Appendix A 1 by Fq5L78pJ

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									                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services




                      Appendix A-1 ----------->
                   Note:
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Appendix A-1 Transition                                                                                          Page 1
     Vendor's Company Name:

                                                        Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                            Appendix A-1
                                                                                 Transitional Pricing Proposals A-1
                                                                                   Transitional Pricing Schedule 1
                                                                                       FTEs by Key Milestone


                                          Key Milestone                                             Month 1      Month 2            Month 3   Month 4   Month 5   Month 6   Total

                                                                                    Enrollment Broker Operations
     1. The business operations infrastructure has been established and approved by the State
     which shall include, but not limited to:
     A) Organizational structure developed and approved by HHSC.
     B) Vendor operations are fully staffed for transition.
     C) Facility and Facility Infrastructure as prescribed by the State have been met.
     D) System Readiness requirements established by the State are approved.
     E) Project Work Plan has been approved by the State.
     F) Submission and State approval of Risk Management and Dispute Resolution process.

       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
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       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
                                                                                       Sub-Total           -              -               -         -         -         -           -

     2. Enrollment Broker Systems Development and Interface requirements with Trading
     Partners have been approved by the State.
     A) Full implementation and maintenance of a Management Information System (MIS) that
     supports all functions of the Enrollment Broker process that has been approved by the State.
     B) System operations are in compliance with State and Federal laws, rules, regulations and
     standards.


       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
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       (position classification)                                                                                                                                                    -
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       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
                                                                                       Sub-Total           -              -               -         -         -         -           -




A-1_1 _EB_THSteps                                                                   Combined Bid for BOTH Component Service Areas                                                       Page 2
     Vendor's Company Name:

                                                        Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                            Appendix A-1
                                                                                 Transitional Pricing Proposals A-1
                                                                                   Transitional Pricing Schedule 1
                                                                                       FTEs by Key Milestone


                                           Key Milestone                                             Month 1      Month 2            Month 3   Month 4   Month 5   Month 6   Total
     3. Full compliance with the Transitional project deliverables and attendant timeframes as
     specified in 6.2.1 of the RFP and as approved by the State.
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
                                                                                         Sub-Total          -              -               -         -         -         -           -

     4. All readiness assessment requirements related to the establishment of business
     operations infrastructure for Inbound/Outbound mail has been approved by the State. Critical
     performance components are the efficient, effective and timely processing of
     communications to and from clients.
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
                                                                                       Sub-Total            -              -               -         -         -         -           -




A-1_1 _EB_THSteps                                                                    Combined Bid for BOTH Component Service Areas                                                       Page 3
     Vendor's Company Name:

                                                       Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                           Appendix A-1
                                                                                Transitional Pricing Proposals A-1
                                                                                  Transitional Pricing Schedule 1
                                                                                      FTEs by Key Milestone


                                         Key Milestone                                             Month 1        Month 2            Month 3   Month 4   Month 5   Month 6   Total
     5. All system readiness assessment requirements associated with the technical
     infrastructure for inbound/outbound mail services must be approved by State.
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
       (position classification)                                                                                                                                                     -
                                                                                       Sub-Total            -              -               -         -         -         -           -

     6. State approval of a comprehensive inbound/outbound document management and
     processing solution.
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
                                                                                 Sub-Total                  -              -               -         -         -         -           -




A-1_1 _EB_THSteps                                                                    Combined Bid for BOTH Component Service Areas                                                       Page 4
     Vendor's Company Name:

                                                      Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                          Appendix A-1
                                                                               Transitional Pricing Proposals A-1
                                                                                 Transitional Pricing Schedule 1
                                                                                     FTEs by Key Milestone


                                         Key Milestone                                           Month 1       Month 2            Month 3   Month 4   Month 5   Month 6   Total
     7. Compliance with State mandated timeframes associated with the creation, submission and
     processing of various correspondence types and other material requirements.

       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
       (position classification)                                                                                                                                                  -
                                                                                    Sub-Total            -              -               -         -         -         -           -

                                                                      EB Operations FTE Total            -              -               -         -         -         -           -




A-1_1 _EB_THSteps                                                                 Combined Bid for BOTH Component Service Areas                                                       Page 5
     Vendor's Company Name:

                                                       Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                           Appendix A-1
                                                                                Transitional Pricing Proposals A-1
                                                                                  Transitional Pricing Schedule 1
                                                                                      FTEs by Key Milestone


                                          Key Milestone                                           Month 1        Month 2            Month 3   Month 4   Month 5   Month 6   Total

                                                                         Texas Health Steps Outreach and Informing
     1. The business operations infrastructure has been established and approved by the State
     which shall include, but not limited to:
     A) Organizational structure developed and approved by HHSC.
     B) Vendor operations are fully staffed for transition.
     C) Facility and Facility Infrastructure as prescribed by the State have been met.
     D) System Readiness requirements established by the State are approved.
     E) Project Work Plan has been approved by the State.
     F) Submission and State approval of Risk Management and Dispute Resolution process.

       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
                                                                                      Sub-Total            -              -               -         -         -         -           -

     2. THSteps O&I Services Systems Development and Interface requirements with Trading
     Partners have been approved by the State.
     A) Full implementation and maintenance of a Management Information System (MIS) that
     supports all functions of THSteps Outreach and Informing services that have been approved
     by the State.
     B) System operations are in compliance with State and Federal laws, rules, regulations and
     standards.

       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
       (position classification)                                                                                                                                                    -
                                                                                      Sub-Total            -              -               -         -         -         -           -




A-1_1 _EB_THSteps                                                                   Combined Bid for BOTH Component Service Areas                                                       Page 6
     Vendor's Company Name:

                                                        Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                            Appendix A-1
                                                                                 Transitional Pricing Proposals A-1
                                                                                   Transitional Pricing Schedule 1
                                                                                       FTEs by Key Milestone


                                           Key Milestone                                             Month 1      Month 2            Month 3   Month 4   Month 5   Month 6   Total
     3. Full compliance with the Transitional project deliverables and attendant timeframes as
     specified in 6.2.1 of the RFP and as approved by the State.
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
                                                                                         Sub-Total          -              -               -         -         -         -           -

     4. All readiness assessment requirements related to the establishment of business
     operations infrastructure for Inbound/Outbound mail has been approved by the State. Critical
     performance components are the efficient, effective and timely processing of
     communications to and from clients.
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
                                                                                       Sub-Total            -              -               -         -         -         -           -




A-1_1 _EB_THSteps                                                                    Combined Bid for BOTH Component Service Areas                                                       Page 7
     Vendor's Company Name:

                                                       Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                           Appendix A-1
                                                                                Transitional Pricing Proposals A-1
                                                                                  Transitional Pricing Schedule 1
                                                                                      FTEs by Key Milestone


                                         Key Milestone                                             Month 1        Month 2            Month 3   Month 4   Month 5   Month 6   Total
     5. All system readiness assessment requirements associated with the technical
     infrastructure for inbound/outbound mail services must be approved by State.
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
                                                                                       Sub-Total            -              -               -         -         -         -           -

     6. State approval of a comprehensive inbound/outbound document management and
     processing solution.
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
        (position classification)                                                                                                                                                    -
                                                                                 Sub-Total                  -              -               -         -         -         -           -




A-1_1 _EB_THSteps                                                                    Combined Bid for BOTH Component Service Areas                                                       Page 8
     Vendor's Company Name:

                                                            Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                                Appendix A-1
                                                                                     Transitional Pricing Proposals A-1
                                                                                       Transitional Pricing Schedule 1
                                                                                           FTEs by Key Milestone


                                              Key Milestone                                                  Month 1          Month 2          Month 3          Month 4          Month 5           Month 6        Total
     7. Compliance with State mandated timeframes associated with the creation, submission and
     processing of various correspondence types and other material requirements.

