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Notice of Award
T-1083
AUDIT-COMPLIANCE REVIEWS: MEDICAID/PAAD,
INPATIENT, TRAUMA/TPL CLAIMS- DMAHS


NOAs By Number NOAs By Title Search NOAs



                              STATE OF NEW JERSEY
                            DEPARTMENT OF TREASURY
                      DIVISION OF PURCHASE AND PROPERTY
                               PURCHASE BUREAU                INDEX #: T-1083

                 NOTIFICATION  OF  AWARD - TERM  CONTRACT(S)

 CONTRACT TITLE: AUDIT-COMPLIANCE REVIEWS: MEDICAID/PAAD    CONTRACT #  59556
                  INPATIENT, TRAUMA/TPL CLAIMS- DMAHS
 CONTRACT PERIOD:               APPLICABLE TO:
 FROM: 08/01/04  TO: 04/30/10   ALL STATE AGENCIES


 VENDOR NAME & ADDRESS:                        FOR PURCHASE BUREAU USE
   BLUE CROSS & BLUE SHIELD OF NJ           Solicitation #:  36839
                                            Bid Open Date :  05/12/04
   3 PENN PLAZA EAST                        CID #         :  1028616
   13TH FLOOR  MSPP-13Q                     Commodity Code:  946-20
   NEWARK, NJ 07105-2200                    Set-Aside     :  NONE



                       CONDITIONS AND METHODS OF OPERATION


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

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




 In the event of an emergency, contact the following in the order listed:
    1.KEN DIETEL - BUYER                  3. MARGARET QUINN - BUYER UNIT SUPERV
      609-984-9322
      E-MAIL: KEN.DIETEL@TREAS.STATE.NJ.US
    2.EDWARD T. COTTERELL - BUYER SUPERVI 4. OFFICE OF THE BUREAU SUPERVISOR
      609-984-6241                           609-292-4751
 PB177 (rev. 6/91)                                   PUB. DATE:       08/03/09



                                                                INDEX NO: T1083
                                                                PAGE NO:      2
                            VENDOR INFORMATION SHEET
                                                COOP *
   VENDOR NAME AND ADDRESS        SBE/MBE/WBE/PURCH
 ______________________________________________________________________________
 BLUE CROSS & BLUE SHIELD OF NJ   NO /NO /NO /NO    CONTRACT #: 59556
 3 PENN PLAZA EAST                                  EXPIRATION DATE: 04/30/10
 13TH FLOOR  MSPP-13Q                               TERMS: NONE
 NEWARK, NJ 07105-2200                              DELIVERY:  30 DAYS ARO

 CONTACT PERSON: WAYNE LEVITT                       CONTACT PHONE: 973-466-8971
                                                    ORDER FAX #  : 973-466-4665


 * WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?




                                                                INDEX NO: T1083
                                                                PAGE NO:      3
                            CONTRACT ITEMS/SERVICES
                                  BY VENDOR
 ______________________________________________________________________________
 VNDR: BLUE CROSS & BLUE SHIELD OF NJ                      CNTRCT #: 59556

 LINE#  DESCRIPTION/MFGR/BRAND  EST QUANTITY  UNIT  % DISCOUNT       UNIT PRICE
 00001  COMM CODE: 946-20-021121       1.000  YEAR     N/A     $2271453.30000
  *************** YEAR 1 ***************
  ALL INCLUSIVE FULLY LOADED FIRM FIXED
  PRICE FOR ONE (1) BILLING OF THE
  CONTRACT.
  THIS IS A ONE YEAR EXTENSION FROM
  AUGUST 1, 2008 THROUGH JULY 31, 2009.
  THIS IS IN ACCORDANCE WITH THE TERMS AND
  CONDITIONS OF THE ORIGINAL CONTRACT AND
  THE FOURTH YEAR PRICING (LINE ITEM 0004)
 00002  COMM CODE: 946-20-021121       1.000  YEAR     N/A     $2339564.31000
  *************** YEAR 2 ***************
  ALL INCLUSIVE FULLY LOADED FIRM FIXED
  PRICE FOR ONE (1) BILLING OF THE
  CONTRACT.
 00003  COMM CODE: 946-20-021121       1.000  YEAR     N/A     $2409630.66000
  *************** YEAR 3 ***************
  ALL INCLUSIVE FULLY LOADED FIRM FIXED
  PRICE FOR ONE (1) BILLING OF THE
  CONTRACT.
 00004  COMM CODE: 946-20-021121       1.000  YEAR     N/A     $2361438.00000
  DMAHS AUDITS- MONTHLY BILLING MONTH
  VENDOR IS TO SUBMIT ESTIMATED MONTHLY
  BILLING FOR EACH MONTH OF THE CONTRACT.
  TOTAL FOR ALL MONTHS MUST EQUAL THE
  TOTAL FOR ALL TASKS AS SHOWN ON SCHEDULE
  "A" AND SCHEDULE "C".
  *********** YEARS 4 AND 5 **************
  ALL INCLUSIVE FULLY LOADED FIRM FIXED
  PRICE FOR ONE (1) BILLING OF THE
  CONTRACT.

  FOURTH AND FIFTH YEAR PRICING HAS BEEN
  REDUCED 2% IN ACCORDANCE WITH CONTRACTOR
  OFFER.  THIS PRICE IS EFFECTIVE 8/1/07
  THROUGH 7/31/09.
  DELIVERY:  30 DAYS ARO
 00005  COMM CODE: 946-20-021121       1.000  EACH     N/A     $1800000.00000
  FOR PAYMENT FOR SERVICES DURING THE
  NINE (9) MONTH CONTRACT EXTENSION

INDEX NO: T1083 PAGE NO: 4 CONTRACT ITEMS/SERVICES BY VENDOR ______________________________________________________________________________ VNDR: BLUE CROSS & BLUE SHIELD OF NJ CNTRCT #: 59556 LINE# DESCRIPTION/MFGR/BRAND EST QUANTITY UNIT % DISCOUNT UNIT PRICE 00005 CONTINUED..... 08/01/09 THROUGH 04/30/10 AT THE PREVIOUSLY NEGOTIATED 2% PRICE REDUCTION RATE IN EFFECT FOR YEARS 4 AND 5 DELIVERY: 30 DAYS ARO

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