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Email to MARIE BORAGINE

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Index #:	T-1392
Contract #:	61036
Contract Period:	FROM:   12/15/04   TO:   12/31/14
Applicable To:	ALL STATE AGENCIES
Cooperative Purchasing:	NOT APPLICABLE
Vendor Name & Address:	XEROX STATE HEALTHCARE LLC ACH ELECTRONIC PAYMENTS PO BOX 201071 DALLAS, TX 75320-1071
For Procurement Bureau Use:
Solicitation #:	34750
Bid Open Date:	08/12/04
CID #:	1024566
Commodity Code:	918-69
Set-Aside:	SMALL BUSINESS SUBCONTRACTING

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:

MARIE BORAGINE	PROCUREMENT SPECIALIST	000-000-0000
JONATHAN WALLACE	PROCUREMENT SPECIALIST SUPERVISOR	609-341-2976
ELIZABETH MACKAY	ASSISTANT DIRECTOR	609-292-6817
	PUB DATE:	03/06/14

VENDOR INFORMATION
Vendor Name & Address:	XEROX STATE HEALTHCARE LLC ACH ELECTRONIC PAYMENTS PO BOX 201071 DALLAS, TX 75320-1071
Contact Person:	LEO S.MACKAY
Contact Phone:	770-829-1245
Order Fax:	678-352-7200
Contract#:	61036
Expiration Date:	12/31/14
Terms:	NONE
Delivery:	SPECIFIED ELSEWHERE
Small Business Enterprise:	NO
Minority Business Enterprise:	NO
Women Business Enterprise:	NO
Cooperative Purchasing *:	NO
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?