       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
       (position classification)                                                                                                                                                                                          -
                                                                                              Sub-Total               -                -                -                 -                -                -             -

                                                                                    TH Steps FTE Total                -                -                -                 -                -                -             -

     Expand Schedule as Needed (keep formulas consistent)
     Positions in each Key Milestone should be aggregated by position classification. List all position classification that will be providing services for the specific Key Milestone. Please refer to the Key
     Milestones as defined elsewhere in the RFP. Include a written narrative and additional supporting schedules justifying the proposed FTE's including, but not limited to, the number of proposed FTE's, the
     start date, the transitional milestones to be performed, the number of weeks necessary to train staff for the respective duties, the number of weeks to perform readiness reviews with HHSC program staff,
     etc.




A-1_1 _EB_THSteps                                                                           Combined Bid for BOTH Component Service Areas                                                                                     Page 9
       Vendor's Company Name:

                                                       Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                           Appendix A-1
                                                                                Transitional Pricing Proposals A-1
                                                                                  Transitional Pricing Schedule 1
                                                                                     Salaries by Key Milestone


                                            Key Milestone                                              Month 1           Month 2           Month 3           Month 4           Month 5           Month 6           Total

                                                                                    Enrollment Broker Operations
       1. The business operations infrastructure has been established and approved by the State
       which shall include, but not limited to:
       A) Organizational structure developed and approved by HHSC.
       B) Vendor operations are fully staffed for transition.
       C) Facility and Facility Infrastructure as prescribed by the State have been met.
       D) System Readiness requirements established by the State are approved.
       E) Project Work Plan has been approved by the State.
       F) Submission and State approval of Risk Management and Dispute Resolution process.

         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
                                                                                         Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -

       2. Enrollment Broker Systems Development and Interface requirements with Trading
       Partners have been approved by the State.
       A) Full implementation and maintenance of a Management Information System (MIS) that
       supports all functions of the Enrollment Broker process and THSteps Outreach and
       Informing services that has been approved by the State.
       B) System operations are in compliance with State and Federal laws, rules, regulations and
       standards.

         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
                                                                                         Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -




A-1_2_EB_THSteps                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 10
       Vendor's Company Name:

                                                       Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                           Appendix A-1
                                                                                Transitional Pricing Proposals A-1
                                                                                  Transitional Pricing Schedule 1
                                                                                     Salaries by Key Milestone


                                            Key Milestone                                                Month 1           Month 2           Month 3           Month 4           Month 5           Month 6           Total
       3. Full compliance with the Transitional project deliverables and attendant timeframes as
       specified in 6.2.1 of the RFP and as approved by the State.
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
                                                                                           Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -

       4. All readiness assessment requirements related to the establishment of business
       operations infrastructure for Inbound/Outbound mail has been approved by the State. Critical
       performance components are the efficient, effective and timely processing of
       communications to and from clients.
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
          (position classification)                                                                                                                                                                              $           -
                                                                                         Sub-Total $               -   $             -   $             -   $             -   $             -   $             -   $           -




A-1_2_EB_THSteps                                                                    Combined Bid for BOTH Component Service Areas                                                                                                Page 11
       Vendor's Company Name:

                                                      Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                          Appendix A-1
                                                                               Transitional Pricing Proposals A-1
                                                                                 Transitional Pricing Schedule 1
                                                                                    Salaries by Key Milestone


                                           Key Milestone                                             Month 1           Month 2           Month 3           Month 4           Month 5           Month 6           Total
       5. All system readiness assessment requirements associated with the technical
       infrastructure for inbound/outbound mail services must be approved by State.
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
                                                                                       Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -

       6. State approval of a comprehensive inbound/outbound document management and
       processing solution.
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
                                                                                   Sub-Total $                 -   $             -   $             -   $             -   $             -   $             -   $           -




A-1_2_EB_THSteps                                                                  Combined Bid for BOTH Component Service Areas                                                                                              Page 12
       Vendor's Company Name:

                                                      Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                          Appendix A-1
                                                                               Transitional Pricing Proposals A-1
                                                                                 Transitional Pricing Schedule 1
                                                                                    Salaries by Key Milestone


                                           Key Milestone                                             Month 1           Month 2           Month 3           Month 4           Month 5           Month 6           Total
       7. Compliance with State mandated timeframes associated with the creation, submission and
       processing of various correspondence types and other material requirements.

         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
         (position classification)                                                                                                                                                                           $           -
                                                                                      Sub-Total $              -   $             -   $             -   $             -   $             -   $             -   $           -

                                                                      EB Operations Salary Total $             -   $             -   $             -   $             -   $             -   $             -   $           -




A-1_2_EB_THSteps                                                                 Combined Bid for BOTH Component Service Areas                                                                                               Page 13
       Vendor's Company Name:

                                                       Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                           Appendix A-1
                                                                                Transitional Pricing Proposals A-1
                                                                                  Transitional Pricing Schedule 1
                                                                                     Salaries by Key Milestone


                                            Key Milestone                                              Month 1           Month 2           Month 3           Month 4           Month 5           Month 6           Total

                                                                         Texas Health Steps Outreach and Informing
       1. The business operations infrastructure has been established and approved by the State
       which shall include, but not limited to:
       A) Organizational structure developed and approved by HHSC.
       B) Vendor operations are fully staffed for transition.
       C) Facility and Facility Infrastructure as prescribed by the State have been met.
       D) System Readiness requirements established by the State are approved.
       E) Project Work Plan has been approved by the State.
       F) Submission and State approval of Risk Management and Dispute Resolution process.

         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
                                                                                         Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -

       2. THSteps O&I Services Systems Development and Interface requirements with Trading
       Partners have been approved by the State.
       A) Full implementation and maintenance of a Management Information System (MIS) that
       supports all functions of the Enrollment Broker process and THSteps Outreach and
       Informing services that has been approved by the State.
       B) System operations are in compliance with State and Federal laws, rules, regulations and
       standards.

