Post DAS Cost Sheet_Revised 100726.xlsx

This is a Cost Sheet template for the Nebraska Medicaid Enrollment Broker service contract (RFP #125920 O3) issued by the State of Nebraska Department of Health and Human Services. The solicitation seeks a qualified vendor to provide comprehensive enrollment broker services for Nebraska's Medicaid Managed Care Program (Heritage Health), serving approximately 350,000 members including elderly and disabled individuals, low-income pregnant women, children, CHIP participants, and home and community-based services waiver recipients. The vendor must deliver choice counseling, member enrollment processing, managed care organization auto-assignment and disenrollment, provider directory maintenance, 24/7 call center operations, member and provider education, data reporting, and program integrity functions. Proposals are due September 30, 2026, at 2:00 PM Central Time, with a mandatory solicitation conference scheduled for September 22, 2026, and written questions due September 16, 2026. The initial contract term is five years commencing October 1, 2027, with an option to renew for one additional three-year period upon mutual agreement. Intent to Award is scheduled for October 20, 2026, with contract award on November 13, 2026.

The Cost Sheet requires bidders to provide per-member-per-month pricing across a five-year base contract term plus optional renewal years for up to 350,000 planned members. Pricing is evaluated as part of the overall proposal scoring, with cost worth 20 points using a comparative formula where the lowest realistic cost receives maximum points. The expense build-up section requires bidders to detail direct labor costs (salaries and benefits), consultants, subcontractors, hardware, software licensing, telecommunications, facility and equipment costs, and administrative expenses for both operations and implementation phases. All prices must be net, including transportation and delivery charges fully prepaid by the bidder on an F.O.B. destination basis, with no additional charges permitted for packing or partial delivery costs. A $500,000 performance bond is required, and the State reserves the right to contract with other sources for the same or similar services.