Data Source. Pharmacy Claims 1 Data Source: Member Enrollment 1 (may be several files) Historical File Load 10 years min Duration of Storage 5 years min Frequency of Refresh Monthly Number of User Roles Minimum two roles: Executive Level and Power User Original Term Renewal Term Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Start-up/Preparation and Implementation $ - Basic Annual Service/Subscription $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 CMS MSP Submission $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 Population Health Management Annual Review $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 Total Annual Cost $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 Number of Users 8 Original Term (Years 1-5) Total Renewal Term (Years 6-10) Total $ 2,204,990.00 $ 2,204,990.00 REMAINDER OF XXXX INTENTIONALLY LEFT BLANK. Original Term Renewal Term Other than implementation or circumstances expressly provided for in the Statement of Work, specify any circumstances in which additional charges do not apply. Unit Unit Cost Unit Unit Cost Example each $ 50.00 each $ 50.00 Does not apply to the first 100 additional changes. Additional Data Integrations with New Partners each $ 12,000.00 each $ 12,000.00 Does not apply to the first 5 additional integrations. REMAINDER OF XXXX INTENTIONALLY LEFT BLANK. EXHIBIT C PRIVACY, SECURITY, AND CONFIDENTIALITY BUSINESS ASSOCIATE AGREEMENT This Privacy, Security, and Confidentiality Business Associate Agreement (“Agreement”) is between the State of Florida Department of Management Services (“Agency”), and Xxxxxxxxxxxx.xxx, Inc., (“Business Associate”), (each individually, a “Party,” and collectively, the “Parties”), with an effective date of the last date of execution below.
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Data Source. Pharmacy Claims 1 Data Source: Member Enrollment 1 (may be several files) Historical File Load 10 years min Duration of Storage 5 years min Frequency of Refresh Monthly Number of User Roles Minimum two roles: Executive Level and Power User Original Term Renewal Term Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Start-up/Preparation and Implementation $ - Basic Annual Service/Subscription $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 CMS MSP Submission $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 Population Health Management Annual Review $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 Total Annual Cost $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 Number of Users 8 Original Term (Years 1-5) Total Renewal Term (Years 6-10) Total Renewal Term Year 6 Year 7 Year 8 Year 9 Year 10 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 2,204,990.00 $ 2,204,990.00 REMAINDER OF XXXX PAGE INTENTIONALLY LEFT BLANK. Original Term Renewal Term Other than implementation or circumstances expressly provided for in the Statement of Work, specify any circumstances in which additional charges do not apply. Unit Unit Cost Unit Unit Cost Example each $ 50.00 each $ 50.00 Does not apply to the first 100 additional changes. Additional Data Integrations with New Partners each $ 12,000.00 each $ 12,000.00 Does not apply to the first 5 additional integrations. REMAINDER OF XXXX INTENTIONALLY LEFT BLANK. EXHIBIT C PRIVACY, SECURITY, AND CONFIDENTIALITY BUSINESS ASSOCIATE AGREEMENT This Privacy, Security, and Confidentiality Business Associate Agreement (“Agreement”) is between the State of Florida Department of Management Services (“Agency”), and Xxxxxxxxxxxx.xxx, Inc., (“Business Associate”), (each individually, a “Party,” and collectively, the “Parties”), with an effective date of the last date of execution below.
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Data Source. Pharmacy Claims 1 Data Source: Member Enrollment 1 (may be several files) Historical File Load 10 years min Duration of Storage 5 years min Frequency of Refresh Monthly Number of User Roles Minimum two roles: Executive Level and Power User Original Term Renewal Term Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Start-up/Preparation and Implementation $ - Basic Annual Service/Subscription $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 CMS MSP Submission $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 Population Health Management Annual Review $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 Total Annual Cost $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 Number of Users 8 Original Term (Years 1-5) Total Renewal Term (Years 6-10) Total $ 2,204,990.00 $ 2,204,990.00 REMAINDER OF XXXX PAGE INTENTIONALLY LEFT BLANK. Original Term Renewal Term Other than implementation or circumstances expressly provided for in the Statement of Work, specify any circumstances in which additional charges do not apply. Unit Unit Cost Unit Unit Cost Example each $ 50.00 each $ 50.00 Does not apply to the first 100 additional changes. Additional Data Integrations with New Partners each $ 12,000.00 each $ 12,000.00 Does not apply to the first 5 additional integrations. REMAINDER OF XXXX PAGE INTENTIONALLY LEFT BLANK. EXHIBIT C PRIVACY, SECURITY, AND CONFIDENTIALITY BUSINESS ASSOCIATE AGREEMENT This Privacy, Security, and Confidentiality Business Associate Agreement (“Agreement”) is between the State of Florida Department of Management Services (“Agency”), and Xxxxxxxxxxxx.xxx, Inc., (“Business Associate”), (each individually, a “Party,” and collectively, the “Parties”), with an effective date of the last date of execution below.
Appears in 1 contract
Data Source. Pharmacy Claims 1 Data Source: Member Enrollment 1 (may be several files) Historical File Load 10 years min Duration of Storage 5 years min Frequency of Refresh Monthly Number of User Roles Minimum two roles: Executive Level and Power User Original Term Renewal Term Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Start-up/Preparation and Implementation $ - Basic Annual Service/Subscription $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 CMS MSP Submission $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 Population Health Management Annual Review $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 Total Annual Cost $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 Number of Users 8 Original Term (Years 1-5) Total Renewal Term (Years 6-10) Total Renewal Term Year 6 Year 7 Year 8 Year 9 Year 10 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 388,798.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 48,000.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 4,200.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 440,998.00 $ 2,204,990.00 $ 2,204,990.00 REMAINDER OF XXXX INTENTIONALLY LEFT BLANK. Original Term Renewal Term Other than implementation or circumstances expressly provided for in the Statement of Work, specify any circumstances in which additional charges do not apply. Unit Unit Cost Unit Unit Cost Example each $ 50.00 each $ 50.00 Does not apply to the first 100 additional changes. Additional Data Integrations with New Partners each $ 12,000.00 each $ 12,000.00 Does not apply to the first 5 additional integrations. REMAINDER OF XXXX INTENTIONALLY LEFT BLANK. EXHIBIT C PRIVACY, SECURITY, AND CONFIDENTIALITY BUSINESS ASSOCIATE AGREEMENT This Privacy, Security, and Confidentiality Business Associate Agreement (“Agreement”) is between the State of Florida Department of Management Services (“Agency”), and Xxxxxxxxxxxx.xxx, Inc., (“Business Associate”), (each individually, a “Party,” and collectively, the “Parties”), with an effective date of the last date of execution below.
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