RHTP Evaluation Cost Proposal Form.xlsx

XLSX spreadsheet 30 KB Posted

Attached to
Evaluation of Maine's Rural Health Transformation Program
Solicitation number
RFP - 10A - 202601009
Issued by
Maine

About this file

This is a Cost Proposal Form for Request for Proposals #202601009 issued by the State of Maine Department of Health and Human Services for the evaluation of Maine's Rural Health Transformation Program. The procurement seeks comprehensive evaluation services including data collection, metric construction, annual reporting, and public-facing data dashboard development to assess the impact of RHTP funding across five major initiatives. The initial contract period runs from June 1, 2026, through May 31, 2028, with two optional renewal periods extending through May 31, 2031, creating a potential five-year engagement. Proposals were due March 25, 2026, at 4:00 p.m. via the Vendor Self Service System.

The cost proposal form requires bidders to submit total fixed costs covering all five years of potential service delivery across three distinct budget schedules: the Initial Period (6/1/2026-5/31/2028), Renewal Period #1 (6/1/2028-5/31/2030), and Renewal Period #2 (6/1/2030-5/31/2031). Bidders must provide detailed cost breakdowns including salaries by position with hourly rates and total hours, subcontractor and consultant costs, travel expenses in accordance with Maine state travel policies, and supplies. Ad-hoc work hourly rates may be submitted separately but will not be used or considered during the evaluation process. The cost proposal is weighted at 25 points in the overall 100-point evaluation scoring, with the lowest bidder receiving full points and higher bids receiving proportionally fewer points using a mathematical formula. No specific budget ranges or award values are disclosed in the RFP materials, and no incumbent contractor has been identified for this procurement.

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Other files

File Type Posted
AMD 2 RFP 202601009 Final.docx DOCX document
RFP 202601009 RHTP Evaluation_Final.docx DOCX document
202601009 Eval of RHTP - Final.xlsx XLSX spreadsheet
17 Feb26_V4_SoM_RHTP_Project Narrative.pdf PDF
AMD 1 RFP 202601009 Final.docx DOCX document
RHTP Evaluation Proposed Services Response Form.docx DOCX document
AMD 1 RFP 202601009 Final.docx DOCX document
RHTP Evaluation Cost Proposal Form.xlsx XLSX spreadsheet
RHTP Evaluation Proposed Services Response Form.docx DOCX document
RFP 202601009 RHTP Evaluation_Final.docx DOCX document
RFP 202601009 RHTP Evaluation_Final.docx DOCX document
RHTP Evaluation Proposed Services Response Form.docx DOCX document
RHTP Evaluation Cost Proposal Form.xlsx XLSX spreadsheet
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Text version

Schedule 1 - Total Cost

State of Maine
Department of Health and Human Services
COST PROPOSAL FORM
RFP# 202601009
Evaluation of Maine’s Rural Health Transformation Program
Bidder Name:
Contact Person:
Instructions: Provide all cost for the 5-year procurement period to perform and deliver all services as outline in the RFP. In addition, provide cost associate with any ad-hoc work related to the evaluation services and requested by the Department.
LineDeliverablesCost
1Initial Period of Performance (6/1/2026 - 5/31/2028)
(Schedule 2)$ - 0
2Renewal Period #1 (6/1/2028 - 5/31/2030)
(Schedule 3)$ - 0
3Renewal Period #2 (6/1/2030 - 5/31/2031)
(Schedule 4)$ - 0
4Total Cost$ - 0
Ad-Hoc Work
Instructions: Bidders must provide hourly rates of positions in which ad-hoc work is requested under the contract resulting from this RFP. Ad-hoc rates will not be used or considered during the evaluation process.
Position(s)Hourly Rate

Schedule 2 - Initial Period

State of Maine
Department of Health and Human Services
COST PROPOSAL FORM
RFP# 202601009
Evaluation of Maine’s Rural Health Transformation Program
Bidder Name:
Contact Person:
Bidders must complete the budget form by entering data in the white spaces. Bidders should take caution when adding additional lines ensuring existing formulas calculate correctly. Do not include any cost related to ad-hoc work.
Initial Period of Performance (6/1/2026 - 5/31/2028)
1Salaries
(list positons proposed for this RFP and the rate for each)Hourly RatexTotal # of Hours=Amount
x=$0.00
x=$0.00
x=$0.00
x=$0.00
2Total Salary$0.00
Subcontractor(s)/Consultant(s)Amount
Total Subcontractor Costs$0.00
Other
Travel - Justification
Provide all related travel costs (i.e. mileage, lodging, airfare, incidentals, etc.) Travel reimbursement must align with the State's travel policies. https://www.maine.gov/osc/travelAmount

Supplies - Justification

Total Other Expenses$0.00
Total Cost$0.00

Schedule 3 - Renewal 1

State of Maine
Department of Health and Human Services
COST PROPOSAL FORM
RFP# 202601009
Evaluation of Maine’s Rural Health Transformation Program
Bidder Name:
Contact Person:
Bidders must complete the budget form by entering data in the white spaces. Bidders should take caution when adding additional lines ensuring existing formulas calculate correctly. Do not include any cost related to ad-hoc work.
Renewal Period #1 (6/1/2028 - 5/31/2030)
1Salaries
(list positons proposed for this RFP and the rate for each)Hourly RatexTotal # of Hours=Amount
x=$0.00
x=$0.00
x=$0.00
x=$0.00
2Total Salary$0.00
Subcontractor(s)/Consultant(s)Amount
Total Subcontractor Costs$0.00
Other
Travel - Justification
Provide all related travel costs (i.e. mileage, lodging, airfare, incidentals, etc.) Travel reimbursement must align with the State's travel policies. https://www.maine.gov/osc/travelAmount

Supplies - Justification

Total Other Expenses$0.00
Total Cost$0.00

Schedule 4 - Renewal 2

State of Maine
Department of Health and Human Services
COST PROPOSAL FORM
RFP# 202601009
Evaluation of Maine’s Rural Health Transformation Program
Bidder Name:
Contact Person:
Bidders must complete the budget form by entering data in the white spaces. Bidders should take caution when adding additional lines ensuring existing formulas calculate correctly. Do not include any cost related to ad-hoc work.
Renewal Period #2 (6/1/2030 - 5/31/2031)
1Salaries
(list positons proposed for this RFP and the rate for each)Hourly RatexTotal # of Hours=Amount
x=$0.00
x=$0.00
x=$0.00
x=$0.00
2Total Salary$0.00
Subcontractor(s)/Consultant(s)Amount
Total Subcontractor Costs$0.00
Other
Travel - Justification
Provide all related travel costs (i.e. mileage, lodging, airfare, incidentals, etc.) Travel reimbursement must align with the State's travel policies. https://www.maine.gov/osc/travelAmount

Supplies - Justification

Total Other Expenses$0.00
Total Cost$0.00

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