Attachment 2 - Pricing Schedule.xlsx

XLSX spreadsheet 15 KB Posted Mar 28, 2012

Attached to: Adjudication of Medicare and Medicaid Claims for NDMS Eligible Patients
Solicitation number: OPEO-SOL-NDMS-2012
Issued by: Department of Health and Human Services Immediate Office of the Secretary

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Attachment 2 - Pricing Schedule

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Other files

File	Type	Posted
Attachment 2 - Pricing Schedule - Amendment 1.xlsx	XLSX spreadsheet	Apr 16, 2012
Attachment 1 - Statement of Work - Amendment 1.pdf	PDF	Apr 16, 2012
Attachment 3 - Miscellaneous Documents - Amendment 1.pdf	PDF	Apr 16, 2012
SF-30AMENDMENT_1_to_Solicitation..pdf	PDF	Apr 16, 2012
Attachment 3 - Miscellaneous Documents.pdf	PDF	Mar 28, 2012
Attachment 4 - Past Performance Questionnaire.docx	DOCX document	Mar 28, 2012
SF 1449 cont..pdf	PDF	Mar 28, 2012
Attachment 1 - Statement of Work.pdf	PDF	Mar 28, 2012
SF 1449 cover.pdf	PDF	Mar 28, 2012

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All Year Pricing

C.5	Non-NDMS Activation Tasks	Unit of Issue	Base Rate	OY I Rate	OY II Rate	OY III Rate	OY IV
C.5.1	Project Management Plan and Schedule	per government accepted version
C.5.2	Maintaining a Medicare Adjudication Platform	per month
C.5.3	Establishing and Maintaining an NDMS Claims Adjudication Website	per month
C.5.4	Research and Clinical Review	TBD at Request for Task Order
C.5.5	Training and Exercises	TBD based on Request for Task Order, based on the final task prices listed in this schedule
C.5.6	Operational Phase-Down and Close-Out	Per occurrence.

C.6	NDMS Activation Tasks	Unit of Issue	Base Rate	OY I Rate	OY II Rate	OY III Rate	OY IV
C.6.1	Claims Adjudication	see below
	Medicare Claims	per claim
	Medicaid Claims	per claim
C.6.2	Administration	per month
C.6.3	Customer Service at time of NDMS Activation	per month
C.6.4	Receipt and Storage of Claims	per claim
C.6.5	Provider Enrollment	per provider enrollment
C.6.6	Claims Payment	Reimburseable - TBD by governmtent. Any fees on Reimbursements shall be proposed by the contractor
	Period of Performance for Rates:
	Base Rate - Date of award thru day 365
	OYI Rate - Day 366 thru day 730
	OYII Rate - Day 731 thru day 1095
	OYIII Rate - Day 1095 thru day 1461
	OY IV Rate - Day 1461 thru day 1826
	Guaranteed Minimum for the IDIQ: The total proposed in the base year of the “Price Eval” Template for Tasks C.5.1, C.5.2, and C.5.3 is expected to be what the government awards as the first Task Order of this IDIQ. This final cost awarded for those tasks shall then also serve as the guaranteed minimum for this IDIQ contract.

Maximum for one order: $10M

Maximum for one period of performance: $10M

Attachment 2 - Pricing Schedule

RFP OPEO-SOL-NDMS-2012

All Year Pricing Tab

Price Eval This template is based on a scenario through which the government anticipates to issue Task Orders for the following services. This template in no way commits the government to issuing task orders for the services listed, nor in the amounts that they occur. It is simply a tool to assist in evaluating potential offerors' price proposals. For item C.6.6, please do not include the $2.5M in your final tally; it is listed in the event that an offeror intends to charge a fee on the money they are providing prior to reimbursement. Only costs affiliated with the money should be inorporated into the final total.

Base Year
Task Number	Task Name	Unit of issue	Units	Rate	Total
C.5.1	Project Management Plan and Schedule	per government accepted version	1
C.5.2	Maintaining a Medicare Adjudication Platform	per month	12
C.5.3	Establishing and Maintaining an NDMS Claims Adjudication Website	per month	12
C.6.1	Claims Adjudication	see below
	Medicare Claims	per claim	2500
	Medicaid Claims	per claim	1000
C.6.2	Administration	per month	3
C.6.3	Customer Service at time of NDMS Activation	per month	3
C.6.4	Receipt and Storage of Claims	per claim	3500
C.6.6	Claims Payment	dollars	$2.5M
Base Year Total
Option Year I
Task Number	Task Name	Unit of issue	Units	Rate	Total
C.5.2	Maintaining a Medicare Adjudication Platform	per month	12
C.5.3	Establishing and Maintaining an NDMS Claims Adjudication Website	per month	12
Option Year I Total
Option Year II
Task Number	Task Name	Unit of issue	Units	Rate	Total
C.5.2	Maintaining a Medicare Adjudication Platform	per month	12
C.5.3	Establishing and Maintaining an NDMS Claims Adjudication Website	per month	12
Option Year II Total
Option Year III
Task Number	Task Name	Unit of issue	Units	Rate	Total
C.5.2	Maintaining a Medicare Adjudication Platform	per month	12
C.5.3	Establishing and Maintaining an NDMS Claims Adjudication Website	per month	12
C.6.1	Claims Adjudication	see below
	Medicare Claims	per claim	2500
	Medicaid Claims	per claim	1000
C.6.2	Administration	per month	3
C.6.3	Customer Service at time of NDMS Activation	per month	3
C.6.4	Receipt and Storage of Claims	per claim	3500
C.6.6	Claims Payment	dollars	$2.5M
Option Year III Total
Option Year IV
Task Number	Task Name	Unit of issue	Units	Rate	Total
C.5.2	Maintaining a Medicare Adjudication Platform	per month	12
C.5.3	Establishing and Maintaining an NDMS Claims Adjudication Website	per month	12
C.5.6	Operational Phase-Down and Close-Out	Per occurrence.	1
Option Year IV Total
Total - All Years

Attachment 2 - Pricing Schedule

RFP OPEO-SOL-NDMS-2012

Price Eval Tab

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