PASRR Cost Proposal Request for Proposal Number 5165Z1 Vendor Name Please indicate total fixed price for each deliverable category. The deliverables will be paid as fixed payments upon completion and acceptance of tasks contained in the deliverable. All costs necessary to satisfy the requirements of this RFP must be included in the pricing listed in Table A. It is the intent of the DHHS DBH to contract with one bidder to implement the PASRR screening and evaluation services on a statewide basis. If an arithmetic error has been made in the extended Total Cost, the Rate Proposed per Screening/Evaluation price will govern. Table A Rate Proposed per Estimated Review Type Total Cost Screening/Evaluation Yearly Activity 2328 Level I $ $ Negative Level I $ 25848 $ Mental Illness Level II $ 1260 $ Intellectual Disability Level II $ 216 $ Mental Illness/Mental $ 192 $ Paper/Halted/Discontinued 72 $ $ Other Rate Proposed per Estimated Hour of Number of Total Cost Appeal/Consultation Hours Appeals $ 10 $ Consultation $ 20 $ Web-Based Application Total Fixed Cost Design/Implementation $ Table B Optional Costs – A need may arise for reporting/tracking functionality not originally delineated in this RFP but considered within the scope of work due to changes in Federal or State law/regulations or suggested additional optional components and functionality that may enhance the reporting/tracking functionality in providing PASRR services. As such, DHHS may consider some or all optional functionality if financially feasible.
PASRR Cost Proposal Request for Proposal Number 5165Z1 Vendor Name Please indicate total fixed price for each deliverable category. The deliverables will be paid as fixed payments upon completion and acceptance of tasks contained in the deliverable. All costs necessary to satisfy the requirements of this RFP must be included in the pricing listed in Table A. It is the intent of the DHHS DBH to contract with one bidder to implement the PASRR screening and evaluation services on a statewide basis. If an arithmetic error has been made in the extended Total Cost, the Rate Proposed per Screening/Evaluation price will govern. Table A Review Type Rate Proposed per Screening/Evaluation Estimated Yearly Activity Total Cost Level I $ 2328 $ Negative Level I $ 25848 $ Mental Illness Level II $ 1260 $ Intellectual Disability Level II $ 216 $ Mental Illness/Mental $ 192 $ Paper/Halted/Discontinued $ 72 $ Other Rate Proposed per Hour of Appeal/Consultation Estimated Number of Hours Total Cost Appeals $ 10 $ Consultation $ 20 $ Web-Based Application Total Fixed Cost Design/Implementation $ Table B – Optional Costs A need may arise for reporting/tracking functionality not originally delineated in this RFP but considered within the scope of work due to changes in Federal or State law/regulations or suggested additional optional components and functionality that may enhance the reporting/tracking functionality in providing PASRR services. As such, DHHS may consider some or all optional functionality if financially feasible.
5165Z1%20Cost%20Proposal.docx