         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
         (position classification)                                                                                                                                                                             $           -
                                                                                         Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -




A-1_2_EB_THSteps                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 14
       Vendor's Company Name:

                                                        Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                            Appendix A-1
                                                                                 Transitional Pricing Proposals A-1
                                                                                   Transitional Pricing Schedule 1
                                                                                      Salaries by Key Milestone


                                             Key Milestone                                              Month 1           Month 2           Month 3           Month 4           Month 5           Month 6           Total
       3. Full compliance with the Transitional project deliverables and attendant timeframes as
       specified in 6.2.1 of the RFP and as approved by the State.
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
         (position classification)                                                                                                                                                                              $           -
                                                                                          Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -

       4. All readiness assessment requirements related to the establishment of business
       operations infrastructure for Inbound/Outbound mail has been approved by the State. Critical
       performance components are the efficient, effective and timely processing of
       communications to and from clients.
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
          (position classification)                                                                                                                                                                             $           -
                                                                                         Sub-Total $              -   $             -   $             -   $             -   $             -   $             -   $           -




A-1_2_EB_THSteps                                                                     Combined Bid for BOTH Component Service Areas                                                                                              Page 15
       Vendor's Company Name:

                                                      Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                          Appendix A-1
                                                                               Transitional Pricing Proposals A-1
                                                                                 Transitional Pricing Schedule 1
                                                                                    Salaries by Key Milestone


                                           Key Milestone                                             Month 1           Month 2           Month 3           Month 4           Month 5           Month 6           Total
       5. All system readiness assessment requirements associated with the technical
       infrastructure for inbound/outbound mail services must be approved by State.
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
                                                                                       Sub-Total $             -   $             -   $             -   $             -   $             -   $             -   $           -

       6. State approval of a comprehensive inbound/outbound document management and
       processing solution.
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
          (position classification)                                                                                                                                                                          $           -
                                                                                   Sub-Total $                 -   $             -   $             -   $             -   $             -   $             -   $           -




A-1_2_EB_THSteps                                                                  Combined Bid for BOTH Component Service Areas                                                                                              Page 16
       Vendor's Company Name:

                                                             Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                                 Appendix A-1
                                                                                      Transitional Pricing Proposals A-1
                                                                                        Transitional Pricing Schedule 1
                                                                                           Salaries by Key Milestone


                                                 Key Milestone                                                    Month 1             Month 2           Month 3           Month 4           Month 5           Month 6           Total
       7. Compliance with State mandated timeframes associated with the creation, submission and
       processing of various correspondence types and other material requirements.

         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
         (position classification)                                                                                                                                                                                          $           -
                                                                                                   Sub-Total $                -   $             -   $             -   $             -   $             -   $             -   $           -

                                                                                      TH Steps Salary Total $                 -   $             -   $             -   $             -   $             -   $             -   $           -

       Expand Schedule as Needed (keep formulas consistent)
       Positions in each Key Milestone should be aggregated by position classification. List applicable salary information for all position classifications that will be providing services for the specific Key
       Milestone. Please refer to the Key Milestones as defined elsewhere in the RFP.




A-1_2_EB_THSteps                                                                             Combined Bid for BOTH Component Service Areas                                                                                                  Page 17
           Vendor's Company Name:

                        Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                               Appendix A-1
                                                       Transitional Pricing Proposals
                                                 Transitional Pricing Schedule 3a
                                          Summary Budget by Component and Key Milestone

                                                                                                               Total Transition
                                                       Component
                                                                                                                     Fees
           Enrollment Broker Operations                                                                    $                 -

           Texas Health Steps Outreach and Informing                                                       $                 -

           Total Transition Fees                                                                           $                 -




A-1_3a_Summary Budget                                      Combined Bid for BOTH Component Service Areas                          Page 18
           Vendor's Company Name:

                        Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                   Appendix A-1
                                                         Transitional Pricing Proposals
                                                    Transitional Pricing Schedule 3a
                                             Summary Budget by Component and Key Milestone



                                                         Enrollment Broker Operations
                                                                                                                         Total Transition
                                                       Key Milestone
                                                                                                                               Fees
                1       1. The business operations infrastructure has been established and approved by the State
                        which shall include, but not limited to:
                        A) Organizational structure developed and approved by HHSC.
                        B) Vendor operations are fully staffed for transition.
                        C) Facility and Facility Infrastructure as prescribed by the State have been met.
                        D) System Readiness requirements established by the State are approved.
                        E) Project Work Plan has been approved by the State.
                        F) Submission and State approval of Risk Management and Dispute Resolution process.
                                                                                                                     $                      -
                2       2. Enrollment Broker Systems Development and Interface requirements with Trading
                        Partners have been approved by the State.
                        A) Full implementation and maintenance of a Management Information System (MIS) that
                        supports all functions of the Enrollment Broker process and THSteps Outreach and
                        Informing services that has been approved by the State.
                        B) System operations are in compliance with State and Federal laws, rules, regulations and
                        standards.                                                                                   $                      -
                3       3. Full compliance with the Transitional project deliverables and attendant timeframes as
                        specified in 6.2.1 of the RFP and as approved by the State.                                  $                      -
                4       4. All readiness assessment requirements related to the establishment of business
                        operations infrastructure for Inbound/Outbound mail has been approved by the State.
                        Critical performance components are the efficient, effective and timely processing of
                        communications to and from clients.                                                          $                      -
                5       5. All system readiness assessment requirements associated with the technical
                        infrastructure for inbound/outbound mail services must be approved by State.                 $                      -
                6       6. State approval of a comprehensive inbound/outbound document management and
                        processing solution.                                                                         $                      -
                7
                        7. Compliance with State mandated timeframes associated with the creation, submission
                        and processing of various correspondence types and other material requirements.              $                      -

           Total EB Operations Transition Fees                                                                       $                 -




A-1_3a_Summary Budget                                          Combined Bid for BOTH Component Service Areas                                    Page 19
           Vendor's Company Name:

                        Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                    Appendix A-1
                                                          Transitional Pricing Proposals
                                                    Transitional Pricing Schedule 3a
                                             Summary Budget by Component and Key Milestone

                                                  Texas Health Steps Outreach and Informing
                                                                                                                         Total Transition
                                                       Key Milestone
                                                                                                                               Fees
                1       1. The business operations infrastructure has been established and approved by the State
                        which shall include, but not limited to:
                        A) Organizational structure developed and approved by HHSC.
                        B) Vendor operations are fully staffed for transition.
                        C) Facility and Facility Infrastructure as prescribed by the State have been met.
                        D) System Readiness requirements established by the State are approved.
                        E) Project Work Plan has been approved by the State.
                        F) Submission and State approval of Risk Management and Dispute Resolution process.
                                                                                                                     $                      -
                2       2. THSteps O&I Services Systems Development and Interface requirements with Trading
                        Partners have been approved by the State.
                        A) Full implementation and maintenance of a Management Information System (MIS) that
                        supports all functions of the Enrollment Broker process and THSteps Outreach and
                        Informing services that has been approved by the State.
                        B) System operations are in compliance with State and Federal laws, rules, regulations and
                        standards.
                                                                                                                     $                      -
                3       3. Full compliance with the Transitional project deliverables and attendant timeframes as
                        specified in 6.2.1 of the RFP and as approved by the State.                                  $                      -
                4       4. All readiness assessment requirements related to the establishment of business
                        operations infrastructure for Inbound/Outbound mail has been approved by the State.
                        Critical performance components are the efficient, effective and timely processing of
                        communications to and from clients.                                                          $                      -
                5       5. All system readiness assessment requirements associated with the technical
                        infrastructure for inbound/outbound mail services must be approved by State.                 $                      -
                6       6. State approval of a comprehensive inbound/outbound document management and
                        processing solution.                                                                         $                      -
                7
                        7. Compliance with State mandated timeframes associated with the creation, submission
                        and processing of various correspondence types and other material requirements.              $                      -

