RFP_PFDC_Exhibit_E-3.xlsx

XLSX spreadsheet 24 KB Posted Mar 13, 2015

Attached to: Recovery - HITECH Payment File Development Contractor Federal contract opportunity
Solicitation number: HHSM-500-2015-RFP-0110
Issued by: Department of Health and Human Services Centers for Medicare and Medicaid Services

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From the source

RFP PFDC Exhibit E-3

Other files attached to Recovery - HITECH Payment File Development Contractor, newest first.
File	Type	Posted
HHSM-500-2015-RFP-0110_Solicitation_(Amendment_000001).pdf	PDF	Mar 30, 2015
HHSM-500-2015-RFP-0110_(Amendment_000001_SF-30).pdf	PDF	Mar 30, 2015
Questions_ _Answers_for_PFDC.pdf	PDF	Mar 30, 2015
J.1_HITECH_PFDC_SOW_(Amendment_000001).pdf	PDF	Mar 30, 2015
J.8_Past_Performance_Questionnaire.pdf	PDF	Mar 13, 2015
J.9_Virus_Detection_Certification.pdf	PDF	Mar 13, 2015
RFP_PFDC_Exhibit_E-2.xlsx	XLSX spreadsheet	Mar 13, 2015
RFP_PFDC_Exhibit_E-1.xlsx	XLSX spreadsheet	Mar 13, 2015
J.3_Personal_Conflicts_of_Interest_Financial_Disclosure.pdf	PDF	Mar 13, 2015
J.5_HHS_OSDBU_Small_Business_Subcontracting_Plan.pdf	PDF	Mar 13, 2015
J.2_Business_Ethics_Conflict_of_Interst_and_Compliance_Submission_by_Offeror-Contractor.pdf	PDF	Mar 13, 2015
J.6_Subcontractor_Checklist.pdf	PDF	Mar 13, 2015
J.12_CMS_730A_Request_for_Physical_Access_to_CMS_Facilities.pdf	PDF	Mar 13, 2015
J.11_QA_HHSM-500-2015-RFP-0110.pdf	PDF	Mar 13, 2015
J.1_HITECH_PFDC_SOW.pdf	PDF	Mar 13, 2015
HHSM-500-2015-RFP-0110_Solicitation_Document.pdf	PDF	Mar 13, 2015
J.7_SAMPLE_BANK_NOTIFICATION_LETTER.pdf	PDF	Mar 13, 2015
J.4_Non_Disclosure_Statement.pdf	PDF	Mar 13, 2015

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CLIN 0001 Base 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
	$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
Add Other Costs by Category As Appropriate	$0.00

TOTAL ODCs $0.00 $0.00 $0.00 $0.00

&"Arial,Bold Italic"(Company Name) &"Arial,Regular"RFP-CMS-2010-0031

PFDC

Date submitted to OAGM. Not date button. Page &P of &N

CLIN 0002 Option Year 1

	$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
	$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
Add Other Costs by Category As Appropriate	$0.00

TOTAL ODCs $0.00 $0.00 $0.00 $0.00

PFDC

Date submitted to OAGM. Not date button. Page &P of &N

CLIN 0003 Option Year 2

	$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
	$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
Add Other Costs by Category As Appropriate	$0.00

TOTAL ODCs $0.00 $0.00 $0.00 $0.00

PFDC

Date submitted to OAGM. Not date button. Page &P of &N

CLIN 0004 Option Year 3

	$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
	$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
Add Other Costs by Category As Appropriate	$0.00

TOTAL ODCs $0.00 $0.00 $0.00 $0.00

PFDC

Date submitted to OAGM. Not date button. Page &P of &N

CLIN 0005 Option Year 4

	$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
	$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
Add Other Costs by Category As Appropriate	$0.00

TOTAL ODCs $0.00 $0.00 $0.00 $0.00

File details come from the government source that posted it. Updated Nov 14, 2017.