This document appears to be a Business Proposal Template for a federal contract opportunity titled "State Medicaid Program Integrity Audits" with Solicitation Number 75FCMC24RJ002. The contract is for the Department of Health and Human Services Centers for Medicare and Medicaid Services to assist with reviewing state Medicaid and CHIP program integrity oversight functions and beneficiary eligibility requirements.

The template includes detailed pricing information for a base period and four option years, covering tasks such as administrative requirements, program integrity audits, and beneficiary eligibility determination audits. Pricing elements include direct labor, fringe benefits, overhead, and other direct costs. The total estimated contract value is $528,451.30. The contract has a 2.25% inflation rate per year. The proposal also includes travel cost estimates for each contract period.

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Other files for this federal contract opportunity

Other files attached to State Medicaid Program Integrity Audits, newest first.
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75FCMC24RJ002_Amendment 0001.pdf PDF
E.1 - SMPIA Questions Submission - Response.xlsx XLSX spreadsheet
E.3 - Scenario 2 - Review Guide Module.docx DOCX document
E.4 - Scenario 2 - Response Template.docx DOCX document
E.11 - CMS 508 PDF Checklist.xlsx XLSX spreadsheet
E.6 - Responsibility Questionnaire.docx DOCX document
E.8 - Consent to Subcontract.docx DOCX document
E.13 - CMS 508 Word Checklist.xlsx XLSX spreadsheet
E.14 - CMS 508 Excel Checklist.xlsx XLSX spreadsheet
E.1 - SMPIA Questions Submission Template.xlsx XLSX spreadsheet
E.10 - 508 Checklist Instructions.docx DOCX document
E.2 - Scenario 1 - Compliance Plan.docx DOCX document
75FCMC24RJ002.pdf PDF
E.12 - CMS 508 Webapps Checklist.xlsx XLSX spreadsheet
J.2 - CFM Report.xlsx XLSX spreadsheet
E.15 - CMS 508 PowerPoint Checklist.xlsx XLSX spreadsheet
J.1 - SMPIA SOW.docx DOCX document
J.3 - Conflict of Interest Template.docx DOCX document
E.5 - Past Performance Questionnaire.docx DOCX document
E.7 - Prime Proposal Checklist.docx DOCX document
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IGCE

HHS IGCE TEMPLATE
PROJECT TITLE:Maintenance Agreement for the CPI Command Center
Detailed Price Summary
Note: This template can be modified based on the contract type (i.e. Firm Fixed Price, Time and Materials, and Cost Reimburesment)
Contract Line Item DescriptionBase PeriodOption Year OneOption Year TwoOption Year ThreeOption Year Four
HoursRateTotal PriceHoursRateTotal PriceHoursRateTotal PriceHoursRateTotal PriceQuantityUnit PriceTotal Price
Engineer IV96.00$ 190.00$ 18,240.0096.00$ 194.28$ 18,650.4096.00$ 198.65$ 19,070.0396.00$ 203.12$ 19,499.1196.00$ 207.69$ 19,937.84
Field Services Engineer360.00$ 140.00$ 50,400.00360.00$ 143.15$ 51,534.00360.00$ 146.37$ 52,693.52360.00$ 149.66$ 53,879.12360.00$ 153.03$ 55,091.40
Services Engineer360.00$ 90.00$ 32,400.00360.00$ 92.02$ 33,129.00360.00$ 94.10$ 33,874.40360.00$ 96.21$ 34,636.58360.00$ 98.38$ 35,415.90
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Line Item Subtotal$ 101,040.00$ 103,313.40$ 105,637.95$ 108,014.81$ 110,445.14
Fringe Benefits$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Line Item & Fringe$ 101,040.00$ 103,313.40$ 105,637.95$ 108,014.81$ 110,445.14
Overhead$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal Line Items, Fringe and Overhead$ 101,040.00$ 103,313.40$ 105,637.95$ 108,014.81$ 110,445.14
ODC's
Travel$ - 0$ - 0$ - 0$ - 0$ - 0
Subcontracts$ - 0$ - 0$ - 0$ - 0$ - 0
Consultants$ - 0$ - 0$ - 0$ - 0$ - 0
Materials$ - 0$ - 0$ - 0$ - 0$ - 0
CDs$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal ODCs$ - 0$ - 0$ - 0$ - 0$ - 0
Subtotal - All Costs$ 101,040.00$ 103,313.40$ 105,637.95$ 108,014.81$ 110,445.14
G&A$ - 0$ - 0$ - 0$ - 0$ - 0
Total Cost$ 101,040.00$ 103,313.40$ 105,637.95$ 108,014.81$ 110,445.14
Fee/Profit$ - 0$ - 0$ - 0$ - 0$ - 0
Total Estimated Yearly Values$ 101,040.00$ 103,313.40$ 105,637.95$ 108,014.81$ 110,445.14
TOTAL ESTIMATED VALUE OF CONTRACT$ 528,451.30
Assumptions:Percent
Inflation Rate Per Year2.25%
Fringe Benefits Rate0.00%
Overhead Rate0.00%
G&A Rate0.00%
Fee/Profit Percentage0.00%

&F&D&T

Summary

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
(Contractor Name)
CLIN 0001CLIN 0002CLIN 0003CLIN 0004CLIN 0005CLINs 1 - 5CLIN 0006CLINs 1-5 & 6CLIN 0007CLINs 1-5 & 7
Contract Line Item DescriptionBase PeriodOption Period OneOption Period TwoOption Period ThreeOption Period Four (9 MO)TotalOption Period Five - Fully Opp (3 MO)TotalOptional Transition Out (3 MO)TotalCLINs 0001-0007
Direct LaborHoursRateTotal CostHoursRateTotal CostHoursRateTotal CostHoursRateTotal PriceHoursRateTotal CostHoursRateTotal CostHoursRatesTotal CostGrand Total
Total Hours
Direct Labor Subtotal
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
TOTAL ESTIMATED VALUE OF CONTRACT
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

