J.22.A Historic & Proposed FTE, Hours & Gross Cost Instructions & Narrative.docx

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Attached to
Part A/Part B Medicare Administrative Contractor (MAC) Jurisdiction L (JL)
Solicitation number
75FCMC20R0008
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About this file

This document contains instructions and a narrative for a federal solicitation. The solicitation is for a Part A and Part B Medicare Administrative Contractor to provide specified health insurance benefit administration services, including Medicare claims processing and payment services, in support of the Medicare Program for Jurisdiction L. Jurisdiction L includes the states of Delaware, Maryland, New Jersey, Pennsylvania, the District of Columbia, and parts of Virginia. Offerors must complete Excel tables providing historic and proposed full-time equivalents, hours, and gross costs for program management and Medicare integrity program activities using the provided instructions. The narrative details require explanations for any proposed values that do not align with historic data for various metrics including total gross cost per unit, workload per FTE, and total gross cost per FTE. Responses should reference explanations provided in the technical or business proposal.

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Attachment J.22.A Historic & Proposed FTE, Hours, & Gross Cost Instructions & Narrative

RFP # 75FCMC20R0008

INSTRUCTIONS FOR HISTORIC & PROPOSED FTEs, HOURS, & GROSS COST WORKSHEET (ATTACHMENT J.22.B): Complete all tables in the Excel file using the instructions below.

NOTE: Offerors shall include Home Health and Hospice (HHH) data, whether historic or proposed, within the applicable rows for Part A data.

1. Offerors shall complete PM Table 1 in the J.22.B Historic & Proposed FTEs, Hours, & Gross Cost Worksheet with your historic data and your proposed OY1 data for Program Management (PM) only. See the following instructions:

a. Do not change any cells pre-populated with NA.

b. Do not change any formulas.

c. In Columns D, H, L and P, enter in the corresponding column headings the same information on the contract and start and end dates of the 12-month historic baseline you used in your basis of estimate. Offerors shall specify the contract used to obtain the baseline data.

d. In Columns C, G, K and O, enter in the corresponding column headings the same historic contract as Column D with start and end dates 12 months prior to the dates entered for Column D. Offerors shall specify the contract used to obtain the historical data.

e. In Columns B, F, J and N, enter in the corresponding column headings the same historic contract as Column C with start and end dates 12 months prior to the dates entered for Column C. Offerors shall specify the contract used to obtain the historical data.

f. The Areas of Analysis in Column A, represented by uppercase alpha bullets A – N (e.g., rows 6, 9, 12, etc.), have subordinate rows, represented by lowercase alpha bullets (e.g., rows 7-8, 10-11, 13-17, etc.).

g. With the exception of the Workload Columns B through E for the uppercase alpha bullets G (i.e., row 42) and H (i.e., row 47), the rows for the corresponding subordinate lowercase alpha bullets automatically total the shaded row immediately above (i.e., per the formulas in the worksheet). For the Workload Columns B through E for the uppercase alpha bullets G (i.e., row 42) and H (i.e., row 47), enter only claims count data in the shaded rows (i.e., rows 42 and 47) and the respective data in the corresponding rows for the subordinate lowercase alpha bullets below (i.e., rows 43-46 and 48-52).

h. In Columns F through I, enter total FTEs (i.e., FTEs for both direct and indirect labor).

i. All historic costs should be gross (i.e., do not reduce gross costs for complementary credits).

j. All historic workloads, FTEs, hours and gross costs shall match data in the CMS Analysis, Reporting, and Tracking (CMSART) System, Contractor Reporting of Operational and Workload (CROWD) System, Monthly Status Report Excel (MSRE) files and other CMS data sources, as applicable.

k. All proposed workloads, FTEs, hours and costs in Attachment J.22.B Historic & Proposed FTEs, Hours, & Gross Cost Worksheet shall be consistent with your Technical Proposal, Business Proposal, as well as Attachment J.22 Basis of Estimate.