CONTRACT ITEMS/SERVICES BY VENDOR
Vendor:  XEROX STATE HEALTHCARE LLC ACH ELECTRONIC PAYMENTS		Contract Number:  61036
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00001	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: ALL INCLUSIVE FIRM FIXED PRICE FOR DEFINITION OF BUSINESS REQUIREMENTS DURING TRANSITION PERIOD. YEAR ONE	1.000	TASK	N/A	$1189493.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00002	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: ALL INCLUSIVE FIRM FIXED PRICE FOR SOFTWARE DEVELOPMENT DURING TRANSITION PERIOD. YEAR 1	1.000	TASK	N/A	$3010202.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00003	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: ALL INCLUSIVE FIRM FIXED PRICE TO ESTABLISH TELECOMMUNICATIONS FUCTIONALITY DURING TRANSITION PERIOD. YEAR 1	1.000	EACH	N/A	$223670.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00004	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: ALL INCLUSIVE FIRM FIXED PRICE FOR OPERATIONAL PROCEDURE AND POLICY MANUAL (DEVELOPMENT, COMPLETION AND ACCEPTANCE BY DMAHS) DURING TRANSITION PERIOD. YEAR 1	1.000	EACH	N/A	$2278207.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00005	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXED PRICE FOR PARALLEL TESTING AND TRANSITION. YEAR 1	1.000	TASK	N/A	$336667.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00006	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXED PRICE FOR STAFF TRAINING TO ENSURE OPERATIONAL START DATE IS MET. TRANSITION PERIOD. YEAR 1	1.000	TASK	N/A	$578586.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00007	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXED PRICE FOR ONE YEAR (MONTHLY INCREMENTS) MANAGED CARE ENROLLMENT EFFORT WITH ELIGIBILITY CAMPAIGN. YEAR 1	12.000	MONTH	N/A	$1398806.25000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00008	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXED PRICE FOR EACH HOME VISIT ABOVE THE ESTIMATED 125 PER MONTH FOR ENROLLMENT WITH ELIGIBILITY. YEAR 1	1.000	EACH	N/A	$41.93000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00009	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PASS THROUGH MAILING COSTS YEAR 1	1.000	EACH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00010	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PASS THROUGH PRINTING COSTS DURING TRANSITION PERIOD. YEAR 1	1.000	EACH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00012	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXED PRICE FOR EACH HOME VISIT ABOVE THE ESTIMATED 125 PER MONTH FOR ENROLLMENT WITH ELIGIBILITY. YEAR 2	1.000	EACH	N/A	$43.19000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00013	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PASS THROUGH MAILING COST YEAR 2	1.000	EACH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00014	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PASS THROUGH PRINTING COSTS YEAR 2	1.000	EACH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00015	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXEED PRICE FOR ONE YEAR (MONTHLY INCREMENTS) - MANAGED CARE ENROLLMENT EFFORT WITH ELIGIBILITY CAMPAIGN. YEAR 3	12.000	MONTH	N/A	$1483993.58000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00016	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXED PRICE FOR EACH HOME VISIT ABOVE THE ESTIMATED 125 PER MONTH FOR ENROLLMENT WITH ELIGIBILITY. YEAR 3	1.000	EACH	N/A	$44.48000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00017	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PASS THROUGH MAILING COSTS YEAR 3	1.000	EACH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00018	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PASS THROUGH PRINTING COSTS YEAR 3	1.000	EACH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00020	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FOR WORK AND SERVICES FROM JULY 1, 2005 THROUGH JUNE 30, 2006 DUE TO THE EXPANSION OF THE NJ FAMILYCARE PROGRAM	1.000	EACH	N/A	$3034355.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00021	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FOR WORK AND SERVICES FROM JULY 1, 2006 THROUGH JUNE 30, 2008 DUE TO THE EXPANSION OF THE NJ FAMILYCARE PROGRAM	1.000	EACH	N/A	$6080148.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00022	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PASS-THROUGH PRINTING COSTS FISCAL YEAR 2009 IN ACCORDANCE WITH AMENDMENT 3.	1.000	EACH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00023	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: FULLY LOADED FIRM FIXED PRICE -MONTHLY FISCAL YEAR 2009 IN ACCORDANCE WITH AMENDMENT 3 TO THIS CONTRACT.	1.000 TO 12.000	MONTH	N/A	$1808105.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00024	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: MONTHLY PAYMENTS FOR JULY, 2010 AND AUGUST, 2010 EXTENSION BASED UPON COST PER ENROLLEE PER PROGRAM	1.000 TO 2.000	MONTH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00025	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: MONTHLY PAYMENT FOR SEPTEMBER, 2010 EXTENSION BASED UPON COST PER ENROLLEE PER PROGRAM	1.000 TO 2.000	MONTH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00026	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: MONTHLY PAYMENT FOR OCTOBER & NOVEMBER 2010 EXTENSION BASED UPON COST PER ENROLLEE PER PROGRAM	1.000 TO 2.000	MONTH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00027	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: MONTHLY PAYMENT FOR DECEMBER 2010 EXTENSION BASED UPON COST PER ENROLLEE PER PROGRAM	1.000 TO 2.000	MONTH	NET	N/A
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00028	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PER MEMBER PER MONTH RATE NJFAMILYCARE ENROLLMENT PER AMENDMENT #9 FOR PERIOD 01/01/11 THROUGH 12/31/12.	1.000 TO 24.000	MONTH	N/A	$3.94000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00029	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PER MEMBER PER MONTH RATE MEDICAID ENROLLMENT PER AMENDMENT #9 FOR PERIOD 01/01/11 THROUGH 12/31/12.	1.000 TO 24.000	MONTH	N/A	$1.47000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00030	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PER MEMBER PER MONTH RATE NJFAMILYCARE ENROLLMENT PER AMENDMENT #10 FOR PERIOD 07/01/11 THROUGH 12/31/12.	1.000	EACH	N/A	$3.98000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00031	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PER MEMBER PER MONTH RATE MEDICAID ENROLLMENT PER AMENDMENT #10 FOR PERIOD 07/01/11 THROUGH 12/31/12.	1.000	EACH	N/A	$1.49000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00032	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: CASS INTERFACE WITH CONNEXION PURSUANT TO AMENDMENT 11.	1.000	TASK	N/A	$503100.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00033	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: ENSURE MAGI RULE COMPLIANCE PURSUANT TO AMENDMENT 11.	1.000	TASK	N/A	$2291000.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00034	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: INTERACTIVE VOICE RESPONSE SYSTEM (IVR) ENHANCEMENTS PURSUANT TO AMENDMENT 11.	1.000	TASK	N/A	$195000.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00035	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PER MEMBER PER MONTH RATE NJFAMILYCARE ENROLLMENT PER AMENDMENT 10 FOR PERIOD 01/01/13 THROUGH 12/31/14.	1.000	EACH	N/A	$3.98000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00036	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PER MEMBER PER MONTH RATE MEDICAID ENROLLMENT PER AMENDMENT #10 FOR PERIOD 01/01/13 THROUGH 12/31/14.	1.000	EACH	N/A	$1.49000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00037	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PRICE LINE #37 REPRESENTS IT SYSTEM UPGRADES AND MODIFICATIONS TO ENSURE CMS COMPLIANCE UNDER AMENDMENT 12. THIS IS A NOT-TO-EXCEED AMOUNT.	1.000	TASK	N/A	$343000.00000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00038	COMM CODE:  918-69-029932 [CONSULTING SERVICES]   ITEM DESCRIPTION: PRICE LINE #38 REPRESENTS EXPANSION OF CALL CENTER OPERATION VOLUME UNDER AMENDMENT 12. THIS IS A NOT-TO-EXCEED AMOUNT.	1.000	TASK	N/A	$8360000.00000

Downloadable RFP Documents (Please utilize scroll bar on right side of box if necessary to view all documents)

The Download All Documents hyperlink will place compressed files on your computer. Files may be unzipped and viewed using WinZip. The evaluation version is available for free. Click here to learn more about WinZip or to download the latest version from the WinZip web site. Forms in this section are stored in Adobe Acrobat (PDF) format. PDF formatted documents appear the same as the original printed forms. To view and print these forms, you must have a PDF viewer which is available free from Adobe. Click here to learn more about Adobe Acrobat or to download the latest version of the Adobe Acrobat viewer from the Adobe Web site.