J.33 Cost Template Summary Sheet.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
Part A/Part B Medicare Administrative Contractor (MAC) Jurisdiction L (JL)
Solicitation number
75FCMC20R0008
Issued by

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This cost template summary sheet and related federal contract opportunity are for the Part A and Part B Medicare Administrative Contractor (MAC) Jurisdiction L contract with the Centers for Medicare and Medicaid Services. The contractor will provide specified health insurance benefit administration services including Medicare claims processing and payment services in support of the Medicare fee-for-service program for Delaware, Maryland, New Jersey, Pennsylvania, Washington D.C., and parts of Virginia. The cost template outlines the labor categories and rates, travel costs, subcontractors, and other direct and indirect costs to be proposed for the base period and six one-year option periods. The solicitation number is 75FCMC20R0008 and proposals are due by the date specified in the solicitation for the Part A/Part B MAC Jurisdiction L contract opportunity.

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Other files

File Type Posted
J.23 Government Provided Proposal Assumptions (GPPA) redline Amend 2.docx DOCX document
J.23 Government Provided Proposal Assumptions (GPPA) clean Amend 2.docx DOCX document
75FCMC20R0008 Amend 2.pdf PDF
JL Solicitation 75FCMC20R0008 Sections B-M CLEAN Amend 1.pdf PDF
Q and A RFP 75FCMC20R00008.xlsx XLSX spreadsheet
J.34 CLIN 0001 Cost Proposal Template - Implementation clean Amend 1.xlsx XLSX spreadsheet
J.37 CLIN 0004 Cost Proposal Template - Option Year 2 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.23 Government Provided Proposal Assumptions (GPPA) redline Amend 1.docx DOCX document
J.48 CLIN 0015 Cost Proposal Template - Option Year 5 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.43 CLIN 0010 Cost Proposal Template - Base Year (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.22 Basis of Estimate redline Amend 1.xlsx XLSX spreadsheet
J.22.A Historic & Proposed FTE, Hours & Gross Cost Instructions & Narrative redline Amend 1.docx DOCX document
J.46 CLIN 0013 Cost Proposal Template - Option Year 3 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.1 Statement of Work (SOW) clean Amend 1.docx DOCX document
J.33 Cost Template Summary Sheet clean Amend 1.xlsx XLSX spreadsheet
J.21 Proposal Self-Check Tool clean Amend 1.xlsx XLSX spreadsheet
J.49 CLIN 0016 Cost Proposal Template - Option Year 6 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.22.A Historic & Proposed FTE, Hours & Gross Cost Instructions & Narrative clean Amend 1.docx DOCX document
JL Solicitation 75FCMC20R0008 Sections B-M REDLINE Amend 1.pdf PDF
J.45 CLIN 0012 Cost Proposal Template - Option Year 2 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.40 CLIN 0007 Cost Proposal Template - Option Year 5 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.41 CLIN 0008 Cost Proposal Template - Option Year 6 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.22 Basis of Estimate clean Amend 1.xlsx XLSX spreadsheet
J.38 CLIN 0005 Cost Proposal Template - Option Year 3 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.42 CLIN 0009 Cost Proposal Template - Outgoing Contractor Workload Transition Activities clean Amend 1.xlsx XLSX spreadsheet
J.36 CLIN 0003 Cost Proposal Template - Option Year 1 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.1 Statement of Work (SOW) redline Amend 1.docx DOCX document
J.47 CLIN 0014 Cost Proposal Template - Option Year 4 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
J.35 CLIN 0002 Cost Proposal Template - Base Year (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.23 Government Provided Proposal Assumptions (GPPA) clean Amend 1.docx DOCX document
J.21 Proposal Self-Check Tool redline Amend 1.xlsx XLSX spreadsheet
J.39 CLIN 0006 Cost Proposal Template - Option Year 4 (PM, MIP, RAC) clean Amend 1.xlsx XLSX spreadsheet
J.44 CLIN 0011 Cost Proposal Template - Option Year 1 (MPIP) clean Amend 1.xlsx XLSX spreadsheet
75FCMC20R0008.pdf PDF
J.37 CLIN 0004 Cost Proposal Template - Option Year 2 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.22.A Historic & Proposed FTE, Hours & Gross Cost Instructions & Narrative.docx DOCX document
J.24 Attestations.docx DOCX document
J.45 CLIN 0012 Cost Proposal Template - Option Year 2 (MPIP).xlsx XLSX spreadsheet
J.10 Contractor Business Ethics COI and Compliance Program Requirements.docx DOCX document
J.1.B List of Key Acronyms.docx DOCX document
J.35 CLIN 0002 Cost Proposal Template - Base Year (PM, MIP, RAC).xlsx XLSX spreadsheet
J.23.A GPPA Audit & Reimbursement Tables.xlsx XLSX spreadsheet
J.42 CLIN 0009 Cost Proposal Template - Outgoing Contractor Workload Transition Activites.xlsx XLSX spreadsheet
J.2 Deliverable Schedule.docx DOCX document
J.1 Statement of Work (SOW) - Jurisdiction L.docx DOCX document
J.7 AB MAC Award Fee Plan and Self Assessment Template.docx DOCX document
J.9 Non-Disclosure Statement.docx DOCX document
J.40 CLIN 0007 Cost Proposal Template - Option Year 5 (PM, MIP, RAC).xlsx XLSX spreadsheet
J.43 CLIN 0010 Cost Proposal Template - Base Year (MPIP).xlsx XLSX spreadsheet
J.1.A List of Key Definitions.docx DOCX document
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Summary COST TEMPLATE - Attachment J.33

