RHTP Evaluation Cost Proposal Form.xlsx
XLSX spreadsheet 30 KB Posted
- 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 | ||
| 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. | |||
| Line | Deliverables | Cost | |
| 1 | Initial Period of Performance (6/1/2026 - 5/31/2028) | ||
| (Schedule 2) | $ - 0 | ||
| 2 | Renewal Period #1 (6/1/2028 - 5/31/2030) | ||
| (Schedule 3) | $ - 0 | ||
| 3 | Renewal Period #2 (6/1/2030 - 5/31/2031) | ||
| (Schedule 4) | $ - 0 | ||
| 4 | Total 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) | ||||||||
| 1 | Salaries | |||||||
| (list positons proposed for this RFP and the rate for each) | Hourly Rate | x | Total # of Hours | = | Amount | |||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| 2 | Total 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/travel | Amount |
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) | ||||||||
| 1 | Salaries | |||||||
| (list positons proposed for this RFP and the rate for each) | Hourly Rate | x | Total # of Hours | = | Amount | |||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| 2 | Total 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/travel | Amount |
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) | ||||||||
| 1 | Salaries | |||||||
| (list positons proposed for this RFP and the rate for each) | Hourly Rate | x | Total # of Hours | = | Amount | |||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| x | = | $0.00 | ||||||
| 2 | Total 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/travel | Amount |
Supplies - Justification
| Total Other Expenses | $0.00 |
| Total Cost | $0.00 |
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