E.3.A__ZONE4TO0002Med-MediSpreadsheet.xls
XLS spreadsheet 167 KB Posted
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- Zone Program Integrity Contractor (ZPIC)
- Solicitation number
- RFP-CMS-2007-0027
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E.3.A - Zone 4 - Task Order 0002 Medi-Medi Business Proposal Spreadsheet
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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.A
Zone 4 - Summary of Costs
| 1st Year Roll-up | |||||||||||||||
| Zone 4 Medicaid & Medicare | |||||||||||||||
| Tasks | Total FTEs | TX | NM | OK | CO | Total | |||||||||
| Annual FTE | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | Rates | Total | Hours | 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 % | ||||||||||||||
| Org 107 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 Push to Print Forms Push to Print Forms Push to Print Forms
TX
| TX Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2008 - April 30, 2009) | |||||||||||||||||||
| 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) | |||||||||||||||||||
| Org 107 G&A | |||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Fixed=%, Award=%) | |||||||||||||||||||
| Total Cost |
Push to Print Forms
TX Option YR 1
| TX Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2009 - April 30, 2010) | |||||||||||||||||||
| 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
TX Option YR 2
| TX Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2010 - April 30, 2011) | |||||||||||||||||||
| 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
TX Option YR 3
| TX Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2011 - April 30, 2012) | |||||||||||||||||||
| 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
TX Option YR 4
| TX Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2012 - April 30, 2013) | |||||||||||||||||||
| 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
NM
| New Mexico Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2010 - April 30, 2011) | |||||||||||||||||||
| 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
NM Option YR 1
| New Mexico Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2011 - April 30, 2012) | |||||||||||||||||||
| 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
NM Option YR 2
| New Mexico Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2012 - April 30, 2013) | |||||||||||||||||||
| 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
OK
| OK Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2008 - April 30, 2009) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 G&A | at % | ||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Base Fee %) (Award Fee %) | at % | ||||||||||||||||||
| Total Cost |
Push to Print Forms
OK Option YR 1
| OK Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2009 - April 30, 2010) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 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
OK Option YR 2
| OK Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2010 - April 30, 2011) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 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
OK Option YR 3
| OK Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2011 - April 30, 2012) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 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
OK Option YR 4
| OK Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2012 - April 30, 2013) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 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
CO
| CO Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2008 - April 30, 2009) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 G&A | at % | ||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Base Fee %) (Award Fee %) | at % | ||||||||||||||||||
| Total Cost |
Push to Print Forms
CO Option YR 1
| CO Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2009 - April 30, 2010) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 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
CO Option YR 2
| CO Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2010 - April 30, 2011) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 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
CO Option YR 3
| CO Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2011 - April 30, 2012) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 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
CO Option YR 4
| CO Medicaid & Medicare | |||||||||||||||||||
| (May 1, 2012 - April 30, 2013) | |||||||||||||||||||
| 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 % | ||||||||||||||||||
| Org 107 G&A | at % | ||||||||||||||||||
| Subtotal Costs (Basis for Fee Application) | |||||||||||||||||||
| Fee (Base Fee %) (Award Fee %) | at % | ||||||||||||||||||
| Total Cost |
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Travel
| MediMedi Travel Cost | ||||||||||||||||||
| TASKS | PSC SOW Section 5 - PSC Project Mgmt | PSC SOW Section 5 - PSC Project Mgmt | PSC SOW Section 5 - PSC Project Mgmt | PSC SOW Section 5 - PSC Project Mgmt | GRAND TOTAL | |||||||||||||
| FROM/TO: | ex. Home State to Baltimore | Travel to Conferences * | ||||||||||||||||
| No. | # | No. | # | No. | # | No. | # | |||||||||||
| Travel | Purpose | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A) X (B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A) X (B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A) X (B)) X (C) | People (A) | Trips/Days (B) | Amount (C) | TOTAL ((A) X (B)) X (C) | TOTAL TRAVEL COSTS |
| Airfare | ||||||||||||||||||
| Hotel | ||||||||||||||||||
| Meals and Incidentals (M&I) | ||||||||||||||||||
| Car Rental | ||||||||||||||||||
| Local Trips | ||||||||||||||||||
| Mileage | ||||||||||||||||||
| Parking, Taxis, Other | ||||||||||||||||||
| Total Travel | ||||||||||||||||||
| ISO | $0.00 | |||||||||||||||||
| Section 5 Project Management | $34,365.00 | |||||||||||||||||
| Section 7 Fraud Case Development | $0.00 | |||||||||||||||||
| Section 8 Request for Information | $0.00 | |||||||||||||||||
| Section 10 QA | $0.00 | |||||||||||||||||
| Section 11 Information Technology | $0.00 | |||||||||||||||||
| $34,365.00 | ||||||||||||||||||
| Check | $38,245.00 |
ODCs
| Cost Element | Amount | Amount | TOTAL |
| ODCs | |||
| $0.00 | |||
| Hardware/Software | |||
| TOTAL ODCs |
File details come from the government source that posted it. Updated .