           Total TH Steps Transition Fees                                                                            $                 -




A-1_3a_Summary Budget                                          Combined Bid for BOTH Component Service Areas                                    Page 20
                    Vendor's Company Name:

                                              Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                          Appendix A-1
                                                                          Transitional Pricing Proposals
                                                                         Transitional Pricing Schedule 3b
                                                              Budget Summary by Component/Program and Expense Type


                                                                                                                                            Texas Health
                                                                                                                       Enrollment Broker
                                                              Expense Type                                                                 Steps Outreach   Transition Total
                                                                                                                          Operations
                                                                                                                                            and Informing
                      Direct Labor
                      Salaries                                                                                        $              -     $           -    $           -
                      Fringe Benefits                   %                                                             $              -     $           -    $           -
                                   Sub-total                                                                          $              -     $           -    $           -
                      Non-pass-through Expenses:
                         Consultants (List Each Separately)                                                            $             -     $           -    $           -
                                                                                                                       $             -     $           -    $           -
                        Sub-Contractors (List Each Separately)                                                         $             -     $           -    $           -
                                                                                                                       $             -     $           -    $           -
                        Travel                                                                                         $             -     $           -    $           -
                        Network Support (List Each Type of Support Separately)                                         $             -     $           -    $           -
                                                                                                                       $             -     $           -    $           -
                        Admin Support (List Each Type of Support Separately)                                           $             -     $           -    $           -
                                                                                                                       $             -     $           -    $           -
                        Additional Expenses                                                                            $             -     $           -    $           -
                              Additional Expenses (1)                                                                  $             -     $           -    $           -
                              Additional Expenses (2)                                                                  $             -     $           -    $           -
                              Additional Expenses (3)                                                                  $             -     $           -    $           -
                                   Sub-total                                                                           $             -     $           -    $           -
                                                                     Total Direct Labor and Non-pass through Expenses $              -     $           -    $           -
                        Indirect Rate (1)                                                                              $             -     $           -    $           -
                        Indirect Rate (2) (if applicable)                                                              $             -     $           -    $           -
                                   Sub-total                                                                           $             -     $           -    $           -
                                                       Total Direct Labor, Non-pass through Expenses and Indirect rate $             -     $           -    $           -
                        Administrative Service Fee                                                                     $             -     $           -    $           -
                                   Sub-total                                                                           $             -     $           -    $           -
                      Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee
                                                                                                                       $             -     $           -    $           -
                      Pass-through Expenses:
                        Capital Expenditures (Including lease payment)                                                 $             -     $           -    $           -
                        Postage / Delivery expenses                                                                    $             -     $           -    $           -
                        Software License fees                                                                          $             -     $           -    $           -
                        Office Rent (incl. leasehold improvements & lease pass-through expenses)                       $             -     $           -    $           -
                        Printing Expenses                                                                              $             -     $           -    $           -
                        All Telecommunications Lines                                                                   $             -     $           -    $           -
                        Other                                                                                          $             -     $           -    $           -
                                                                                           Total Pass-through Expenses $             -     $           -    $           -

                                              Total All Expenses                                                      $              -     $           -    $           -

                    Expand Schedule as Needed (keep formulas consistent)
                    Expenses in each component should be aggregated by type. The expense types shown are examples
                    only. If more expense types are needed add rows and link appropriately



A-1_3b_EB_THSteps                                                         Combined Bid for BOTH Component Service Areas                                                        Page 21
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                                Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                                 Enrollment Broker Operations                                                 Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
1. The business operations infrastructure has been established and approved by the State which shall
include, but not limited to:
A) Organizational structure developed and approved by HHSC.
B) Vendor operations are fully staffed for transition.
C) Facility and Facility Infrastructure as prescribed by the State have been met.
D) System Readiness requirements established by the State are approved.
E) Project Work Plan has been approved by the State.
F) Submission and State approval of Risk Management and Dispute Resolution process.
  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
              Sub-total                                                                             $              -       $        -       $        -       $        -       $        -       $        -       $           -
       Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee
                                                                                                    $                  -   $            -   $            -   $            -   $            -   $            -
                                                                                                                                                                                                                $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses $            -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                         $            -       $        -       $        -       $        -       $        -       $        -       $           -



A-1_4a_EB_Ops                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 22
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                                Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                                 Enrollment Broker Operations                                                 Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
2. Enrollment Broker Systems Development and Interface requirements with Trading Partners have
been approved by the State.
A) Full implementation and maintenance of a Management Information System (MIS) that supports all
functions of the Enrollment Broker process and THSteps Outreach and Informing services that has
been approved by the State.
B) System operations are in compliance with State and Federal laws, rules, regulations and standards.


  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4a_EB_Ops                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 23
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                                Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                                  Enrollment Broker Operations                                                Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
3. Full compliance with the Transitional project deliverables and attendant timeframes as specified in
6.2.1 of the RFP and as approved by the State.
  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
     Sub-Contractors (List Each Separately)                                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Travel                                                                                                                                                                                                     $           -
     Network Support (List Each Type of Support Separately)                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Admin Support (List Each Type of Support Separately)                                                                                                                                                       $           -
                                                                                                                                                                                                                $           -
     Additional Expenses                                                                                                                                                                                        $           -
          Additional Expenses (1)                                                                                                                                                                               $           -
          Additional Expenses (2)                                                                                                                                                                               $           -
          Additional Expenses (3)                                                                                                                                                                               $           -
                Sub-total                                                                              $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
     Indirect Rate (1)                                                                                                                                                                                          $           -
     Indirect Rate (2) (if applicable)                                                                                                                                                                          $           -
                Sub-total                                                                                 $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4a_EB_Ops                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 24
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                                Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                                  Enrollment Broker Operations                                                Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
4. All readiness assessment requirements related to the establishment of business operations
infrastructure for Inbound/Outbound mail has been approved by the State. Critical performance
components are the efficient, effective and timely processing of communications to and from clients.

  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
     Sub-Contractors (List Each Separately)                                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Travel                                                                                                                                                                                                     $           -
     Network Support (List Each Type of Support Separately)                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Admin Support (List Each Type of Support Separately)                                                                                                                                                       $           -
                                                                                                                                                                                                                $           -
     Additional Expenses                                                                                                                                                                                        $           -
          Additional Expenses (1)                                                                                                                                                                               $           -
          Additional Expenses (2)                                                                                                                                                                               $           -
          Additional Expenses (3)                                                                                                                                                                               $           -
                Sub-total                                                                              $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
     Indirect Rate (1)                                                                                                                                                                                          $           -
     Indirect Rate (2) (if applicable)                                                                                                                                                                          $           -
                Sub-total                                                                                 $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4a_EB_Ops                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 25
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                                Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                                 Enrollment Broker Operations                                                 Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
5. All system readiness assessment requirements associated with the technical infrastructure for
inbound/outbound mail services must be approved by State.

  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4a_EB_Ops                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 26
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                                Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                                 Enrollment Broker Operations                                                 Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
6. State approval of a comprehensive inbound/outbound document management and processing
solution.

