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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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1.
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Contract Wide Consequences
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Entire Contract
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Blank
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| Major Deliverable: Entire Contract |
| Deliverable Price: $0.00 |
| Non Price Justification: Contract Wide Consequences |
| Performance Metrics: |
| Financial Consequences: |
| Source Documentation Page Reference: |
| Deliverable Number: 1. |
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10.
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Health system evaluation services
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CY24 1st Quarter Pharmacy Claims Reconciliation Report Analysis (January – March). Due Date: DRAFT d...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY24 1st Quarter Pharmacy Claims Reconciliation Report Analysis (January – March). Due Date: DRAFT due no later than July 1, 2024. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $85,996.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 10. |
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11.
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Health system evaluation services
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CY24 2nd Quarter Pharmacy Claims Reconciliation Report Analysis (April – June). Due Date: DRAFT due ...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY24 2nd Quarter Pharmacy Claims Reconciliation Report Analysis (April – June). Due Date: DRAFT due no later than October 1, 2024. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $85,996.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 11. |
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12.
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Health system evaluation services
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CY24 3rd Quarter Pharmacy Claims Reconciliation Report Analysis (July-September). Due Date: DRAFT du...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY24 3rd Quarter Pharmacy Claims Reconciliation Report Analysis (July-September). Due Date: DRAFT due no later than January 1, 2025. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $85,996.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 12. |
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13.
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Health system evaluation services
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CY24 4th Quarter Pharmacy Claims Reconciliation Report Analysis (October - December). Due Date: DRAF...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY24 4th Quarter Pharmacy Claims Reconciliation Report Analysis (October - December). Due Date: DRAFT due no later than April 1, 2025. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $85,996.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 13. |
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14.
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Health system evaluation services
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CY24 Annual Pharmacy Claims Reconciliation Report Analysis (January 1, 2024 – December 31, 2024). Du...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY24 Annual Pharmacy Claims Reconciliation Report Analysis (January 1, 2024 – December 31, 2024). Due Date: DRAFT due no later than July 18, 2025. FINAL due within seven (7) calendar days of receiving Agency feedback. |
| Deliverable Price: $85,999.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $1,000.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 14. |
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15.
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Health system evaluation services
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CY25 1st Quarter Pharmacy Claims Reconciliation Report Analysis (January – March). Due Date: DRAFT d...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY25 1st Quarter Pharmacy Claims Reconciliation Report Analysis (January – March). Due Date: DRAFT due no later than July 1, 2025. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $88,576.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 15. |
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16.
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Health system evaluation services
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CY25 2nd Quarter Pharmacy Claims Reconciliation Report Analysis (April – June). Due Date: DRAFT due ...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY25 2nd Quarter Pharmacy Claims Reconciliation Report Analysis (April – June). Due Date: DRAFT due no later than October 1, 2025. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $88,576.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 16. |
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17.
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Health system evaluation services
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CY25 3rd Quarter Pharmacy Claims Reconciliation Report Analysis (July – September). Due Date: DRAFT ...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY25 3rd Quarter Pharmacy Claims Reconciliation Report Analysis (July – September). Due Date: DRAFT due no later than January 1, 2026. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $88,576.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 17. |
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18.
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Health system evaluation services
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CY25 4th Quarter Pharmacy Claims Reconciliation Report Analysis (October – December). Due Date: DRAF...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY25 4th Quarter Pharmacy Claims Reconciliation Report Analysis (October – December). Due Date: DRAFT due no later than April 1, 2026. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $88,576.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 18. |
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19.
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Health system evaluation services
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CY25 Annual Pharmacy Claims Reconciliation Report Analysis (January 1, 2025 – December 31, 2025). Du...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY25 Annual Pharmacy Claims Reconciliation Report Analysis (January 1, 2025 – December 31, 2025). Due Date: DRAFT due no later than July 18, 2026. FINAL due within seven (7) calendar days of receiving Agency feedback. |
| Deliverable Price: $88,578.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $1,000.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 19. |
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2.
