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  • Cost Analysis Sheet: ICF/MR Initial Application - Administrative Support

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    The document is a cost analysis sheet from the Alaska Department of Health & Social Services requesting proposals for administering the TEFRA Medicaid program. It provides tables for respondents to list per-client unit costs and total costs over 5 years for initial and reassessments of clients in intermediate care facilities and nursing facilities. The cost analysis sheet aims to comprehensively break down all projected costs related to administering the TEFRA program.

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    Cost Analysis for Commerce

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    Cost+Analysis+Sheet

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    The document is a cost analysis sheet from the Alaska Department of Health & Social Services requesting proposals for administering the TEFRA Medicaid program. It provides tables for respondents to list per-client unit costs and total costs over 5 years for initial and reassessments of clients in intermediate care facilities and nursing facilities. The cost analysis sheet aims to comprehensively break down all projected costs related to administering the TEFRA program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views1 page

    Cost Analysis Sheet: ICF/MR Initial Application - Administrative Support

    Uploaded by

    shreeisking
    The document is a cost analysis sheet from the Alaska Department of Health & Social Services requesting proposals for administering the TEFRA Medicaid program. It provides tables for respondents to list per-client unit costs and total costs over 5 years for initial and reassessments of clients in intermediate care facilities and nursing facilities. The cost analysis sheet aims to comprehensively break down all projected costs related to administering the TEFRA program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    State of Alaska

    Department of Health & Social Services

    RFP # 2007-0600-6754
    TEFRA

    Cost Analysis Sheet


    The cost analysis sheet is to be used by RFP respondents to provide a comprehensive
    cost break-down for all services related to the administration of the TEFRA Medicaid
    program."

    ICF/MR Initial Application Administrative Support


    Year 1
    114 clients X $ __________(unit cost) =
    Year 2
    125 clients X $ __________(unit cost) =
    Year 3
    138 clients X $ __________(unit cost) =
    Year 4
    152 clients X $ __________(unit cost) =
    Year 5
    167 clients X $ __________(unit cost) =

    $____________
    $____________
    $____________
    $____________
    $____________

    ICF/MR Reassessment Administrative Support


    Year 1
    246 clients X $ __________(unit cost) =
    Year 2
    270 clients X $ __________(unit cost) =
    Year 3
    298 clients X $ __________(unit cost) =
    Year 4
    328 clients X $ __________(unit cost) =
    Year 5
    361 clients X $ __________(unit cost) =

    $____________
    $____________
    $____________
    $____________
    $____________

    NF and IPH Assessment


    Year 1
    49 clients X $ __________(unit cost) =
    Year 2
    54 clients X $ __________(unit cost) =
    Year 3
    59 clients X $ __________(unit cost) =
    Year 4
    65 clients X $ __________(unit cost) =
    Year 5
    71 clients X $ __________(unit cost) =

    $____________
    $____________
    $____________
    $____________
    $____________

    NF and IPH Reassessment


    Year 1
    105 clients X $ __________(unit cost) =
    Year 2
    116 clients X $ __________(unit cost) =
    Year 3
    127 clients X $ __________(unit cost) =
    Year 4
    140 clients X $ __________(unit cost) =
    Year 5
    154 clients X $ __________(unit cost) =

    $____________
    $____________
    $____________
    $____________
    $____________

    5 Year Projected Total:

    $_____________

    Attachment 8 Page 1

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