  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
              Sub-total                                                                             $              -       $        -       $        -       $        -       $        -       $        -       $           -
       Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee
                                                                                                    $                  -   $            -   $            -   $            -   $            -   $            -
                                                                                                                                                                                                                $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses $            -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                         $            -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4a_EB_Ops                                                                    Combined Bid for BOTH Component Service Areas                                                                                              Page 27
 Vendor's Company Name:

                                                     Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                                Appendix A-1
                                                                                       Transitional Pricing Proposals
                                                                                Transitional Pricing Schedule 4a
                                                  Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                                  Enrollment Broker Operations                                                  Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
7. Compliance with State mandated timeframes associated with the creation, submission and
processing of various correspondence types and other material requirements.
   Direct Labor:
   Salaries                                                                                                                                                                                                       $           -
   Fringe Benefits                    %                                                                                                                                                                           $           -
                Sub-total                                                                                  $         -       $        -       $        -       $        -       $        -       $        -       $           -
   Non-pass-through Expenses:
      Consultants (List Each Separately)                                                                                                                                                                          $           -
                                                                                                                                                                                                                  $           -
     Sub-Contractors (List Each Separately)                                                                                                                                                                       $           -
                                                                                                                                                                                                                  $           -
     Travel                                                                                                                                                                                                       $           -
     Network Support (List Each Type of Support Separately)                                                                                                                                                       $           -
                                                                                                                                                                                                                  $           -
     Admin Support (List Each Type of Support Separately)                                                                                                                                                         $           -
                                                                                                                                                                                                                  $           -
     Additional Expenses                                                                                                                                                                                          $           -
          Additional Expenses (1)                                                                                                                                                                                 $           -
          Additional Expenses (2)                                                                                                                                                                                 $           -
          Additional Expenses (3)                                                                                                                                                                                 $           -
                Sub-total                                                                                $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                        Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
     Indirect Rate (1)                                                                                                                                                                                            $           -
     Indirect Rate (2) (if applicable)                                                                                                                                                                            $           -
                Sub-total                                                                                   $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                            Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                    $           -
               Sub-total                                                                                   $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee      $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                                $           -
    Postage / Delivery expenses                                                                                                                                                                                   $           -
    Software License fees                                                                                                                                                                                         $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                      $           -
    Printing Expenses                                                                                                                                                                                             $           -
    All Telecommunications Lines                                                                                                                                                                                  $           -
    Other                                                                                                                                                                                                         $           -
                                                                          Total Pass-through Expenses      $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                              $         -       $        -       $        -       $        -       $        -       $        -       $           -

Expand Schedule as Needed (keep formulas consistent)
Expenses in each Key Milestone should be aggregated by type. The expense types shown are examples only. If more
expense types are needed add rows and link appropriately


                                         Grand Total EB Expenses                                                Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
  Direct Labor:
  Salaries                                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Fringe Benefits                    %                                                                     $         -       $        -       $        -       $        -       $        -       $        -       $           -
               Sub-total                                                                                   $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                                                                                                           $         -       $        -       $        -       $        -       $        -       $        -       $           -

A-1_4a_EB_Ops                                                                      Combined Bid for BOTH Component Service Areas                                                                                              Page 28
 Vendor's Company Name:

                                                Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                            Appendix A-1
                                                                                  Transitional Pricing Proposals
                                                                            Transitional Pricing Schedule 4a
                                              Budget Detail Information by Key Milestone for the Enrollment Broker Operations Component

                              Enrollment Broker Operations                                                  Month 1        Month 2        Month 3        Month 4        Month 5        Month 6        Total
    Sub-Contractors (List Each Separately)                                                              $        -     $        -     $        -     $        -     $        -     $        -     $           -
                                                                                                        $        -     $        -     $        -     $        -     $        -     $        -     $           -
    Travel                                                                                              $        -     $        -     $        -     $        -     $        -     $        -     $           -
    Network Support (List Each Type of Support Separately)                                              $        -     $        -     $        -     $        -     $        -     $        -     $           -
                                                                                                        $        -     $        -     $        -     $        -     $        -     $        -     $           -
    Admin Support (List Each Type of Support Separately)                                                $        -     $        -     $        -     $        -     $        -     $        -     $           -
                                                                                                        $        -     $        -     $        -     $        -     $        -     $        -     $           -
    Additional Expenses                                                                                 $        -     $        -     $        -     $        -     $        -     $        -     $           -
          Additional Expenses (1)                                                                       $        -     $        -     $        -     $        -     $        -     $        -     $           -
          Additional Expenses (2)                                                                       $        -     $        -     $        -     $        -     $        -     $        -     $           -
          Additional Expenses (3)                                                                       $        -     $        -     $        -     $        -     $        -     $        -     $           -
               Sub-total                                                                                $        -     $        -     $        -     $        -     $        -     $        -     $           -
                                                      Total Direct Labor and Non-pass through Expenses $         -     $        -     $        -     $        -     $        -     $        -     $           -
    Indirect Rate (1)                                                                                   $        -     $        -     $        -     $        -     $        -     $        -     $           -
    Indirect Rate (2) (if applicable)                                                                   $        -     $        -     $        -     $        -     $        -     $        -     $           -
               Sub-total                                                                                $        -     $        -     $        -     $        -     $        -     $        -     $           -
                                        Total Direct Labor, Non-pass through Expenses and Indirect rate $          -   $          -   $          -   $          -   $          -   $          -   $           -
    Administrative Service Fee                                                                          $        -     $        -     $        -     $        -     $        -     $        -     $           -
               Sub-total                                                                                $        -     $        -     $        -     $        -     $        -     $        -     $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee $            -   $          -   $          -   $          -   $          -   $          -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                      $         -    $         -    $         -    $         -    $         -    $         -    $           -
    Postage / Delivery expenses                                                                         $         -    $         -    $         -    $         -    $         -    $         -    $           -
    Software License fees                                                                               $         -    $         -    $         -    $         -    $         -    $         -    $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                            $         -    $         -    $         -    $         -    $         -    $         -    $           -
    Printing Expenses                                                                                   $         -    $         -    $         -    $         -    $         -    $         -    $           -
    All Telecommunications Lines                                                                        $         -    $         -    $         -    $         -    $         -    $         -    $           -
    Other                                                                                               $         -    $         -    $         -    $         -    $         -    $         -    $           -
                                                                            Total Pass-through Expenses $         -    $         -    $         -    $         -    $         -    $         -    $           -
                         Total All Expenses                                                            $          -    $         -    $         -    $         -    $         -    $         -    $           -




A-1_4a_EB_Ops                                                                 Combined Bid for BOTH Component Service Areas                                                                                   Page 29
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                             Transitional Pricing Schedule 4a
                                        Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                      Texas Health Steps Outreach and Informing                                               Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
1. The business operations infrastructure has been established and approved by the State which shall
include, but not limited to:
A) Organizational structure developed and approved by HHSC.
B) Vendor operations are fully staffed for transition.
C) Facility and Facility Infrastructure as prescribed by the State have been met.
D) System Readiness requirements established by the State are approved.
E) Project Work Plan has been approved by the State.
F) Submission and State approval of Risk Management and Dispute Resolution process.
  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
              Sub-total                                                                             $              -       $        -       $        -       $        -       $        -       $        -       $           -
       Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee
                                                                                                    $                  -   $            -   $            -   $            -   $            -   $            -
                                                                                                                                                                                                                $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses $            -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                         $            -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4b_THSteps                                                                                                                                                                                                              Page 137
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                             Transitional Pricing Schedule 4a
                                        Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                      Texas Health Steps Outreach and Informing                                               Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
2. Enrollment Broker Systems Development and Interface requirements with Trading Partners have
been approved by the State.
A) Full implementation and maintenance of a Management Information System (MIS) that supports all
functions of the Enrollment Broker process and THSteps Outreach and Informing services that has
been approved by the State.
B) System operations are in compliance with State and Federal laws, rules, regulations and standards.


