Year 1 Budget Request - DHMH - Maryland.gov

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4.5.3.2 Other costs include: Salaries, contractual services-other, office supplies, printing, postage, telephone, and “other” (miscellaneous costs) when not directly associated with screening-related tasks. Other tasks could include: 1. Participation in public/professional education activities 2. Billing activities/ tracking budget expenditures 3. Contact with the Department 4. Ordering supplies 5. Attending meetings 6. Data entry and data entry supervision 7. Establishing and renewing contracts with providers 8. General public-focused program recruitment/ health fairs THE REMAINDER OF THIS PAGE IS BLANK 40
SECTION 5– EVALUATION CRITERIA AND SELECTION PROCEDURE 5.1 Evaluation Criteria Evaluation of proposals will be based on the criteria set forth below. The Contract resulting from this RFP will be awarded to the Offeror that is most advantageous to the State considering price and the technical factors set forth herein. In making this determination, technical factors will receive higher weight than price factors. 5.2 Technical Criteria The criteria to be applied to each Technical Proposal are listed in descending order of importance. 5.3 Financial Criteria 1. Proposed Work Plan (Ref 4.4.3.5) 2. Corporate or Agency Qualifications (Ref. 4.4.3.6) 3. Experience and Qualifications of Proposed Staff (Ref. 4.4.3.7) 4. Economic Benefit to State of Maryland (Ref. Section 4.4.3.8) All qualified Offerors will be ranked from the lowest (most advantageous) to the highest (least advantageous) price based on their total price proposed within the stated guidelines (as submitted in the Financial Proposal Forms and Budget Justification (Attachments E-1 and E-2). The Department will view Offerors who plan to utilize a higher proportion of funds for the purpose of screening versus non-screening activities more favorably than those who do not. 5.4 Reciprocal Preference Although Maryland law does not authorize procuring agencies to favor resident Offerors in awarding procurement contracts, many other states do grant their resident businesses preferences over Maryland contractors. Therefore, COMAR 21.05.01.04 requires that procuring units apply a reciprocal preference under the following conditions: The most advantageous offer is from a responsible Offeror whose headquarters, principal base of operations, or principal site (that will primarily provide the services required under this RFP) is in another state. The other state gives a preference to its resident businesses through law, policy, or practice; and The preference does not conflict with a Federal law or grant affecting the procurement Contract. The preference given shall be identical to the preference that the other state, through law, policy, or practice gives to its resident businesses. 5.5 Selection Procedures 5.5.1 In General The Contract will be awarded in accordance with the competitive sealed proposals process found at COMAR 21.05.03. The competitive sealed proposals method allows for discussions and revision of proposals during these discussions; thus, the State may hold discussions with all Offerors judged reasonably susceptible of being selected for award, or potentially so. However, the State also reserves the right to make an award without holding discussions. In either case, the State may determine an Offeror to be not responsible and/or an Offeror’s proposal to be not reasonably susceptible of being selected for award at any time after the initial closing date for receipt of proposals 41
Page 1 and 2: Request for Proposals Calvert Count
Page 3 and 4: STATE OF MARYLAND DEPARTMENT OF HEA
Page 5 and 6: 4.3 DELIVERY ......................
