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CONTRACT ITEMS/SERVICES BY VENDOR
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| Vendor:
COMPUTER SCIENCES CORP
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Contract Number:
58231
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UNLESS SPECIFIED OTHERWISE BELOW:
SHIP TO: 464220 / S004
FAMILY HEALTH SERVICES
50 EAST STATE STREET 6TH
PO BOX 364
TRENTON NJ 08625-0360
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| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00001
|
COMM CODE:
920-39-054447
TOTAL FIXED PRICE TO ESTABLISH, STAFF &
OPERATE A CENTRALIZED FINANCE OFFICE
FOR PART C EARLY INTERVENTION SERVICES
FOR DHSS.
SYSTEM IMPLEMENTATION PERIOD- SOFTWARE
APPLICATION PROGRAMMING AND TESTING.
THIS IS A ONE (1) MONTH EXTENSION
OF THIS CONTRACT FOR THE PERIOD
JANUARY 31,2010 THROUGH JANUARY 31,2010
ALL TERMS, CONDITIONS AND SPECIFICATIONS
REMAIN THE SAME AS THE LAST YEAR OF THE
CURRENT CONTRACT.
|
1.000
|
TBP
|
N/A
|
$477185.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00002
|
COMM CODE:
920-39-054447
CONTRACTOR TO ESTABLISH, STAFF AND
OPERATE A CENTRALIZED FINANCE OFFICE
FOR PART C EARLY INTERVENTION SERVICES
FOR DHSS.
MONTHLY GENERAL OPERATIONS FOR
PERFORMANCE OF TASKS 2,3,5,6,7,
10-15 (YEAR 1).
DELIVERY: 30 DAYS ARO
|
12.000
|
MONTH
|
N/A
|
$77462.50000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00003
|
COMM CODE:
920-39-054447
CONTRACTOR TO ESTABLISH, STAFF AND
OPERATE A CENTRALIZED FINANCE OFFICE
FOR PART C EARLY INTERVENTION SERVICES
FOR DHSS.
MONTHLY GENERAL OPERATIONS FOR
PERFORMANCE OF TASKS 2,3,5,6,7,
10-15. (YEAR 2)
|
12.000
|
MONTH
|
N/A
|
$75373.50000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00004
|
COMM CODE:
920-39-054447
CONTRACTOR TO ESTABLISH, STAFF AND
OPERATE A CENTRALIZED FINANCE OFFICE
FOR PART C EARLY INTERVENTION SERVICES
FOR DHSS.
MONTHLY GENERAL OPERATIONS FOR
PERFORMANCE OF TASKS 2,3,5,6,7,
10-15. (YEAR3)
DELIVERY: 30 DAYS ARO
|
12.000
|
MONTH
|
N/A
|
$78388.44000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00005
|
COMM CODE:
920-39-054447
CONTRACTOR TO ESTABLISH, STAFF AND
OPERATE A CENTRALIZED FINANCE OFFICE
FOR PART C EARLY INTERVENTION SERVICES
FOR DHSS.
TRAINING (3.4) YEAR 1
DELIVERY: 30 DAYS ARO
|
8.000
|
EACH
|
N/A
|
$3500.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00006
|
COMM CODE:
920-39-054447
CONTRACTOR TO ESTABLISH, STAFF AND
OPERATE A CENTRALIZED FINANCE OFFICE
FOR PART C EARLY INTERVENTION SERVICES
FOR DHSS.
TRAINING (3.4) YEAR 2
DELIVERY: 30 DAYS ARO
|
2.000
|
EACH
|
N/A
|
$3750.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00007
|
COMM CODE:
920-39-054447
CONTRACTOR TO ESTABLISH, STAFF AND
OPERATE A CENTRALIZED FINANCE OFFICE
FOR PART C EARLY INTERVENTION SERVICES
FOR DHSS.
TRAINING (3.4) YEAR 3
DELIVERY: 30 DAYS ARO
|
2.000
|
EACH
|
N/A
|
$4000.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00008
|
COMM CODE:
920-39-054447
FUND RECOVERY ACTIVITIES USING THE
STATES 3RD PARTY CONTRACTOR. (3.8)
YEAR 1.
DELIVERY: 30 DAYS ARO
|
12.000
|
MONTH
|
N/A
|
$3048.33000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00009
|
COMM CODE:
920-39-054447
FUND RECOVERY ACTIVITIES USING THE
STATES 3RD PARTY CONTRACTOR (3.8)
YEAR 2.
DELIVERY: 30 DAYS ARO
|
12.000
|
MONTH
|
N/A
|
$3170.27000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00010
|
COMM CODE:
920-39-054447
FUND RECOVERY ACTIVITIES USING THE
STATES 3RD PARTY CONTRACTOR.
FUND RECOVERY ACTIVITIES USING THE 3RD
PARTY CONTRACTOR (3.8) YEAR 3
DELIVERY: 30 DAYS ARO
|
12.000
|
MONTH
|
N/A
|
$3297.08000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00014
|
COMM CODE:
920-39-054447
IN ACCORDANCE WITH MODIFIED SCOPE
OF WORK DELINEATED IN AMENDEMENT 1
MEDICAID BILLING REQUIREMENTS & FUND
RECOVERY ACTIVITES -FULL SERVICES
DELIVERY: 30 DAYS ARO
|
1.000
|
PCNT
|
1.55%
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00015
|
COMM CODE:
920-39-054447
FIELD FOR MANUAL CALCULATION OF TASK 9-B
IN ACCORDANCE WITH AMENDMENTS 1 AND 2.