  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4b_THSteps                                                                                                                                                                                                              Page 137
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                         Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                       Texas Health Steps Outreach and Informing                                              Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
3. Full compliance with the Transitional project deliverables and attendant timeframes as specified in
6.2.1 of the RFP and as approved by the State.
  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
     Sub-Contractors (List Each Separately)                                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Travel                                                                                                                                                                                                     $           -
     Network Support (List Each Type of Support Separately)                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Admin Support (List Each Type of Support Separately)                                                                                                                                                       $           -
                                                                                                                                                                                                                $           -
     Additional Expenses                                                                                                                                                                                        $           -
          Additional Expenses (1)                                                                                                                                                                               $           -
          Additional Expenses (2)                                                                                                                                                                               $           -
          Additional Expenses (3)                                                                                                                                                                               $           -
                Sub-total                                                                              $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
     Indirect Rate (1)                                                                                                                                                                                          $           -
     Indirect Rate (2) (if applicable)                                                                                                                                                                          $           -
                Sub-total                                                                                 $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4b_THSteps                                                                                                                                                                                                              Page 137
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                         Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                       Texas Health Steps Outreach and Informing                                              Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
4. All readiness assessment requirements related to the establishment of business operations
infrastructure for Inbound/Outbound mail has been approved by the State. Critical performance
components are the efficient, effective and timely processing of communications to and from clients.

  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
     Sub-Contractors (List Each Separately)                                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Travel                                                                                                                                                                                                     $           -
     Network Support (List Each Type of Support Separately)                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Admin Support (List Each Type of Support Separately)                                                                                                                                                       $           -
                                                                                                                                                                                                                $           -
     Additional Expenses                                                                                                                                                                                        $           -
          Additional Expenses (1)                                                                                                                                                                               $           -
          Additional Expenses (2)                                                                                                                                                                               $           -
          Additional Expenses (3)                                                                                                                                                                               $           -
                Sub-total                                                                              $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
     Indirect Rate (1)                                                                                                                                                                                          $           -
     Indirect Rate (2) (if applicable)                                                                                                                                                                          $           -
                Sub-total                                                                                 $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4b_THSteps                                                                                                                                                                                                              Page 137
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                             Transitional Pricing Schedule 4a
                                        Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                      Texas Health Steps Outreach and Informing                                               Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
5. All system readiness assessment requirements associated with the technical infrastructure for
inbound/outbound mail services must be approved by State.

  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4b_THSteps                                                                                                                                                                                                              Page 137
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                             Transitional Pricing Schedule 4a
                                        Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                      Texas Health Steps Outreach and Informing                                               Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
6. State approval of a comprehensive inbound/outbound document management and processing
solution.

  Direct Labor:
  Salaries                                                                                                                                                                                                      $           -
  Fringe Benefits                    %                                                                                                                                                                          $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                                                                                                                         $           -
                                                                                                                                                                                                                $           -
    Sub-Contractors (List Each Separately)                                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Travel                                                                                                                                                                                                      $           -
    Network Support (List Each Type of Support Separately)                                                                                                                                                      $           -
                                                                                                                                                                                                                $           -
    Admin Support (List Each Type of Support Separately)                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
    Additional Expenses                                                                                                                                                                                         $           -
         Additional Expenses (1)                                                                                                                                                                                $           -
         Additional Expenses (2)                                                                                                                                                                                $           -
         Additional Expenses (3)                                                                                                                                                                                $           -
               Sub-total                                                                               $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                                                                                                                           $           -
    Indirect Rate (2) (if applicable)                                                                                                                                                                           $           -
               Sub-total                                                                                  $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
              Sub-total                                                                             $              -       $        -       $        -       $        -       $        -       $        -       $           -
       Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee
                                                                                                    $                  -   $            -   $            -   $            -   $            -   $            -
                                                                                                                                                                                                                $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses $            -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                         $            -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4b_THSteps                                                                                                                                                                                                              Page 137
 Vendor's Company Name:

                                                   Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                              Appendix A-1
                                                                                     Transitional Pricing Proposals
                                                                              Transitional Pricing Schedule 4a
                                         Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                       Texas Health Steps Outreach and Informing                                              Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
7. Compliance with State mandated timeframes associated with the creation, submission and
processing of various correspondence types and other material requirements.
   Direct Labor:
   Salaries                                                                                                                                                                                                     $           -
   Fringe Benefits                    %                                                                                                                                                                         $           -
                Sub-total                                                                                $         -       $        -       $        -       $        -       $        -       $        -       $           -
   Non-pass-through Expenses:
      Consultants (List Each Separately)                                                                                                                                                                        $           -
                                                                                                                                                                                                                $           -
     Sub-Contractors (List Each Separately)                                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Travel                                                                                                                                                                                                     $           -
     Network Support (List Each Type of Support Separately)                                                                                                                                                     $           -
                                                                                                                                                                                                                $           -
     Admin Support (List Each Type of Support Separately)                                                                                                                                                       $           -
                                                                                                                                                                                                                $           -
     Additional Expenses                                                                                                                                                                                        $           -
          Additional Expenses (1)                                                                                                                                                                               $           -
          Additional Expenses (2)                                                                                                                                                                               $           -
          Additional Expenses (3)                                                                                                                                                                               $           -
                Sub-total                                                                              $           -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $           -       $        -       $        -       $        -       $        -       $        -       $           -
     Indirect Rate (1)                                                                                                                                                                                          $           -
     Indirect Rate (2) (if applicable)                                                                                                                                                                          $           -
                Sub-total                                                                                 $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                          Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                                                                                                                                  $           -
               Sub-total                                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee    $             -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                                                                                                                              $           -
    Postage / Delivery expenses                                                                                                                                                                                 $           -
    Software License fees                                                                                                                                                                                       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                                                                                                                                    $           -
    Printing Expenses                                                                                                                                                                                           $           -
    All Telecommunications Lines                                                                                                                                                                                $           -
    Other                                                                                                                                                                                                       $           -
                                                                          Total Pass-through Expenses    $         -       $        -       $        -       $        -       $        -       $        -       $           -
                           Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -

Expand Schedule as Needed (keep formulas consistent)
Expenses in each Key Milestone should be aggregated by type. The expense types shown are examples only. If more
expense types are needed add rows and link appropriately




A-1_4b_THSteps                                                                                                                                                                                                              Page 137
 Vendor's Company Name:

                                               Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                            Appendix A-1
                                                                                  Transitional Pricing Proposals
                                                                          Transitional Pricing Schedule 4a
                                     Budget Detail Information by Key Milestone for the Texas Health Steps Outreach and Informing Component

