Schedule B - Pricing.docx
DOCX document 75 KB Posted
- Attached to
- NEMT Broker for Medicaid FFS Beneficiaries
- Solicitation number
- RFP 491 260000002254 3
- 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 beneficiaries. The contract encompasses NEMT management services across either a three-county region (Wayne, Oakland, and Macomb Counties) or statewide coverage, with a contract term of three years beginning April 1, 2027, and ending March 31, 2030. Bidders must submit pricing in a modifiable format such as Microsoft Word or Excel, with the option to include a non-modifiable PDF version. Failure to complete the pricing schedule as requested will result in proposal disqualification.
Contractors must provide a monthly capitated Per-Member Per-Month (PMPM) rate that is all-inclusive of all costs associated with contract performance, including one-time setup charges, fees, shipping, handling, and any other potential charges to the State. For the three-county region, the estimated eligible membership is 227,479 members monthly, while the statewide option covers an estimated 553,980 members monthly, based on MDHHS data from January 1, 2025, through June 30, 2026. Actual beneficiary counts may vary throughout the contract term, with the State determining eligible beneficiaries monthly for payment calculation purposes. Contractors must certify that pricing was developed independently without consultation or agreement with other bidders.
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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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