FIELD TO BE CALCULATED AS FOLLOWS:
AMOUNT COLLECTED MULTIPLIED BY
0.0155 EQUALS AMOUNT DUE.
DELIVERY: 30 DAYS ARO
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00016
|
COMM CODE:
920-39-054447
MONTHLY FEE FOR CONTRACTOR OPERATIONS
FOR PERIOD 01/01/2009 THROUGH 12/31/2009
IN ACCORDANCE WITH SIGNED AGREEMENT AS
REPRESENTED IN AMENDMENT 2 TO THE
EXISTING CONTRACT.
DELIVERY: 30 DAYS ARO
|
1.000
TO
12.000
|
MONTH
|
N/A
|
$76112.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00017
|
COMM CODE:
920-39-054447
MONTHLY FEE FOR CONTRACTOR OPERATIONS
FOR PERIOD 01/01/2010 THROUGH 04/30/2010
IN ACCORDANCE WITH SIGNED AGREEMENT AS
REPRESENTED IN AMENDMENT 2 TO THE
EXISTING CONTRACT.
DELIVERY: 30 DAYS ARO
|
1.000
TO
12.000
|
MONTH
|
N/A
|
$76112.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00018
|
COMM CODE:
920-39-054447
PERCENTAGE OF MEDICAID FUNDS RECOVERED
FOR PERIOD 01/01/2010 THROUGH 04/30/2010
IN ACCORDANCE WITH SIGNED AGREEMENT AS
REPRESENTED IN AMENDMENT 2 TO THE
EXISTING CONTRACT.
DELIVERY: 30 DAYS ARO
|
1.000
TO
12.000
|
PCNT
|
N/A
|
$1.55000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00019
|
COMM CODE:
920-39-054447
MONTHLY FEE FOR CONTRACTOR OPERATIONS
FOR PERIOD 05/01/2010 THROUGH 04/30/2011
IN ACCORDANCE WITH SIGNED AGREEMENT AS
REPRESENTED IN AMENDMENT 4 TO THE
EXISTING CONTRACT.
DELIVERY: 30 DAYS ARO
|
1.000
TO
12.000
|
MONTH
|
N/A
|
$76112.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00020
|
COMM CODE:
920-39-054447
PERCENTAGE OF MEDICAID FUNDS RECOVERED
FOR PERIOD 05/01/2010 THROUGH 04/30/2011
IN ACCORDANCE WITH SIGNED AGREEMENT AS
REPRESENTED IN AMENDMENT 4 TO THE
EXISTING CONTRACT.
DELIVERY: 30 DAYS ARO
|
1.000
|
PCNT
|
N/A
|
$1.55000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00021
|
COMM CODE:
920-39-054447
MONTHLY FEE FOR CONTRACTOR OPERATIONS
FOR PERIOD 05/01/2011 THROUGH 04/30/2012
IN ACCORDANCE WITH SIGNED AGREEMENT AS
REPRESENTED IN AMENDMENT 5 TO THE
EXISTING CONTRACT.
DELIVERY: 30 DAYS ARO
|
1.000
TO
12.000
|
MONTH
|
N/A
|
$76112.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00022
|
COMM CODE:
920-39-054447
PERCENTAGE OF MEDICAID FUNDS RECOVERED
FOR PERIOD 05/01/2011 THROUGH 04/30/2012
IN ACCORDANCE WITH SIGNED AGREEMENT AS
REPRESENTED IN AMENDMENT 5 TO THE
EXISTING CONTRACT.
DELIVERY: 30 DAYS ARO
|
1.000
|
PCNT
|
N/A
|
$1.55000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00023
|
COMM CODE:
920-39-054447
REVISE EXISTING REASONS AND REFERRAL
SOURCES IN SPOE SOFTWARE
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$4515.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00024
|
COMM CODE:
920-39-054447
PROCEDURE ADDITIONS -IFSP TEAM MEETING
& ANNUAL BDI; MODIFICATIONS TO Y9334
MEDICAID CLAIMS
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$54180.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00025
|
COMM CODE:
920-39-054447
TRACK PRACTIONER LICENSES AND SUSPEND
NON-LICENSED INDIVIDUALS
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$145740.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00026
|
COMM CODE:
920-39-054447
UNIT CALCULATION ALGORITHM CHANGES
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$4515.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00027
|
COMM CODE:
920-39-054447
FCP MODIFICATIONS
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$158760.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00028
|
COMM CODE:
920-39-054447
PROVIDER MODULE CHANGES
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$43995.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00029
|
COMM CODE:
920-39-054447
REQUIREMENTS FOR GATHERING NEW WEB-BASED
CARE MANAGEMENT SYSTEM
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$158760.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00030
|
COMM CODE:
920-39-054447
HIPAA 5010
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$105930.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00031
|
COMM CODE:
920-39-054447
DATABASE HOSTING
PER AMENDMENT 6
DELIVERY: 30 DAYS ARO
|
1.000
|
TASK
|
N/A
|
$97073.82000
|