                    Texas Health Steps Outreach and Informing                                               Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
                         Grand Total TH Steps Expenses                                                      Month 1          Month 2          Month 3          Month 4          Month 5          Month 6          Total
  Direct Labor:
  Salaries                                                                                             $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Fringe Benefits                    %                                                                 $         -       $        -       $        -       $        -       $        -       $        -       $           -
               Sub-total                                                                               $         -       $        -       $        -       $        -       $        -       $        -       $           -
  Non-pass-through Expenses:
     Consultants (List Each Separately)                                                                 $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                                                                                        $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Sub-Contractors (List Each Separately)                                                              $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                                                                                        $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Travel                                                                                              $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Network Support (List Each Type of Support Separately)                                              $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                                                                                        $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Admin Support (List Each Type of Support Separately)                                                $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                                                                                        $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Additional Expenses                                                                                 $        -       $        -       $        -       $        -       $        -       $        -       $           -
          Additional Expenses (1)                                                                       $        -       $        -       $        -       $        -       $        -       $        -       $           -
          Additional Expenses (2)                                                                       $        -       $        -       $        -       $        -       $        -       $        -       $           -
          Additional Expenses (3)                                                                       $        -       $        -       $        -       $        -       $        -       $        -       $           -
               Sub-total                                                                                $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                                      Total Direct Labor and Non-pass through Expenses $         -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (1)                                                                                   $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Indirect Rate (2) (if applicable)                                                                   $        -       $        -       $        -       $        -       $        -       $        -       $           -
               Sub-total                                                                                $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                        Total Direct Labor, Non-pass through Expenses and Indirect rate $            -   $            -   $            -   $            -   $            -   $            -   $           -
    Administrative Service Fee                                                                          $        -       $        -       $        -       $        -       $        -       $        -       $           -
               Sub-total                                                                                $        -       $        -       $        -       $        -       $        -       $        -       $           -
         Total Direct Labor, Non-pass-through Expenses, Indirect rate, and Administrative Service Fee $              -   $            -   $            -   $            -   $            -   $            -   $           -
  Pass-through Expenses:
    Capital Expenditures (Including lease payment)                                                      $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Postage / Delivery expenses                                                                         $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Software License fees                                                                               $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Office Rent (incl. leasehold improvements & lease pass-through expenses)                            $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Printing Expenses                                                                                   $        -       $        -       $        -       $        -       $        -       $        -       $           -
    All Telecommunications Lines                                                                        $        -       $        -       $        -       $        -       $        -       $        -       $           -
    Other                                                                                               $        -       $        -       $        -       $        -       $        -       $        -       $           -
                                                                            Total Pass-through Expenses $        -       $        -       $        -       $        -       $        -       $        -       $           -
                         Total All Expenses                                                            $         -       $        -       $        -       $        -       $        -       $        -       $           -




A-1_4b_THSteps                                                                                                                                                                                                            Page 137
         Vendor's Company Name:

                             Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                      Appendix A-1
                                                              Transitional Pricing Proposals
                                                             Transitional Pricing Schedule 5a
                                     Detailed Capital Equipment Listing by Type and Month of Acquisition

                                                            Enrollment Broker Operations
                  Equipment Type          Month 1       Month 2        Month 3       Month 4       Month 5        Month 6           Total
         [Category 1]
         Desktop Computers                                                                                                      $           -
         Laptop Computers                                                                                                       $           -
         Network Printers                                                                                                       $           -
         Desktop printers                                                                                                       $           -
         Portable Printers                                                                                                      $           -
         Software                                                                                                               $           -
         ……                                                                                                                     $           -
         Sub-Total                       $          -   $         -   $          -   $         -   $         -    $         -   $           -

         [Category 2]
         Desks                                                                                                                  $           -
         Chairs                                                                                                                 $           -
         Conference Tables                                                                                                      $           -
         File Cabinets                                                                                                          $           -
         Modular Furniture                                                                                                      $           -
         ….                                                                                                                     $           -
                                                                                                                                $           -
                                                                                                                                $           -
         Sub-Total                       $          -   $         -   $          -   $         -   $         -    $         -   $           -

         [Category 3]
         …                                                                                                                      $           -
         ….                                                                                                                     $           -
                                                                                                                                $           -
                                                                                                                                $           -
                                                                                                                                $           -
                                                                                                                                $           -
         Sub-Total                       $          -   $         -   $          -   $         -   $         -    $         -   $           -

         EB Operations Total             $          -   $         -   $          -   $         -   $         -    $         -   $           -




A-1_5a                                                            Combined Bid for BOTH Component Service Areas                                 Page 38
         Vendor's Company Name:

                             Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                           Appendix A-1
                                                                 Transitional Pricing Proposals
                                                                Transitional Pricing Schedule 5a
                                         Detailed Capital Equipment Listing by Type and Month of Acquisition


                                                    Texas Health Steps Outreach and Informing
                  Equipment Type              Month 1        Month 2         Month 3        Month 4        Month 5         Month 6             Total
         [Category 1]
         Desktop Computers                                                                                                                 $           -
         Laptop Computers                                                                                                                  $           -
         Network Printers                                                                                                                  $           -
         Desktop printers                                                                                                                  $           -
         Portable Printers                                                                                                                 $           -
         Software                                                                                                                          $           -
         ……                                                                                                                                $           -
         Sub-Total                           $          -   $          -    $          -   $          -   $          -    $            -   $           -

         [Category 2]
         Desks                                                                                                                             $           -
         Chairs                                                                                                                            $           -
         Conference Tables                                                                                                                 $           -
         File Cabinets                                                                                                                     $           -
         Modular Furniture                                                                                                                 $           -
         ….                                                                                                                                $           -
                                                                                                                                           $           -
                                                                                                                                           $           -
         Sub-Total                           $          -   $          -    $          -   $          -   $          -    $            -   $           -

         [Category 3]
         …                                                                                                                                 $           -
         ….                                                                                                                                $           -
                                                                                                                                           $           -
                                                                                                                                           $           -
                                                                                                                                           $           -
                                                                                                                                           $           -
         Sub-Total                           $          -   $          -    $          -   $          -   $          -    $            -   $           -

         TH Steps Total                      $          -   $          -    $          -   $          -   $          -    $            -   $           -


         GRAND TOTAL                         $          -   $          -    $          -   $          -   $          -    $            -   $           -

         Expand Schedule as Needed (keep formulas consistent)
         Equipment types shown are examples only. Use appropriate categories and descriptions as necessary to include all capital
         items acquired (including COTS Software). Show capital equipment acquisitions in the month required. Please provide capital
         equipment allocation methodology for shared equipment (Medicaid Claims & PCRA). If more equipment types are needed add

A-1_5a                                                                 Combined Bid for BOTH Component Service Areas                                       Page 39
         Vendor's Company Name:

                             Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                                                    Appendix A-1
                                                                       Transitional Pricing Proposals
                                                                      Transitional Pricing Schedule 5b
                                       Capital Equipment Expenses and Depreciation By Component/Program