CLIN 0001 - Base Period

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
Base Period - CLIN 0001 (1-Year)
Contract Line Item DescriptionTotal FTEsTask 1 - Administrative RequirementsTask 2 - Program Integrity AuditsTask 3 - Beneficiary Eligibility Determination AuditsAll Tasks
Direct Labor1880HoursRatesTotalHoursRatesTotalHoursRatesTotalTotal hoursRatesTotal
Total (FTEs/Hours & Cost)
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

CLIN 0002 - Option Period 1

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
Option Period 1 - CLIN 0002 (1-Year)
Contract Line Item DescriptionTotal FTEsTask 1 - Administrative RequirementsTask 2 - Program Integrity AuditsTask 3 - Beneficiary Eligibility Determination AuditsAll Tasks
Direct Labor1880HoursRatesTotalHoursRatesTotalHoursRatesTotalTotal hoursRatesTotal
Total (FTEs/Hours & Cost)
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

CLIN 0003 - Option Period 2

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
Option Period 2 - CLIN 0003 (1-Year)
Contract Line Item DescriptionTotal FTEsTask 1 - Administrative RequirementsTask 2 - Program Integrity AuditsTask 3 - Beneficiary Eligibility Determination AuditsAll Tasks
Direct Labor1880HoursRatesTotalHoursRatesTotalHoursRatesTotalTotal hoursRatesTotal
Total (FTEs/Hours & Cost)
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

CLIN 0004 - Option Period 3

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
Option Period 3 - CLIN 0004 (1-Year)
Contract Line Item DescriptionTotal FTEsTask 1 - Administrative RequirementsTask 2 - Program Integrity AuditsTask 3 - Beneficiary Eligibility Determination AuditsAll Tasks
Direct Labor1880HoursRatesTotalHoursRatesTotalHoursRatesTotalTotal hoursRatesTotal
Total (FTEs/Hours & Cost)
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

CLIN 0005 - Option Period 4

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
Option Period 4 - CLIN 0005 (9-Months)
Contract Line Item DescriptionTotal FTEsTask 1 - Administrative RequirementsTask 2 - Program Integrity AuditsTask 3 - Beneficiary Eligibility Determination AuditsAll Tasks
Direct Labor1880HoursRatesTotalHoursRatesTotalHoursRatesTotalTotal hoursRatesTotal
Total (FTEs/Hours & Cost)
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

CLIN 0006 - 3MO Fully OPP

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
Option Period 5 - CLIN 0006 - Fully Operational Period (3-Months)
Contract Line Item DescriptionTotal FTEsTask 1 - Administrative RequirementsTask 2 - Program Integrity AuditsTask 3 - Beneficiary Eligibility Determination AuditsAll Tasks
Direct Labor1880HoursRatesTotalHoursRatesTotalHoursRatesTotalTotal hoursRatesTotal
Total (FTEs/Hours & Cost)
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

CLIN 0007 - Transition Out

State Medicaid Program Integrity Audits
RFP-75FCMC24RJ002
CLIN 0007 - Optional Transition Out (3-Months)
Contract Line Item DescriptionTotal FTEsTask 4 - Transition-Out (Optional)All Tasks
Direct Labor1880HoursRatesTotalTotal hoursRatesTotal
Total (FTEs/Hours & Cost)
Fringe Benefits
Total Direct Labor & Fringe
Overhead
Total Direct Labor, Fringe and Overhead
ODC's
Travel
Subtotal ODCs
Subtotal - All Costs
G&A
Total Cost
Fee/Profit
Total Estimated Yearly Values
Assumptions:Percent
Inflation Rate Per Year
Fringe Benefits Rate
Overhead Rate
G&A Rate
Fee/Profit Percentage

Travel

Travel Estimates - Base Period (CLIN 0001)
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total
Travel Estimates - Option Period 1 (CLIN 0002)
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total
Travel Estimates - Option Period 2 (CLIN 0003)
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total
Travel Estimates - Option Period 3 (CLIN 0004)
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total
Travel Estimates - Option Period 4 - 9-Months (CLIN 0005)
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total
Travel Estimates - Option Period 5 -3-Month Fully Operational (CLIN 0006)
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total
Travel Estimates - Optional Transition-Out (3-Months) (CLIN 0007)
Reason for TripFromToNumber of PeopleTimes per PoPAirfare/TrainHotelNumber of NightsMeals & Incidentals Per Diem Per FTRCar RentalHome Airport/train ParkingMilage/Tolls/Parking/Misc*Total
Total CLIN 0001-0005
Total CLIN 0001-0005 & 0006
Total CLIN 0001-0005 & 0007
Total CLIN 0001-0007

ODC

ODC - Base Period (CLIN 0001)ODC - Option Period 1 (CLIN 0002)ODC - Option Period 2 (CLIN 0003)ODC - Option Period 3 (CLIN 0004)ODC - Option Period 4 (9-MO) (CLIN 0005)ODC - Option Period 5 - Fully Opp (3-MO) (CLIN 0006)ODC - Optional Transition-Out (3-MO) (CLIN 0007)
TaskItem DescriptionTotal CostTaskItem DescriptionTotal CostTaskItem DescriptionTotal CostTaskItem DescriptionTotal CostTaskItem DescriptionTotal CostTaskItem DescriptionTotal CostTaskItem DescriptionTotal Cost
Total CLIN 0001-0005
Total CLIN 0001-0005 & 0006
Total CLIN 0001-0005 & 0007
Total CLIN 0001-0007

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