Project Cost Schedule~2.xlsx
XLSX spreadsheet 32 KB Posted
- Solicitation number
- 40DHHS-S1724
- Issued by
- Churchill County, Nevada
About this file
This document contains the Cost Proposal Instructions and Summary Schedule of Costs for a Request for Proposal (RFP) issued by the Nevada Department of Health and Human Services (DHHS) for CCBHC Quality Incentive Payments. The RFP, numbered 40DHHS-S1662, seeks proposals to provide administrative and implementation services for calculating quality incentive payments for Nevada's Certified Community Behavioral Health Clinics (CCBHCs). The scope of work includes calculating a total of seven administrative-based or survey-based measures for up to 10 CCBHCs, with results stratified by CCBHC, and providing annual PPS payments to the CCBHCs. The cost proposal is due on September 2, 2021 at 2:00 PM.
The cost proposal must include detailed schedules for the Administrative and Implementation Cost, as well as costs associated with various Medicaid-related services such as Third Party Liability, Managed Care Secondary Recovery, Recovery Audit Contracting, Medicaid Estate Recovery, Subrogation and Casualty Reduction, Cost Avoidance, Health Insurance Premium Payment, and Managed Care TPL Data Exchange and Evaluation. The total project costs for the four-year contract period must be provided on the Summary Schedule of Project Costs.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Standard Form Contract~4.docx | DOCX document | |
| Liquidated Damages.docx | DOCX document | |
| RFP 40DHHS-S1662 CCBHC.docx | DOCX document | |
| Confidentiality and Certification of Indemnification~1.pdf | ||
| DHCFP Business Associate Addendum.pdf | ||
| REQUIRED DOCUMENT RFP Amendment - S1662.S1724.pdf | ||
| IT Proposed Staff Resume - S1662.doc | DOC document | |
| Quote Instructions.pdf | ||
| Surveys -Adult-Youth-Parent Child.pdf | ||
| Requirements Matrix.docx | DOCX document | |
| CCBHC Measures Technical Manual.pdf | ||
| Vendor Certifications.pdf | ||
| IT Reference Questionnaire - S1662.doc | DOC document | |
| Sample Project Deliverable Sign Off.doc | DOC document | |
| Insurance Schedule S1662.docx | DOCX document |
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Cost Proposal Instructions Request for Proposal 40DHHS-S1662 - CCBHC Quality Incentive Payments
| COST PROPOSAL INSTRUCTIONS | ||
| Contents of the cost proposal shall be as follows: | ||
| 1. | Tab I - Title Page | |
| The title page shall include the following: |
A. Cost Proposal for: CCBHC Quality Incentive Payments
B. RFP: 40DHHS-S1662
| C. | Proposer Information: | Name: |
| Address: |
D. Proposal opening date: September 2, 2021
E. Proposal opening time: 2:00 PM
| 2. | Tab II - Cost Proposal | |
| A. | Cost proposal shall be in the format identified in Section 6, Project Costs. |
B. Proposers shall provide one (1) PDF Cost Proposal file.
&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P
Detailed Del Cost Schs
| Request for Proposal 40DHHS-S1662 - CCBHC Quality Incentive Payments |
| 4.1.1 COST SCHEDULES |
The cost for each deliverable shall be complete and include all expenses, including travel, per diem and out-of-pocket expenses as well as administrative and/or overhead expenses. Detailed backup shall be provided for all cost schedules completed.
