CONTRACT ITEMS/SERVICES BY VENDOR
|
Vendor:
CONDUENT 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
|