![]() |
||
|
T-1083 AUDIT-COMPLIANCE REVIEWS: MEDICAID/PAAD, INPATIENT, TRAUMA/TPL CLAIMS- DMAHS
STATE OF NEW JERSEY
DEPARTMENT OF TREASURY
DIVISION OF PURCHASE AND PROPERTY
PURCHASE BUREAU INDEX #: T-1083
NOTIFICATION OF AWARD - TERM CONTRACT(S)
CONTRACT TITLE: AUDIT-COMPLIANCE REVIEWS: MEDICAID/PAAD CONTRACT # 59556
INPATIENT, TRAUMA/TPL CLAIMS- DMAHS
CONTRACT PERIOD: APPLICABLE TO:
FROM: 08/01/04 TO: 04/30/10 ALL STATE AGENCIES
VENDOR NAME & ADDRESS: FOR PURCHASE BUREAU USE
BLUE CROSS & BLUE SHIELD OF NJ Solicitation #: 36839
Bid Open Date : 05/12/04
3 PENN PLAZA EAST CID # : 1028616
13TH FLOOR MSPP-13Q Commodity Code: 946-20
NEWARK, NJ 07105-2200 Set-Aside : NONE
CONDITIONS AND METHODS OF OPERATION
Multi-Source Contracts: State Agencies and Cooperative Purchasing partners
should review each vendor's product/service and prices carefully and
place orders in accordance with the terms and conditions of the contract.
Note that
A. Delivery: All prices F.O.B. Destination
B. Method of Operation - State Agencies Only: Issue an agency purchase order
to the appropriate contract vendor(s).
In the event of an emergency, contact the following in the order listed:
1.KEN DIETEL - BUYER 3. MARGARET QUINN - BUYER UNIT SUPERV
609-984-9322
E-MAIL: KEN.DIETEL@TREAS.STATE.NJ.US
2.EDWARD T. COTTERELL - BUYER SUPERVI 4. OFFICE OF THE BUREAU SUPERVISOR
609-984-6241 609-292-4751
PB177 (rev. 6/91) PUB. DATE: 08/03/09
INDEX NO: T1083
PAGE NO: 2
VENDOR INFORMATION SHEET
COOP *
VENDOR NAME AND ADDRESS SBE/MBE/WBE/PURCH
______________________________________________________________________________
BLUE CROSS & BLUE SHIELD OF NJ NO /NO /NO /NO CONTRACT #: 59556
3 PENN PLAZA EAST EXPIRATION DATE: 04/30/10
13TH FLOOR MSPP-13Q TERMS: NONE
NEWARK, NJ 07105-2200 DELIVERY: 30 DAYS ARO
CONTACT PERSON: WAYNE LEVITT CONTACT PHONE: 973-466-8971
ORDER FAX # : 973-466-4665
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
INDEX NO: T1083
PAGE NO: 3
CONTRACT ITEMS/SERVICES
BY VENDOR
______________________________________________________________________________
VNDR: BLUE CROSS & BLUE SHIELD OF NJ CNTRCT #: 59556
LINE# DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE
00001 COMM CODE: 946-20-021121 1.000 YEAR N/A $2271453.30000
*************** YEAR 1 ***************
ALL INCLUSIVE FULLY LOADED FIRM FIXED
PRICE FOR ONE (1) BILLING OF THE
CONTRACT.
THIS IS A ONE YEAR EXTENSION FROM
AUGUST 1, 2008 THROUGH JULY 31, 2009.
THIS IS IN ACCORDANCE WITH THE TERMS AND
CONDITIONS OF THE ORIGINAL CONTRACT AND
THE FOURTH YEAR PRICING (LINE ITEM 0004)
00002 COMM CODE: 946-20-021121 1.000 YEAR N/A $2339564.31000
*************** YEAR 2 ***************
ALL INCLUSIVE FULLY LOADED FIRM FIXED
PRICE FOR ONE (1) BILLING OF THE
CONTRACT.
00003 COMM CODE: 946-20-021121 1.000 YEAR N/A $2409630.66000
*************** YEAR 3 ***************
ALL INCLUSIVE FULLY LOADED FIRM FIXED
PRICE FOR ONE (1) BILLING OF THE
CONTRACT.
00004 COMM CODE: 946-20-021121 1.000 YEAR N/A $2361438.00000
DMAHS AUDITS- MONTHLY BILLING MONTH
VENDOR IS TO SUBMIT ESTIMATED MONTHLY
BILLING FOR EACH MONTH OF THE CONTRACT.
TOTAL FOR ALL MONTHS MUST EQUAL THE
TOTAL FOR ALL TASKS AS SHOWN ON SCHEDULE
"A" AND SCHEDULE "C".
*********** YEARS 4 AND 5 **************
ALL INCLUSIVE FULLY LOADED FIRM FIXED
PRICE FOR ONE (1) BILLING OF THE
CONTRACT.
FOURTH AND FIFTH YEAR PRICING HAS BEEN
REDUCED 2% IN ACCORDANCE WITH CONTRACTOR
OFFER. THIS PRICE IS EFFECTIVE 8/1/07
THROUGH 7/31/09.
DELIVERY: 30 DAYS ARO
00005 COMM CODE: 946-20-021121 1.000 EACH N/A $1800000.00000
FOR PAYMENT FOR SERVICES DURING THE
NINE (9) MONTH CONTRACT EXTENSION
|
|||||||||
|