3_E.3.C__ZONE7TO0002Med-MediSpreadsheet.xls
XLS spreadsheet 67 KB Posted
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- Zone Program Integrity Contractor (ZPIC)
- Solicitation number
- RFP-CMS-2007-0027
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RFP-CMS-2007-0027 Amendment 000001 E.3.C
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Instructions
| Instructions: |
| 1) Offerors shall label each spreadsheet with the Offeror Name, Zone, CLIN, Period of Performance and Title |
| 2) Offerors shall include an ODC spreadsheet and a Travel spreadsheet for each CLIN |
| 3) Offerors shall list their productive hours on the "Summary of Costs" tab/sheet. |
| 4) Offerors shall list the percentages for overhead rates/indirect costs and fees on the spreadsheet. |
| 5) Please review any additional instruction under "Business Proposal Spreadsheet Instructions" |
&LRFP-CMS-2007-0027
Exhibit E.3.C
Zone 7 Summary of Costs
| 1st Year Roll-up | |||||
| Zone 7 Medicaid & Medicare | |||||
| Tasks | Total FTEs | FL | |||
| Annual FTE | Hours | Rates | Total | ||
| COST ELEMENTS | |||||
| Direct Labor | |||||
| Subtotal Direct Labor | |||||
| Overhead | |||||
| Total Direct Labor and Overhead | |||||
| Travel (See separate schedule) | |||||
| Hardware/Software | |||||
| Other Miscellaneous Cost | |||||
| Total Other Direct Costs | |||||
| SUBTOTAL ALL DIRECT COSTS | |||||
| Material Handling (MHX) | |||||
| G&A | |||||
| Subtotal Costs (Basis for Fee Application) | |||||
| Fee (Fixed=%; Award=%) | 0 | ||||
| Total Cost |
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FL
| Florida Medicaid & Medicare | |||||||||||||||||||
| Tasks | Total FTEs | Administration | Data / IT Systems | Data Matching | Data Analysis | Fraud Case Development | Total | ||||||||||||
| Annual FTE | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rates | Total | |
| COST ELEMENTS | |||||||||||||||||||
| Direct Labor | |||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||
| Overhead | |||||||||||||||||||
| Total Direct Labor and Overhead | |||||||||||||||||||
| Travel (See separate schedule) | |||||||||||||||||||
| Hardware/Software | |||||||||||||||||||
| Other Miscellaneous Cost | |||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||
| Material Handling (MHX) | |||||||||||||||||||
| G&A | |||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Fixed=%, Award=%) | |||||||||||||||||||
| Total Cost |
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FL Option YR 1
| Florida Medicaid & Medicare | |||||||||||||||||||
| Tasks | Total FTEs | Administration | Data / IT Systems | Data Matching | Data Analysis | Fraud Case Development | Total | ||||||||||||
| Annual FTE | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rates | Total | |
| COST ELEMENTS | |||||||||||||||||||
| Direct Labor | |||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||
| Overhead | at % | ||||||||||||||||||
| Total Direct Labor and Overhead | |||||||||||||||||||
| Travel (See separate schedule) | |||||||||||||||||||
| Hardware/Software | |||||||||||||||||||
| Other Miscellaneous Cost | |||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||
| Material Handling (MHX) | at % | ||||||||||||||||||
| G&A | at % | ||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Base Fee %) (Award Fee %) | at % | ||||||||||||||||||
| Total Cost |
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FL Option YR 2
| Florida Medicaid & Medicare | |||||||||||||||||||
| Tasks | Total FTEs | Administration | Data / IT Systems | Data Matching | Data Analysis | Fraud Case Development | Total | ||||||||||||
| Annual FTE | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rates | Total | |
| COST ELEMENTS | |||||||||||||||||||
| Direct Labor | |||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||
| Overhead | at % | ||||||||||||||||||
| Total Direct Labor and Overhead | |||||||||||||||||||
| Travel (See separate schedule) | |||||||||||||||||||
| Hardware/Software | |||||||||||||||||||
| Other Miscellaneous Cost | |||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||
| Material Handling (MHX) | at % | ||||||||||||||||||
| G&A | at % | ||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Base Fee %) (Award Fee %) | at % | ||||||||||||||||||
| Total Cost |
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FL Option YR 3
| Florida Medicaid & Medicare | |||||||||||||||||||
| Tasks | Total FTEs | Administration | Data / IT Systems | Data Matching | Data Analysis | Fraud Case Development | Total | ||||||||||||
| Annual FTE | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rates | Total | |
| COST ELEMENTS | |||||||||||||||||||
| Direct Labor | |||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||
| Overhead | at % | ||||||||||||||||||
| Total Direct Labor and Overhead | |||||||||||||||||||
| Travel (See separate schedule) | |||||||||||||||||||
| Hardware/Software | |||||||||||||||||||
| Other Miscellaneous Cost | |||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||
| Material Handling (MHX) | at % | ||||||||||||||||||
| G&A | at % | ||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Base Fee %) (Award Fee %) | at % | ||||||||||||||||||
| Total Cost |
Push to Print Forms Push to Print Forms
FL Option YR 4
| Florida Medicaid & Medicare | |||||||||||||||||||
| Tasks | Total FTEs | Administration | Data / IT Systems | Data Matching | Data Analysis | Fraud Case Development | Total | ||||||||||||
| Annual FTE | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rate | Total | Hours | Rates | Total | |
| COST ELEMENTS | |||||||||||||||||||
| Direct Labor | |||||||||||||||||||
| Subtotal Direct Labor | |||||||||||||||||||
| Overhead | at % | ||||||||||||||||||
| Total Direct Labor and Overhead | |||||||||||||||||||
| Travel (See separate schedule) | |||||||||||||||||||
| Hardware/Software | |||||||||||||||||||
| Other Miscellaneous Cost | |||||||||||||||||||
| Total Other Direct Costs | |||||||||||||||||||
| SUBTOTAL ALL DIRECT COSTS | |||||||||||||||||||
| Material Handling (MHX) | at % | ||||||||||||||||||
| G&A | at % | ||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Base Fee %) (Award Fee %) | at % | ||||||||||||||||||
| Total Cost |
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Travel
Reason for Trip From To Number of People Times per year Airfare Hotel Number of Nights Total Hotel (Plus Appl. Tax if Known) Meals & Incidentals Per Diem Per FTR Total Per Diem (3/4 for 1st & last day) Car Rental Home Airport Parking Total
ODCs
| Cost Element | Amount | Amount | TOTAL |
| ODCs | |||
| $0.00 | |||
| Hardware/Software | |||
| TOTAL ODCs |
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