                                                                  Enrollment Broker Operations
                  Expense Type                    Month 1             Month 2            Month 3           Month 4           Month 5           Month 6           Total
         Depreciation for Capitalized Furn.
                                                                                                                                                             $               -
         & Equip.
         Depreciation for Capitalized
                                                                                                                                                             $               -
         Software
         Operating Lease Payments                                                                                                                            $               -
         Rental Payments                                                                                                                                     $               -
         Amortization of Lease Hold
                                                                                                                                                             $               -
         Improvements
         Intercompany charges for prorata
                                                                                                                                                             $               -
         usage of mainframe systems
         EB Operations Total                  $             -     $             -    $             -   $             -   $             -   $             -   $               -



                                                     Texas Health Steps Outreach and Informing
                  Expense Type                    Month 1             Month 2            Month 3           Month 4           Month 5           Month 6           Total
         Depreciation for Capitalized Furn.
                                                                                                                                                             $               -
         & Equip.
         Depreciation for Capitalized
                                                                                                                                                             $               -
         Software
         Operating Lease Payments                                                                                                                            $               -
         Rental Payments                                                                                                                                     $               -
         Amortization of Lease Hold
                                                                                                                                                             $               -
         Improvements
         Intercompany charges for prorata
                                                                                                                                                             $               -
         usage of mainframe systems
         TH Steps Total                       $             -     $             -    $             -   $             -   $             -   $             -   $               -


         GRAND TOTAL                          $         -        $          -       $          -       $         -       $         -       $         -       $           -



         Expand Schedule as Needed (keep formulas consistent)
         Capital expenses should be shown in the month charged. Amortization of leasehold improvements should be
         expensed over the initial base period of the contract.




A-1_5b                                                          Combined Bid for BOTH Component Service Areas                                                                    Page 40
         Vendor's Company Name:

                     Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                          Appendix A-1
                                                Transitional Pricing Proposals
                                               Transitional Pricing Schedule 5b
                            Capital Equipment Expenses and Depreciation By Component/Program




A-1_5b                                     Combined Bid for BOTH Component Service Areas                   Page 41
Vendor's Company Name:

      Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                     Appendix A-1
                                           Transitional Pricing Proposals
                                          Transitional Pricing Schedule 6
                                          Subcontractor(s) by Component

                                           Enrollment Broker Operations
 1 (Subcontractor Name)
   Types of Services
   Detailed explanation of need for sub-contractor
   and service(s) to be provide to prime
   contractor
   Subcontractor travel budget
   Expected deliverable(s) to be provided to
   prime contractor
   Subcontractor Cost (amount included in
   proposal)
 2 (Subcontractor Name)

   Detailed explanation of need for sub-contractor
   and service(s) to be provide to prime
   contractor
   Subcontractor travel budget
   Expected deliverable(s) to be provided to
   prime contractor
   Subcontractor Cost (amount included in
   proposal)
 3 (Subcontractor Name)
   Types of Services
   Detailed explanation of need for sub-contractor
   and service(s) to be provide to prime
   contractor
   Subcontractor travel budget
   Expected deliverable(s) to be provided to
   prime contractor
   Subcontractor Cost (amount included in
   proposal)
 4 (Subcontractor Name)
   Types of Services
   Detailed explanation of need for sub-contractor
   and service(s) to be provide to prime
   contractor
   Subcontractor travel budget
   Expected deliverable(s) to be provided to
   prime contractor
   Subcontractor Cost (amount included in
   proposal)




    A-1_6                             Combined Bid for BOTH Component Service Areas   Page 42
Vendor's Company Name:

       Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                      Appendix A-1
                                            Transitional Pricing Proposals
                                           Transitional Pricing Schedule 6
                                           Subcontractor(s) by Component

                                   Texas Health Steps Outreach and Informing
  1 (Subcontractor Name)
    Types of Services
    Detailed explanation of need for sub-contractor
    and service(s) to be provide to prime
    contractor
    Subcontractor travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Subcontractor Cost (amount included in
    proposal)
  2 (Subcontractor Name)

    Detailed explanation of need for sub-contractor
    and service(s) to be provide to prime
    contractor
    Subcontractor travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Subcontractor Cost (amount included in
    proposal)
  3 (Subcontractor Name)
    Types of Services
    Detailed explanation of need for sub-contractor
    and service(s) to be provide to prime
    contractor
    Subcontractor travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Subcontractor Cost (amount included in
    proposal)
  4 (Subcontractor Name)
    Types of Services
    Detailed explanation of need for sub-contractor
    and service(s) to be provide to prime
    contractor
    Subcontractor travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Subcontractor Cost (amount included in
    proposal)

Expand Schedule as Needed




     A-1_6                             Combined Bid for BOTH Component Service Areas   Page 43
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  Vendor's Company Name:

    Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                  Appendix A-1
                                          Transitional Pricing Proposals
                                          Transitional Pricing Schedule 7
                                           Consultant(s) by Component

                                          Enrollment Broker Operations
1 (Consultants Name)
  Types of Services
  Detailed explanation of need for sub-
  contractor and service(s) to be provide to
  prime contractor
  Consultant travel budget
  Expected deliverable(s) to be provided to
  prime contractor
  Consultant Cost (amount included in
  proposal)
2 (Consultants Name)

  Detailed explanation of need for sub-
  contractor and service(s) to be provide to
  prime contractor
  Consultant travel budget
  Expected deliverable(s) to be provided to
  prime contractor
  Consultant Cost (amount included in
  proposal)
3 (Consultants Name)
  Types of Services
  Detailed explanation of need for sub-
  contractor and service(s) to be provide to
  prime contractor
  Consultant travel budget
  Expected deliverable(s) to be provided to
  prime contractor
  Consultant Cost (amount included in
  proposal)
4 (Consultants Name)
  Types of Services
  Detailed explanation of need for sub-
  contractor and service(s) to be provide to
  prime contractor
  Consultant travel budget
  Expected deliverable(s) to be provided to
  prime contractor
  Consultant Cost (amount included in
  proposal)




   A-1_7                             Combined Bid for BOTH Component Service Areas   Page 90
    Vendor's Company Name:

      Enrollment Broker Operations and Texas Health Steps Outreach and Informing Services
                                                    Appendix A-1
                                            Transitional Pricing Proposals
                                            Transitional Pricing Schedule 7
                                             Consultant(s) by Component

                                   Texas Health Steps Outreach and Informing
  1 (Consultants Name)
    Types of Services
    Detailed explanation of need for sub-
    contractor and service(s) to be provide to
    prime contractor
    Consultant travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Consultant Cost (amount included in
    proposal)
  2 (Consultants Name)

    Detailed explanation of need for sub-
    contractor and service(s) to be provide to
    prime contractor
    Consultant travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Consultant Cost (amount included in
    proposal)
  3 (Consultants Name)
    Types of Services
    Detailed explanation of need for sub-
    contractor and service(s) to be provide to
    prime contractor
    Consultant travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Consultant Cost (amount included in
    proposal)
  4 (Consultants Name)
    Types of Services
    Detailed explanation of need for sub-
    contractor and service(s) to be provide to
    prime contractor
    Consultant travel budget
    Expected deliverable(s) to be provided to
    prime contractor
    Consultant Cost (amount included in
    proposal)

Expand Schedule as Needed




     A-1_7                             Combined Bid for BOTH Component Service Areas   Page 91
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