2. Offerors shall complete MIP Table 2 in the J.22.B Historic & Proposed FTEs, Hours, & Gross Cost Worksheet with your historic data and your proposed OY1 data for Medicare Integrity Program (MIP) only. See the following instructions:

a. Do not change any cells pre-populated with NA.

b. Do not change any formulas.

c. In Columns D, H, L and P, enter in the corresponding column headings the same information on the contract and start and end dates of the 12-month historic baseline you used in your basis of estimate. Offerors shall specify the contract used to obtain the baseline data.

d. In Columns C, G, K and O, enter in the corresponding column headings the same historic contract as Column D with start and end dates 12 months prior to the dates entered for Column D. Offerors shall specify the contract used to obtain the historical data.

e. In Columns B, F, J and N, enter in the corresponding column headings the same historic contract as Column C with start and end dates 12 months prior to the dates entered for Column C. Offerors shall specify the contract used to obtain the historical data.

f. The Areas of Analysis in Column A, represented by uppercase alpha bullets A – K (e.g., rows 6, 8, 10, etc.), have subordinate rows. These subordinate rows, represented by lowercase alpha bullets (e.g., rows 7, 9, 11-12, etc.), automatically total the shaded row immediately above (i.e., per the formulas in the worksheet).

g. In Columns F through I, enter total FTEs (i.e., FTEs for both direct and indirect labor).

h. All historic workloads, FTEs, hours and costs shall match data in the CMS Analysis, Reporting, and Tracking (CMS ART) System, Contractor Reporting of Operational and Workload (CROWD) System, Monthly Status Report Excel (MSRE) files and other CMS data sources, as applicable.

i. All proposed workloads, FTEs, hours and costs in Attachment J.22.B Historic & Proposed FTEs, Hours, & Gross Cost Worksheet shall be consistent with your Technical Proposal, Business Proposal, as well as Attachment J.22 Basis of Estimate.

ADDITIONAL NARRATIVE DETAILS:

Using information from your completed Excel tables, address the points below.

Explain in detail any unit costs, workload per FTE, and/or cost per FTE proposed for the OY1 period of performance that contribute to why any of the points noted below are either lower or higher than your historic data. Explain why these proposed amounts are realistic. Include the following detail, as applicable:

· Direct Labor, broken out by number of FTEs, by labor category, by Mission Essential Functions (MEF)

· Travel

· Subcontractors

· Other Direct Costs (ODCs), broken out by category with amounts, such as service centers, print/mail/postage, etc.

· Indirect Costs

· Overhead

· General and Administrative

· Fee Offerors shall document all explanations in the space below and in the technical and/or business proposal as appropriate. For each point below indicate the page number where the same information can be found in your technical and/or business proposal.

1. See PM Table 1. Provide an explanation if any of your Proposed PM Part A Total Gross Cost per Unit data in Column U do not align with your corresponding Historic PM Part A Total Gross Cost per Unit data in Columns R though T.

2. See PM Table 1. Provide an explanation if any of your Proposed PM Part B Total Gross Cost per Unit data in Column U do not align with your corresponding Historic PM Part B Total Gross Cost per Unit data in Columns R though T.

3. See PM Table 1. Provide an explanation if any of your Proposed PM Part A Workload per FTE data in Column Y do not align with your corresponding Historic PM Part A Workload per FTE data in Columns V though X.

4. See PM Table 1. Provide an explanation if any of your Proposed PM Part B Workload per FTE data in Column Y do not align with your corresponding Historic PM Part B Workload per FTE data in Columns V though X.

5. See PM Table 1. Provide an explanation if any of your Proposed PM Part A Total Gross Cost per FTE data in Column AC do not align with your corresponding Historic PM Part A Total Gross Cost per FTE data in Columns Z though AB.

6. See PM Table 1. Provide an explanation if any of your Proposed PM Part B Total Gross Cost per FTE data in Column AC do not align with your corresponding Historic PM Part B Total Gross Cost per FTE data in Columns Z though AB.

7. See MIP Table 2. Provide an explanation if any of your Proposed PM Part A Total Gross Cost per Unit data in Column U do not align with your corresponding Historic PM Part A Total Gross Cost per Unit data in Columns R though T.

8. See MIP Table 2. Provide an explanation if any of your Proposed MIP Part B Total Gross Cost per Unit data in Column U do not align with your corresponding Historic MIP Part B Total Gross Cost per Unit data in Columns R though T.

9. See MIP Table 2. Provide an explanation if any of your Proposed MIP Part A Workload per FTE data in Column Y do not align with your corresponding Historic MIP Part A Workload per FTE data in Columns V though X.

10. See MIP Table 2. Provide an explanation if any of your Proposed MIP Part B Workload per FTE data in Column Y do not align with your corresponding Historic MIP Part B Workload per FTE data in Columns V though X.

11. See MIP Table 2. Explain why if any, or all, of your Proposed MIP Part A Total Gross Cost per FTE data in Column AC do not align with your corresponding Historic MIP Part A Total Gross Cost per FTE data in Columns Z though AB.

12. See MIP Table 2. Explain why if any, or all, of your Proposed MIP Part B Total Gross Cost per FTE data in Column AC do not align with your corresponding Historic MIP Part B Total Gross Cost per FTE data in Columns Z though AB.

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