T1619 Price Sheet 07.18.24.xlsx

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T1619 - Medical Consulting: External Quality Review Organization, DMAHS
Solicitation number
24DPP00958
Issued by
Mercer County, New Jersey

About this file

This document is a price sheet for Bid Solicitation #24DPP00958 issued by the New Jersey Department of Human Services Division of Medical Assistance and Health Services (DMAHS) for a Medical Consulting: External Quality Review Organization contract. The contract requires the delivery of various assessments, validations, reports, and audits related to the state's Medicaid Managed Care Organizations (MCOs) and their operations, including Core Medicaid, Managed Long-Term Services and Supports (MLTSS), and Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) programs. The contract term is 4 years, with deliverables and firm fixed pricing provided for each year.

The price sheet requests bidders to provide pricing for 28 line items, including an annual work plan, timelines, MCO operational assessments, performance measure validations, performance improvement project evaluations, technical reports, focused quality studies, care management audits, encounter data validations, consumer satisfaction surveys, and network adequacy validations. Pricing is required for the estimated annual quantities of each deliverable across the 4-year contract term.

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T1619 State-Supplied Price Sheet T1619 - Medical Consulting: External Quality Review Organizing Bid Solicitation # 24DPP00958

Bidder's Name :
Refer to Bid Solicitation Section 9, Glossary for a definition of "Firm Fixed Price" and Bid Solicitation Section 3.26, State-Supplied Price Sheet Instructions for Bidder Instructions. The Bidder must provide pricing in the YELLOW highlighted cells only.
Price Line #DeliverableEstimated Annual QuantityFirm Fixed Price Year 1Firm Fixed Price Price Year 2Firm Fixed Price Price Year 3Firm Fixed Price Price Year 4
1Annual Work Plan (Deliverables 1 to 3)
Bid Solicitation Section 4.3.2.33$0.00$0.00$0.00$0.00
2Master Comprehensive Timeline including each task outlined in the Scope of Work (Deliverable 4)
Bid Solicitation Section 4.3.2.31$0.00$0.00$0.00$0.00
3Annual Assessment of MCO Operations - Core Medicaid including MLTSS (Deliverables 5 and 6)
Bid Solicitation Section 4.3.3.1.5$0.00$0.00$0.00$0.00
4Annual Assessment of MCO Operations - FIDE SNP including MLTSS (Deliverables 7 and 8)
Bid Solicitation Section 4.3.3.35$0.00$0.00$0.00$0.00
5Validation of MCO’s Core Medicaid Performance Measures (Deliverable 9)
Bid Solicitation Section 4.3.45$0.00$0.00$0.00$0.00
6Validation of MCO’s FIDE SNP Performance Measures (Deliverable 10)
Bid Solicitation Section 4.3.55$0.00$0.00$0.00$0.00
7MLTSS Performance Measure Development/ Validation (Deliverables 11 to 15)
Bid Solicitation Section 4.3.65$0.00$0.00$0.00$0.00
8MLTSS Calculation of Performance Measures (Deliverable 16)
Bid Solicitation Section 4.3.75$0.00$0.00$0.00$0.00
9FIDE SNP Performance Measure Development/Validation (Deliverables 17 and 18)
Bid Solicitation Section 4.3.85$0.00$0.00$0.00$0.00
10FIDE SNP Calculation of Performance Measures (Deliverable 19)
Bid Solicitation Section 4.3.95$0.00$0.00$0.00$0.00
11Evaluation of the MCO's Performance Improvement Projects (PIP) (Deliverable 20)
Bid Solicitation Section 4.3.1010$0.00$0.00$0.00$0.00
12April Evaluation of MCO’s PIP Progress (Deliverable 21)
Bid Solicitation Section 4.3.1020$0.00$0.00$0.00$0.00
13August Evaluation of the MCO’s PIP Progress (Deliverable 22)
Bid Solicitation Section 4.3.1020$0.00$0.00$0.00$0.00
14Evaluation of MCO’s PIP Final Report (Deliverable 23)
Bid Solicitation Section 4.3.1010$0.00$0.00$0.00$0.00
15Annual Technical Report Core Medicaid/MLTSS (Deliverable 24)
Bid Solicitation Section 4.3.111$0.00$0.00$0.00$0.00
16Annual Technical Report FIDE SNP/MLTSS (Deliverable 25)
Bid Solicitation Section 4.3.121$0.00$0.00$0.00$0.00
17Focused Quality Studies (Deliverable 26)
Bid Solicitation Section 4.3.1333$0.00$0.00$0.00$0.00
18Core Medicaid Care Management Audit (Deliverable 27)
Bid Solicitation Section 4.3.145$0.00$0.00$0.00$0.00
19MLTSS/Care Management Audit (Deliverables 28 to 30)
Bid Solicitation Section 4.3.1515$0.00$0.00$0.00$0.00
20FIDE SNP Care Management Audit (Deliverable 31)
Bid Solicitation Section 4.3.165$0.00$0.00$0.00$0.00
21Individual Case Reviews (Deliverable 32)
Bid Solicitation Section 4.3.17100$0.00$0.00$0.00$0.00
22Encounter Data Validation Report for each MCO based on CMS EQR Protocols (Deliverables 33)
Bid Solicitation Section 4.3.181$0.00$0.00$0.00$0.00
23Validation of Encounter Data (Deliverable 34)
Bid Solicitation Section 4.3.1812$0.00$0.00$0.00$0.00
24Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey - Adult/Child Core Medicaid (Deliverables 35 to 36)
Bid Solicitation Section 4.3.192$0.00$0.00$0.00$0.00
25Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey - CHIP Core Medicaid (Deliverable 37)
Bid Solicitation Section 4.3.191$0.00$0.00$0.00$0.00
26Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey - FIDE SNP (Deliverable 38)
Bid Solicitation Section 4.3.201$0.00$0.00$0.00$0.00
27Validation of Network Adequacy (Deliverable 39)
Bid Solicitation Section 4.3.2110$0.00$0.00$0.00$0.00
28Quality Rating System (Deliverable 40)
Bid Solicitation Section 4.3.221$0.00$0.00$0.00$0.00

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