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Health system evaluation services
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Phase 1 Reports – Planning and Risk Assessment: The Vendor shall submit for approval data request te...
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Fixed Fee / Unit Rate
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| Major Deliverable: Phase 1 Reports – Planning and Risk Assessment: The Vendor shall submit for approval data request templates and questionnaires to be sent to the health plans and associated PBMs. Due Date: No later than sixty (60) calendar days after initiating each stage of Phase 1. Extensions may be required at the Agency's discretion, if the Vendor experiences delays from the health plans. |
| Deliverable Price: $368,529.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each business day past the due date that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 2. |
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3.
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Health system evaluation services
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Phase 2 – Data Collection and Analysis
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Fixed Fee / Unit Rate
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| Major Deliverable: Phase 2 – Data Collection and Analysis |
| Deliverable Price: $512,110.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. Due Date: No later than sixty (60) days from completion of Phase 1. Extensions may be requested and approved at the Agency's discretion if the Vendor experiences delays from the health plans. |
| Financial Consequences: $500.00 per day for each business day past the due date that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 3. |
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4.
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Health system evaluation services
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Phase 3 - Data Analysis Report. Due Date: Initial draft no later than thirty (30) days from the comp...
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Fixed Fee / Unit Rate
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| Major Deliverable: Phase 3 - Data Analysis Report. Due Date: Initial draft no later than thirty (30) days from the completion of Phase 2; final report due within fifteen (15) days from receiving Agency feedback. Extensions may be requested and approved at the Agency's discretion if the Vendor experiences delays from the health plans. |
| Deliverable Price: $77,900.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each business day past the due date that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 4. |
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5.
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Contract Wide Consequences
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Entire Contract
|
Blank
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| Major Deliverable: Entire Contract |
| Deliverable Price: $0.00 |
| Non Price Justification: Contract Wide Consequences |
| Performance Metrics: |
| Financial Consequences: |
| Source Documentation Page Reference: |
| Deliverable Number: 5. |
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6.
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Health system evaluation services
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CY23 2nd Quarter Pharmacy Claims Reconciliation Report Analysis (April – June). Due Date: DRAFT due ...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY23 2nd Quarter Pharmacy Claims Reconciliation Report Analysis (April – June). Due Date: DRAFT due no later than October 1, 2023. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $83,492.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 6. |
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7.
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Health system evaluation services
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CY23 3rd Quarter Pharmacy Claims Reconciliation Report Analysis (July – September). Due Date: DRAFT ...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY23 3rd Quarter Pharmacy Claims Reconciliation Report Analysis (July – September). Due Date: DRAFT due no later than January 1, 2024. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $83,492.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 7. |
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8.
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Health system evaluation services
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CY23 4th Quarter Pharmacy Claims Reconciliation Report Analysis (October - December). Due Date: DRAF...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY23 4th Quarter Pharmacy Claims Reconciliation Report Analysis (October - December). Due Date: DRAFT due no later than April 1, 2024. FINAL due within five (5) calendar days of receiving Agency feedback. |
| Deliverable Price: $83,492.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $500.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 8. |
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9.
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Health system evaluation services
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CY23 Annual Pharmacy Claims Reconciliation Report Analysis (January 1, 2023 – December 31, 2023). Du...
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Fixed Fee / Unit Rate
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| Major Deliverable: CY23 Annual Pharmacy Claims Reconciliation Report Analysis (January 1, 2023 – December 31, 2023). Due Date: DRAFT due no later than July 18, 2024. FINAL due within seven (7) calendar days of receiving Agency feedback. |
| Deliverable Price: $83,492.00 |
| Non Price Justification: |
| Performance Metrics: The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time. |
| Financial Consequences: $1,000.00 per day for each calendar day past the due date, in Exhibit A-3, that the Agency has not received the supporting documentation. |
| Source Documentation Page Reference: |
| Deliverable Number: 9. |
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