Event Packet Cost_Report 4.15.2026.pdf
PDF 81 KB Posted
- Attached to
- CMS- Cost ReportBid Documents
- Solicitation number
- 00570-0000087476
- Issued by
- Sullivan County, Indiana
About this file
This is a Request for Quotation issued by the Indiana Veterans' Home (IVH), a state-operated facility under the State of Indiana. The IVH is requesting quotes for Annual Cost Report Services covering State Fiscal Years 2026 through 2029. The engagement requires suppliers to prepare and timely file multiple cost reports including Financial Reports for State Operated Facilities (Annual Cost Report and Budget Cost Report), Skilled Nursing Facility Health Care Complex Cost Report, and Form 2540-24. Bidders must submit completed bid packages by May 15, 2026 at 2:00 PM EDT to Rhonda Jaggers at RJaggers@ivh.in.gov. The quotation process opened on April 14, 2026 at 2:05 PM EDT. No site visits or bidders' conferences are mentioned in the documentation. The contract will span four fiscal years (FY 2026-2029) with distinct cost report services required for each fiscal year.
The bid package requests pricing quotes for eight separate line items organized by fiscal year: FY26 CMS Cost Report and FSSA FY26 Follow-up questions on Medicaid Cost Reports; FY27 CMS Cost Report and FSSA FY27 Follow-up questions; FY28 CMS Cost Report and FSSA FY28 Follow-up questions; and FY29 CMS Cost Report and FSSA FY29 Follow-up questions. All pricing responses are weighted at 100% and are required fields. The quotation is limited to bids in U.S. Dollars only and is not eligible for electronic submission through the Supplier Portal. Bidders must complete the Bidder Information section with firm name, contact details, signature, and date. No information regarding set-asides, incumbents, funding sources, or specific budget amounts is provided in this document.
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Other files
| File | Type | Posted |
|---|---|---|
| Blank Contract 4.2026.pdf | ||
| 2026-04_SOW_Annual Cost Reports.docx | DOCX document | |
| Sourcing Event packet.docx | DOCX document |
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Text version
Event Description The Indiana Veterans’ Home (IVH) requests quotes for Annual Cost Report Services.
The engagement will include the preparation and timely filing of the following cost reports for State FY 2026-2029 from the information IVH provides to the supplier.
Financial Report for State Operated Facility - Annual Cost Report Financial Report for State Operated Facility - Budget Cost Report Skilled Nursing Facility Health Care Complex Cost Report Form 2540-24
A completed bid package MUST be submitted by the due date/time, 5/15/2026 2:00 pm.
Bids can be submitted to Rhonda Jaggers at RJaggers@ivh.in.gov
The bid package is available for download through the Bid Documents link in the Event Name column. This bid is NOT eligible for electronic bid through the Supplier Portal.
Event Details
Bidder: INTERNAL EVENT DETAILS
Submit To: Veterans Home Indiana Veterans Home Pyle Administration Bldg
3851 N RIVER RD
WEST LAFAYETTE IN 47906
United States
Contact: Rhonda Jaggers - 00570 Phone: 764/497-8670 Email: RJaggers@ivh.IN.gov
State of Indiana Request for Quotation Event ID Format Type Page 00570-0000087476 Buy RFx 1 Event Name CMS- Cost Report Start Time Finish Time
04/14/2026 14:05:07 EDT 05/15/2026 14:05:00 EDT
Event Currency: US Dollar Bids allowed in other currency: No
Line Details No Bid:
Line: 1 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FY26 CMS Cost Report
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
No Bid:
Line: 2 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FSSA FY26 Follow up questions on Medicaid Cost Reports
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
Event Details (cont.)
Bidder: INTERNAL EVENT DETAILS
Submit To: Veterans Home Indiana Veterans Home Pyle Administration Bldg
3851 N RIVER RD
WEST LAFAYETTE IN 47906
United States
Contact: Rhonda Jaggers - 00570 Phone: 764/497-8670 Email: RJaggers@ivh.IN.gov
State of Indiana Request for Quotation Event ID Format Type Page 00570-0000087476 Buy RFx 2 Event Name CMS- Cost Report Start Time Finish Time
04/14/2026 14:05:07 EDT 05/15/2026 14:05:00 EDT
Line: 3 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FY27 CMS Cost Report
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
No Bid:
Line: 4 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FSSA FY27 Follow up questions on Medicaid Cost Reports
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
No Bid:
Line: 5 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FY28 CMS Cost Report
Event Details (cont.)
Bidder: INTERNAL EVENT DETAILS
Submit To: Veterans Home Indiana Veterans Home Pyle Administration Bldg
3851 N RIVER RD
WEST LAFAYETTE IN 47906
United States
Contact: Rhonda Jaggers - 00570 Phone: 764/497-8670 Email: RJaggers@ivh.IN.gov
State of Indiana Request for Quotation Event ID Format Type Page 00570-0000087476 Buy RFx 3 Event Name CMS- Cost Report Start Time Finish Time
04/14/2026 14:05:07 EDT 05/15/2026 14:05:00 EDT
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
No Bid:
Line: 6 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FSSA FY28 Follow up questions on Medicaid Cost Reports
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
No Bid:
Line: 7 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FY29 CMS Cost Report
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
Event Details (cont.)
Bidder: INTERNAL EVENT DETAILS
Submit To: Veterans Home Indiana Veterans Home Pyle Administration Bldg
3851 N RIVER RD
WEST LAFAYETTE IN 47906
United States
Contact: Rhonda Jaggers - 00570 Phone: 764/497-8670 Email: RJaggers@ivh.IN.gov
State of Indiana Request for Quotation Event ID Format Type Page 00570-0000087476 Buy RFx 4 Event Name CMS- Cost Report Start Time Finish Time
04/14/2026 14:05:07 EDT 05/15/2026 14:05:00 EDT
Line: 8 Item ID: Line Qty: 1 UOM: Each Weighting: 0% Bid Qty: 1 Required: No Reserve Price: No
Description: FSSA FY29 Follow up questions on Medicaid Cost Reports
Question UOM Best Worst Weighting Response What is your quote/bid price? 100%
Required: Yes Mandatory Response: No
Response Comments
Event Details (cont.)
Bidder: INTERNAL EVENT DETAILS
Submit To: Veterans Home Indiana Veterans Home Pyle Administration Bldg
3851 N RIVER RD
WEST LAFAYETTE IN 47906
United States
Contact: Rhonda Jaggers - 00570 Phone: 764/497-8670 Email: RJaggers@ivh.IN.gov
State of Indiana Request for Quotation Event ID Format Type Page 00570-0000087476 Buy RFx 5 Event Name CMS- Cost Report Start Time Finish Time
04/14/2026 14:05:07 EDT 05/15/2026 14:05:00 EDT
Bidder Information Firm Name:
Name: Signature: Date:
Phone #: Fax #:
Street Address:
City & State: Zip Code:
Email:
Event Details (cont.)
Bidder: INTERNAL EVENT DETAILS
Submit To: Veterans Home Indiana Veterans Home Pyle Administration Bldg
3851 N RIVER RD
WEST LAFAYETTE IN 47906
United States
Contact: Rhonda Jaggers - 00570 Phone: 764/497-8670 Email: RJaggers@ivh.IN.gov
State of Indiana Request for Quotation Event ID Format Type Page 00570-0000087476 Buy RFx 6 Event Name CMS- Cost Report Start Time Finish Time
04/14/2026 14:05:07 EDT 05/15/2026 14:05:00 EDT
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