Sheltered Market- BPCSS Medicaid/Medicare Claims IFB

Sheltered Market- BPCSS Medicaid/Medicare Claims IFB Vendor to process claims for Medicare A, B, D, and Medicaid in IDHS State Operated facilities. Sheltered Market, Bidder, and all proposed subcontractors, must be certified by CMS as a BEP vendor prior to the Bid Opening date in NIGP Code 91804, 91832, or 94610. Item # 1: ( 918 - 04 ) INITIAL TERM YEARS 1-5: This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part D Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,086,280.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,086,280.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. INITIAL TERM YEARS 1-5: This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part D Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,086,280.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,086,280.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. Item # 2: ( 918 - 32 ) INITIAL TERM YEARS 1-5: This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part A, B & Medicaid Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,475,000.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,475,000.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. INITIAL TERM YEARS 1-5: This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part A, B & Medicaid Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,475,000.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,475,000.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. Item # 5: ( 918 - 04 ) Optional 12-Month Renewal Term #1. Renewal Pricing must be at the same rate as initial term. This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part D Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,086,280.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,086,280.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. Optional 12-Month Renewal Term #1. Renewal Pricing must be at the same rate as initial term. This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part D Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,086,280.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,086,280.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. Item # 6: ( 918 - 32 ) Optional 12-Month Renewal Term #1. Renewal Pricing must be at same rate as initial term. This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part A, B & Medicaid Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,475,000.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,475,000.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. Optional 12-Month Renewal Term #1. Renewal Pricing must be at same rate as initial term. This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part A, B & Medicaid Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,475,000.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,475,000.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. Item # 7: ( 918 - 04 ) Optional 12-Month Renewal Term #2. Renewal Pricing must be at the same rate as initial term. This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part D Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,086,280.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,086,280.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price. Optional 12-Month Renewal Term #2. Renewal Pricing must be at the same rate as initial term. This is a Sheltered Market Procurement, see Invitation for Bid for details. Vendor will be paid for Medicare Part D Revenue Maximization services based on a percentage of the total reimbursement available. For comparison purposes only, a total reimbursement of $7,086,280.00 per year will be used to capture the percentage to be retained by the bidder in payment of services rendered. Bidders shall enter $7,086,280.00 in the Unit Cost field and enter the percentage of reimbursement returned to the State in the Discount % field. If entered correctly, Total field will reflect Bidder's price.