Schedule B - Pricing.docx
DOCX document 75 KB Posted
- Attached to
- NEMT Broker for Medicaid FFS Beneficiaries
- Solicitation number
- RFP 491 260000002254 1
- Issued by
- Wayne County, Michigan
About this file
This is a pricing schedule for RFP 260000002254, a Non-Emergency Medical Transportation (NEMT) Broker contract issued by the Michigan Department of Health and Human Services (MDHHS) for Medicaid Fee-for-Service (FFS) beneficiaries. The contract encompasses NEMT management services with a three-year term beginning April 1, 2027, and ending March 31, 2030. Bidders may respond for services in either a three-county region (Wayne, Oakland, and Macomb Counties) or statewide coverage. The contract requires contractors to provide comprehensive broker services for eligible Medicaid FFS beneficiaries, with projected eligible member populations of 227,479 for the regional scope and 553,980 for statewide service.
Pricing for the contract must be submitted as a capitated, per-member per-month (PMPM) rate that is all-inclusive of all costs associated with contract performance, including one-time setup charges, fees, and any ancillary costs such as shipping, handling, and palletizing. Contractors must provide pricing for each contract year (Year 1: 04/01/2027-03/31/2028; Year 2: 04/01/2028-03/31/2029; Year 3: 04/01/2029-03/31/2030) and calculate annualized totals across the three-year period. The eligible beneficiary counts represent MDHHS's best effort estimate based on data from January 1, 2025, through June 30, 2026, with the caveat that actual beneficiary counts may vary monthly, and the State will determine eligible beneficiaries each month for PMPM payment calculation purposes. Pricing schedules must be submitted in modifiable format (Microsoft Word or Excel), with the option to submit an additional non-modifiable version (PDF), and failure to complete the pricing schedule as specified may result in proposal disqualification.
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Enter your company name Schedule B – Pricing
RFP 260000002254
Non-Emergency Medical Transportation (NEMT) Broker for Medicaid Fee for Service (FFS) Beneficiaries The Contractor must provide a pricing schedule for the proposed Contract Activities using the table below. The pricing schedule should be submitted in a modifiable format (e.g. Microsoft Word or Excel); however, you may also submit an additional pricing schedule in a non-modifiable format (e.g., PDF). Failure to complete the pricing schedule as requested may result in disqualification of your proposal.
Price proposals must include all costs, including but not limited to, any one-time or set-up charges, fees, and potential costs that Contractor may charge the State (e.g., shipping and handling, per piece pricing, and palletizing).
By submitting its proposal, the Contractor certifies that the prices were arrived at independently, and without consultation, communication, or agreement with any other Contractor.
MONTHLY CAPITATED COST OF NEMT MANGEMENT SERVICES
(Bidder Response – Wayne, Oakland, and Macomb Counties) The Contractor must provide a capitated rate. The cost calculation is all-inclusive for all costs associated with this Contract.
Year 1
04/01/2027-03/31/2028 Year 2
04/01/2028-03/31/2029 Year 3
04/01/2029-03/31/2030 3 Year Total
| A. Eligible Members |
| 227,479* |
| 227,479* |
| 227,479* |
B. Per-Member Per-Month (PMPM) Rate
C. Contractor’s PMPM Payment Amount** (A x B)
| D. Annualized |
| 12 |
| 12 |
| 12 |
E. Grand Total (C x D)
*This amount represents MDHHS’s best effort for a true and accurate monthly average for 01/01/2025 – 06/30/2026. Actual beneficiary counts may differ throughout the term of the Contract.
**The Contractor will be paid a PMPM amount. The State will determine eligible beneficiaries each month when the State calculates the total number of eligible beneficiaries for the purpose of that month’s PMPM payment for the Contractor. Refer to Schedule A, 3. Coverage of NEMT Services for additional information.
MONTHLY CAPITATED COST OF NEMT MANGEMENT SERVICES
(Bidder Response – Statewide) The Contractor must provide a capitated rate. The cost calculation is all-inclusive for all costs associated with this Contract.
Year 1
04/01/2027-03/31/2028 Year 2
04/01/2028-03/31/2029 Year 3
04/01/2029-03/31/2030 3 Year Total
| A. Eligible Members |
| 553,980* |
| 553,980* |
| 553,980* |
B. Per-Member Per-Month (PMPM) Rate
C. Contractor’s PMPM Payment Amount** (A x B)
| D. Annualized |
| 12 |
| 12 |
| 12 |
E. Grand Total (C x D)
*This amount represents MDHHS’s best effort for a true and accurate monthly average for 01/01/2025-06/30/2026 Actual beneficiary counts may differ throughout the term of the Contract.
**The Contractor will be paid a PMPM amount. The State will determine eligible beneficiaries each month when the State calculates the total number of eligible beneficiaries for the purpose of that month’s PMPM payment for the Contractor.
RFP 260000002254 NEMT Broker for Medicaid FFS 1 image1.png
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