T1619 REVISED State-Supplied Price Sheet 2.06.25.xlsx
XLSX spreadsheet 21 KB Posted
- Solicitation number
- 24DPP00958
- Issued by
- Mercer County, New Jersey
About this file
This is a revised state-supplied price sheet for Bid Solicitation #24DPP00958 T1619 from the New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) for Medical Consulting External Quality Review Organization services. The price sheet outlines 40 deliverables across four contract years, including annual work plans, MCO operational assessments, performance measure validations, technical reports, care management audits, and consumer satisfaction surveys. Key deliverables include assessments for both Core Medicaid and FIDE SNP operations, validation of performance measures, focused quality studies, and encounter data validation. The contract is structured for a four-year term with specified quantities for each deliverable, ranging from single annual items to multiple recurring assessments.
The price sheet requires bidders to provide firm-fixed unit pricing for all four contract years in designated yellow-highlighted cells. Notable quantities include 100 individual case reviews annually, 33 focused quality studies, 30 evaluations of MCO's PIP progress, and multiple CAHPS surveys covering different beneficiary populations. The pricing structure is designed to support services for over 2 million Medicaid beneficiaries, including 59,066 MLTSS beneficiaries and 61,554 FIDE SNP beneficiaries. Each deliverable requires separate pricing for all four years of the contract term, though no pre-filled pricing information is provided in the document.
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T1619 Revised 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 # | Deliverable | Estimated Annual Quantity | Unit of Measure | Contract Year 1 Unit Pricing | Contract Year 2 Unit Pricing | Contract Year 3 Unit Pricing | Contract Year 4 Unit Pricing | |
| Price Line # 1 to 40 - Firm-Fixed Unit Price | ||||||||
| 1 | Annual Work Plan (Deliverable 1) | |||||||
| Bid Solicitation Section 4.3.2.3 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 2 | Annual Work Plan (Deliverable 2) | |||||||
| Bid Solicitation Section 4.3.2.3 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 3 | Annual Work Plan (Deliverable 3) | |||||||
| Bid Solicitation Section 4.3.2.3 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 4 | Master Comprehensive Timeline including each task outlined in the Scope of Work (Deliverable 4) | |||||||
| Bid Solicitation Section 4.3.2.3 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 5 | Annual Assessment of MCO Operations - Core Medicaid including MLTSS (Deliverables 5) | |||||||
| Bid Solicitation Section 4.3.3.1. | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 6 | Annual Assessment of MCO Operations - Core Medicaid including MLTSS (Deliverable 6) | |||||||
| Bid Solicitation Section 4.3.3.1. | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 7 | Annual Assessment of MCO Operations - FIDE SNP including MLTSS (Deliverable 7) | |||||||
| Bid Solicitation Section 4.3.3.3 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 8 | Annual Assessment of MCO Operations - FIDE SNP including MLTSS (Deliverable 8) | |||||||
| Bid Solicitation Section 4.3.3.3 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 9 | Validation of MCO’s Core Medicaid Performance Measures (Deliverable 9) | |||||||
| Bid Solicitation Section 4.3.4 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 10 | Validation of MCO’s FIDE SNP Performance Measures (Deliverable 10) | |||||||
| Bid Solicitation Section 4.3.5 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 11 | MLTSS Performance Measure Development/ Validation (Deliverable 11) | |||||||
| Bid Solicitation Section 4.3.6 | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 12 | MLTSS Performance Measure Development/ Validation (Deliverable 12) | |||||||
| Bid Solicitation Section 4.3.6 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 13 | MLTSS Performance Measure Development/ Validation (Deliverable 13) | |||||||
| Bid Solicitation Section 4.3.6 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 14 | MLTSS Performance Measure Development/ Validation (Deliverable 14) | |||||||
| Bid Solicitation Section 4.3.6 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 15 | MLTSS Performance Measure Development/ Validation (Deliverable 15) | |||||||
| Bid Solicitation Section 4.3.6 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 16 | MLTSS Calculation of Performance Measures (Deliverable 16) | |||||||
| Bid Solicitation Section 4.3.7 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 17 | FIDE SNP Performance Measure Development/Validation (Deliverable 17) | |||||||
| Bid Solicitation Section 4.3.8 | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 18 | FIDE SNP Performance Measure Development/Validation (Deliverable 18) | |||||||
| Bid Solicitation Section 4.3.8 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 19 | FIDE SNP Calculation of Performance Measures (Deliverable 19) | |||||||
| Bid Solicitation Section 4.3.9 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 20 | Evaluation of the MCO's Performance Improvement Projects (PIP) (Deliverable 20) | |||||||
| Bid Solicitation Section 4.3.10 | 15 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 21 | April Evaluation of MCO’s PIP Progress (Deliverable 21) | |||||||
| Bid Solicitation Section 4.3.10 | 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 22 | August Evaluation of the MCO’s PIP Progress (Deliverable 22) | |||||||
| Bid Solicitation Section 4.3.10 | 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 23 | Evaluation of MCO’s PIP Final Report (Deliverable 23) | |||||||
| Bid Solicitation Section 4.3.10 | 15 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 24 | Annual Technical Report Core Medicaid/MLTSS (Deliverable 24) | |||||||
| Bid Solicitation Section 4.3.11 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 25 | Annual Technical Report FIDE SNP/MLTSS (Deliverable 25) | |||||||
| Bid Solicitation Section 4.3.12 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 26 | Focused Quality Studies (Deliverable 26) | |||||||
| Bid Solicitation Section 4.3.13 | 33 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 27 | Core Medicaid Care Management Audit (Deliverable 27) | |||||||
| Bid Solicitation Section 4.3.14 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 28 | MLTSS/Care Management Audit (Deliverable 28) | |||||||
| Bid Solicitation Section 4.3.15 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 29 | MLTSS/Care Management Audit (Deliverable 29) | |||||||
| Bid Solicitation Section 4.3.15 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 30 | MLTSS/Care Management Audit (Deliverable 30) | |||||||
| Bid Solicitation Section 4.3.15 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 31 | FIDE SNP Care Management Audit (Deliverable 31) | |||||||
| Bid Solicitation Section 4.3.16 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 32 | Individual Case Reviews (Deliverable 32) | |||||||
| Bid Solicitation Section 4.3.17 | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 33 | Encounter Data Validation Report for each MCO based on CMS EQR Protocols (Deliverable 33) | |||||||
| Bid Solicitation Section 4.3.18 | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 34 | Validation of Encounter Data (Deliverable 34) | |||||||
| Bid Solicitation Section 4.3.18 | 12 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 35 | Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey - Adult Core Medicaid (Deliverable 35) | |||||||
| Bid Solicitation Section 4.3.19 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 36 | Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey - Child Core Medicaid (Deliverable 36) | |||||||
| Bid Solicitation Section 4.3.19 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 37 | Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey - CHIP Core Medicaid (Deliverable 37) | |||||||
| Bid Solicitation Section 4.3.19 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 38 | Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey - FIDE SNP (Deliverable 38) | |||||||
| Bid Solicitation Section 4.3.20 | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 39 | Validation of Network Adequacy (Deliverable 39) | |||||||
| Bid Solicitation Section 4.3.21 | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 40 | Quality Rating System (Deliverable 40) | |||||||
| Bid Solicitation Section 4.3.22 | 2 | Each | $0.00 | $0.00 | $0.00 | $0.00 |
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