Schedule B - Pricing.docx
DOCX document 75 KB Posted
- Attached to
- NEMT Broker for Medicaid FFS Beneficiaries
- Solicitation number
- RFP 491 260000002254 2
- Issued by
- Michigan
About this file
This is a pricing schedule for RFP 260000002254 issued by the Michigan Department of Health and Human Services (MDHHS) for a Non-Emergency Medical Transportation (NEMT) Broker to serve Medicaid Fee for Service (FFS) beneficiaries. The RFP solicits proposals for NEMT management services with two bidding options: a regional scope covering Wayne, Oakland, and Macomb Counties, or a statewide scope. The contract term is three years, beginning April 1, 2027 and concluding March 31, 2030, with annual contract periods from Year 1 (04/01/2027-03/31/2028) through Year 3 (04/01/2029-03/31/2030). Contractors must submit pricing in a modifiable format such as Microsoft Word or Excel, with the option to submit an additional non-modifiable PDF version, and failure to complete the pricing schedule as requested may result in proposal disqualification.
The pricing structure requires contractors to submit a capitated Per-Member Per-Month (PMPM) rate that is all-inclusive of all costs associated with contract performance. For the regional bid, the eligible member population is estimated at 227,479 monthly beneficiaries, while the statewide bid reflects an estimated 553,980 eligible members monthly. These member estimates represent MDHHS's best effort calculation based on data from January 1, 2025 through June 30, 2026, though actual beneficiary counts may vary monthly. Contractors will be compensated based on actual eligible beneficiaries determined by the state each month, with payment calculated as the PMPM rate multiplied by the number of eligible members and annualized over 12 months. Bidders must certify that proposed prices were developed independently without consultation or agreement with other contractors and must include all direct and indirect costs, including any one-time or setup charges, fees, shipping, handling, and per-piece pricing.
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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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