Page 7 and 8: n. Normal State Business Hours - No
Page 9 and 10: 1.9 Questions Written questions fro
Page 11 and 12: 1.19 Access to Public Information A
Page 13 and 14: Howard, Anne Arundel, and Baltimore
Page 15 and 16: 2. Filing of protests; 3. Filing of
Page 17 and 18: Purpose SECTION 3 - SCOPE OF WORK 3
Page 19 and 20: 3.2.2.3 Priority Populations The ta
Page 21 and 22: Services to Be Performed by the Con
Page 23 and 24: 3.2.3.2 Follow-Up Services 10. Moni
Page 25 and 26: 14. Use staff to carry out responsi
Page 27 and 28: detection and treatment of breast a
Page 29 and 30: 3.3.3 Criminal Background Check The
Page 31 and 32: circumstance which changes the Proc
Page 33 and 34: work under the Contract, or the rep
Page 35 and 36: 4.3.2 Hand-delivery includes delive
Page 37 and 38: DHMH reserves the right to request
Page 39: contractor has committed, including
Page 43 and 44: SECTION 6 - ATTACHMENTS ATTACHMENT
Page 45 and 46: ATTACHMENT A - STANDARD CONTRACT TI
Page 47 and 48: 5.2 The Contractor agrees that at a
Page 49 and 50: 13.3 Any and all references to the
Page 51 and 52: a. That pursuant to 42 Code of Fede
Page 53 and 54: 31.1 If the Contractor withholds pa
Page 55 and 56: 33 Federal Department of Health and
Page 57 and 58: A. AUTHORITY I HEREBY AFFIRM THAT:
Page 59 and 60: (9) Admitted in writing or under oa
Page 61 and 62: I DO SOLEMNLY DECLARE AND AFFIRM UN
Page 63 and 64: in the aggregate $100,000 or more s
Page 65 and 66: ATTACHMENT D - PRE-PROPOSAL CONFERE
Page 67 and 68: vi. Data entry and data entry super
Page 69 and 70: ATTACHMENT E-1 BUDGET JUSTIFICATION
Page 71 and 72: Justification: Postage costs relate
Page 73 and 74: Offeror’s Name: Year 2 Budget Req
Page 75 and 76: Offeror’s Name: Year 4 Budget Req
Page 77 and 78: Row # Offeror’s Name ____________
Page 79 and 80: imposition of any of the requiremen
Page 81 and 82: The employee(s) proposed to work on
Page 83 and 84: Page two This clause must appear in
Page 85 and 86: CERTIFICATION REGARDING ENVIRONMENT
Page 87 and 88: 1. Type of Federal Action: a. Contr
Page 89 and 90: SUMMARY OF ADDITIONAL FEDERAL FUND
Page 91 and 92:
ATTACHMENT I - BUSINESS ASSOCIATE A
Page 93 and 94:
after an incident even if Business
Page 95 and 96:
C. Effect of Termination. 1. Except
Page 97 and 98:
IN WITNESS WHEREOF and acknowledgin
Page 99 and 100:
ATTACHMENT J - BCCP CASE MANAGEMENT
Page 101 and 102:
Initials Case Manager Signature Ini
Page 103 and 104:
ATTACHMENT K - BCCP DATA ENTRY FORM
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BREAST CANCER SCREENING INFORMATION
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CaST ID: LAST NAME: FIRST NAME: ___
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CaST ID: LAST NAME: FIRST NAME: BRE
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BREAST CANCER DIAGNOSTIC AND TREATM
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CERVICAL CANCER DIAGNOSTIC AND TREA
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Page 117 and 118:
Page 119 and 120:
ATTACHMENT L - BCCP CONSENT FORM Br
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Part I. The Contractor agrees to: C
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Qualifications and Insurance O. Hav
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45 CFR Parts 160 and 164, (“HIPAA
Page 127 and 128:
L. The following attached documents
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Part I. The Contractor agrees to: R
Page 131 and 132:
K. Obtain and maintain appropriate
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F. 1. The activities covered by thi
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Preamble Laboratory Service Contrac
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H. Send patient results as follows:
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Other W. Not be in arrears with res
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K. The Contract Monitor for the Con
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Hospital Service Contract Maryland
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Billing F. ** Submit all claims for
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provided by the contractor after fu
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In witness whereof, these authorize
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Billing B. ** Submit all claims for
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H. Regarding HIPAA: 5. The activiti
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Preamble Anesthesia Service Contrac
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N. Not bill a patient for any charg
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previously executed grant agreement
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Preamble Colposcopy Service Contrac
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H. See patients referred by the LHD
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AA. Comply with the Health Insuranc
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non-federal funds using Standard Fo
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Part I. The Contractor agrees to: C
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R. Not bill the LHD for any service
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H. The Contract Monitor for the Con
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ATTACHMENT N - MINIMUM STANDARDS FO
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9. Send a copy of the certified let
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6. If patient is contacted and refu
Page 181 and 182:
ATTACHMENT O - BCCP PERFORMANCE MEA
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ATTACHMENT P - REPORTING SCHEDULE B
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DHMH 437 INSTRUCTIONS (continued) Q
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DHMH 437 INSTRUCTIONS (continued) *
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DHMH 438 Instructions (continued) T
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ATTACHMENT S - CONDITIONS OF AWARD
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23. As stipulated in the “Nationa
Page 195:
Work Plan Calvert County Breast and
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Year 1 Budget Request - DHMH - Maryland.gov

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