4.1.1 Detailed Deliverable Cost Schedule
The schedules have been set-up so that the sub-total from each deliverable cost schedule will automatically be transferred to Section 4.1.2, Summary Schedule of Project Costs. However, it is ultimately the proposer's responsibility to make sure that all totals are correctly transferred prior to submitting their cost proposal.
| Deliverable Number | Description of Deliverable | Cost | |
| 4.4.3 | Administrative and Implementation Cost | ||
| A | Nevada Certified Community Behavioral Health Clinics (CCBHC) Quality Incentive Payment (QIP) Calculations | ||
| B | This activity will encompass the QIP tasks for the CCBHC payment structure as outlined in Nevada's state plan. | ||
| a total of seven measures will be calculated; no measures will require medical record review, | |||
| all measures will be administrative-based measures or survey based | |||
| rates will be calculated for up to 10 CCBHCs; | |||
| results will be stratified by CCBHC only; | |||
| annual PPS payments to CCBHCs will be provided by the Department; | |||
| rate calculations will be conducted only once per year; | |||
| Subtotal for 4.4.3 Administrative and Implementation Cost |
2.1 General Requirements
| A | Fiscal Costs by activity. |
| B | Administrative Costs by activity. |
| C | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. | |
| Subtotal for 2.1 General Requirements | $0.00 |
2.15 Third Party Liability (TPL)
| A | Third Party Liability Activities (Percentage of Collections) |
| B | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.15 Third Party Liability (TPL) $0.00
2.24 Managed Care Secondary Recovery
| A | Managed Care Secondary Recovery Activities (Percentage Of Collections) |
| B | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.24 Managed Care Secondary Recovery $0.00
2.27 Recovery Audit Contracting (RAC)
| A | Recovery Audit Contracting (Percentage of Collections) |
| B | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.27 Recovery Audit Contracting (RAC) $0.00
2.36 Medicaid Estate Recovery (MER)
| A | MER Activities |
| B | Data Conversion and Database Cost |
| C | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.36 Medicaid Estate Recovery (MER) $0.00
2.48 Subrogation and Casualty Reduction
| A | Subrogation and Casualty Reduction Activities |
| B | Data Conversion and Database Cost |
| C | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.48 Subrogation and Casualty Reduction $0.00
2.57 Cost Avoidance
| A | Cost Avoidance Activities |
| B | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.57 Cost Avoidance $0.00
2.62 Health Insurance Premium Payment (HIPP)
| A | New Applications |
| B | Data Conversion and Case Management PMPM |
| C | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.62 Health Insurance Premium Payment (HIPP) $0.00
2.71 Managed Care TPL Data Exchange and Evaluation
| A | Program Overview |
| B | Any Additional Fees and Service Cost Associated with This Scope |
| Please breakdown any additional fees by activity. |
Subtotal for 2.71 Managed Care TPL Data Exchange and Evaluation $0.00
| Total Section 4.1.1 Detailed Deliverable Cost Schedules | Amount is per fiscal year for FOUR (4) years. | |
| Total Amount FOUR (4) years combined. | $0.00 |
&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P
Summary Schedule of Costs Request for Proposal 40DHHS-S1662 - CCBHC Quality Incentive Payments
| 6.1.7 Summary Schedule of Project Costs |
| Sub-totals from each of the costs associated with any line item deliverable shall be included on the summary schedule of project costs. These costs will be added to the Detailed cost unles indicated as already being included. |
| Deliverable or | |||
| Cost Schedule Number | Summary of Total Project Costs | Cost | |
| Administrative and Implementation Cost | |||
| 2.1 | General Requirements | $0.00 | |
| 2.15 | Third Party Liability (TPL) | $0.00 | |
| 2.24 | Managed Care Secondary Recovery | $0.00 | |
| 2.27 | Recovery Audit Contracting (RAC) | $0.00 | |
| 2.36 | Medicaid Estate Recovery (MER) | $0.00 | |
| 2.48 | Subrogation and Casualty Reduction | $0.00 | |
| 2.57 | Cost Avoidance | $0.00 | |
| 2.62 | Health Insurance Premium Payment (HIPP) | $0.00 | |
| 2.71 | Managed Care TPL Data Exchange and Evaluation | $0.00 |
Total Project Costs
&"Arial,Bold Italic"&A &"Arial,Bold Italic"Page &P
File details come from the government source that posted it. Updated .