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Notice of Award
Term Contract(s)
 
T-1392
HEALTH BENEFITS COORDINATOR
MEDICAID MANAGED CARE PROGRAMS

Vendor Information
By Vendor
RFP Documents
Email to MARIE BORAGINE

Downloadable NOA Documents
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NOAs By Number NOAs By Title Search NOAs
 
Index #:
T-1392
Contract #: 61036
Contract Period: FROM:   12/15/04   TO:   12/31/14
Applicable To: ALL STATE AGENCIES
Cooperative Purchasing: NOT APPLICABLE
Vendor Name & Address: XEROX STATE HEALTHCARE LLC
ACH ELECTRONIC PAYMENTS
PO BOX 201071
DALLAS, TX 75320-1071
For Procurement Bureau Use:  
Solicitation #: 34750
Bid Open Date: 08/12/04
CID #: 1024566
Commodity Code: 918-69
Set-Aside: SMALL BUSINESS SUBCONTRACTING

CONDITIONS AND METHODS OF OPERATION

Multi-Source Contracts: State Agencies and Cooperative Purchasing partners should review each vendor's product/service and prices carefully and place orders in accordance with the terms and conditions of the contract. Note that

A. Delivery: All prices F.O.B. Destination
B. Method of Operation - State Agencies Only:
Issue an agency purchase order to the appropriate contract vendor(s).

In the event of an emergency, contact the following in the order listed:

MARIE BORAGINE PROCUREMENT SPECIALIST 000-000-0000
JONATHAN WALLACE PROCUREMENT SPECIALIST SUPERVISOR 609-341-2976
ELIZABETH MACKAY ASSISTANT DIRECTOR 609-292-6817
  PUB DATE: 03/06/14

VENDOR INFORMATION
Vendor Name & Address:
XEROX STATE HEALTHCARE LLC
ACH ELECTRONIC PAYMENTS
PO BOX 201071
DALLAS, TX 75320-1071
Contact Person: LEO S.MACKAY
Contact Phone: 770-829-1245
Order Fax: 678-352-7200
Contract#: 61036
Expiration Date: 12/31/14
Terms: NONE
Delivery: SPECIFIED ELSEWHERE
Small Business Enterprise: NO
Minority Business Enterprise: NO
Women Business Enterprise: NO
Cooperative Purchasing *: NO
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?
 

CONTRACT ITEMS/SERVICES BY VENDOR
Vendor:  XEROX 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


Downloadable RFP Documents
(Please utilize scroll bar on right side of box if necessary to view all documents)
The Download All Documents hyperlink will place compressed files on your computer. Files may be unzipped and viewed using WinZip. The evaluation version is available for free. Click here to learn more about WinZip or to download the latest version from the WinZip web site.

Forms in this section are stored in Adobe Acrobat (PDF) format. PDF formatted documents appear the same as the original printed forms. To view and print these forms, you must have a PDF viewer which is available free from Adobe. Click here to learn more about Adobe Acrobat or to download the latest version of the Adobe Acrobat viewer from the Adobe Web site.  



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