MHCC 27-013 Attachment B Financial Proposal Form.xlsx
XLSX spreadsheet 13 KB Posted
- Solicitation number
- BPM059726
- Issued by
- Maryland
About this file
This is a Financial Proposal Form for MHCC 27-013, an evaluation contract issued by the Maryland Health Care Commission to assess the impact of uncompensated care grants provided to federally-qualified health centers and local health departments. The evaluation will measure whether a $25 million shift from hospital rate adjustments to community settings preserves access to care, reduces unnecessary emergency department utilization, and contains statewide healthcare costs. The form requests pricing for six key deliverables: Project Management, Performance Indicator Set and Data Sources, Data Collection and Management Plan, Evaluation Plan, Summary of Analytical Findings and Conclusion, and Commission Presentation. Offerors must provide labor hours and rates for three position categories—Project Lead, Programmer/Statistician, and Project Associate—with corresponding totals and a fixed price contract amount.
The Financial Proposal Form provides columns for offerors to enter hourly rates and hours for each position classification across all deliverables, with a line item for each major task and a final total contract price calculation. The form includes signature blocks for authorized representatives of the offeror and requires submission of the offeror's name, address, and contact information. No specific pricing information, set-asides, contract term, or deadline dates are populated in this blank form template.
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Text version
Sheet1 MHCC 27-013 Financial Proposal Form
| Key Deliverable | Project Lead | Programmer/Statistician | Project Associate | |||||||
| Hours | Rate$ | Total$ | Hours | Rate$ | Total$ | Hours | Rate$ | Total$ | Total Fixed Price | |
| 3.2.A Project Management | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||
| 3.2.B Performance Indicator Set and Data Sources | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||
| 3.2.C Data Collection and Management Plan | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||
| 3.2.D Evaluation Plan | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||
| 3.2.E Summary of Analytical Fuindings and Conculsion | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||
| 3.2.F Commission Presentation | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |||
| Total Contract Price | $ - 0 |
| Submitted by: |
| Offeror: |
| Offeror Name (please print or type) |
| By: |
| Signature of Authorized Representative |
| Printed Name: |
| Printed Name |
| Title: |
| Title |
| Date: |
| Date: |
| Address: |
| Company Address |
File details come from the government source that posted it. Updated .