CLIN 0001CLIN 0002CLIN 0003CLIN 0004CLIN 0005CLIN 0006CLIN 0007CLIN 0008CLIN 0009CLIN 0010CLIN 0011CLIN 0012CLIN 0013CLIN 0014CLIN 0015CLIN 0016
Summary SheetTotal FTEsImplementationBase Period (PM, MIP, RAC)Option Year 1 (PM, MIP, RAC)Option Year 2 (PM, MIP, RAC)Option Year 3 (PM, MIP, RAC)Option Year 4 (PM, MIP, RAC)Option Year 5 (PM, MIP, RAC)Option Year 6 (PM, MIP, RAC)Outgoing Contractor Workload Transition ActivitiesBase Period (MPIP)Option Year 1 (MPIP)Option Year 2 (MPIP)Option Year 3 (MPIP)Option Year 4 (MPIP)Option Year 5 (MPIP)Option Year 6 (MPIP)
HoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotalHoursRatesTotal
COST ELEMENTS
Direct Labor
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Add Other Appropriate Labor Categories (note: labor categories should match WBS)0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Subtotal Direct Labor0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00

Fringe Benefits (at ____%) $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.00

Total Direct Labor $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.00

Travel$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0.00
SUBCONTRACTORS
Subcontractor Name0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Subcontractor Name0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00
Total Subcontractor0$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$00$0.00

Other Direct Costs (See separate schedule. Total should match.) $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.00

SUBTOTAL ALL DIRECT COSTS $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.00

Indirect Costs (at ______ %) $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.00

TOTAL OTHER BEFORE FEE $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.00

Base Fee (at ____%)$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0.00
Award Fee (at ______%)$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0.00
Fixed Fee (at ______%)$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0.00

TOTAL OTHER AFTER FEE $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.00

Complementary Credits$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0.00
Note: Comp. credit information will be provided by CMS prior to final proposal revision. Offerors should not propose amounts at this time.
GRAND TOTAL$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0.00
Number of hours in full-time, one year schedule =
20200121

&"-,Bold"75FCMC20R0008

PART A & PART B (A/B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC)

Confidential Procurement Sensitive &P

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