Attachment 1-Contract Pricing and Subcontract Certification_Amend 4.pdf
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- Attached to
- Comprehensive Medical Services - FCI Sheridan
- Solicitation number
- 15BFA024R00000030
About this file
This is a Solicitation Attachment for Contract Pricing and Subcontract Certification for comprehensive medical services at FCI Sheridan (Contract No. 15BFA024R00000030).
The solicitation requires offerors to submit pricing proposals for inpatient and outpatient facility and physician services, as well as specialized outpatient institution services including telehealth and tele-triage consultations. Pricing for most services will be calculated using Medicare reimbursement methodologies with offerors proposing either a discount from or premium to established benchmark rates. Medicare Part A services utilize Basic MS-DRG rates for CBSA 38900 (Portland-Vancouver-Hillsboro, OR-WA), while Medicare Part B physician and non-physician services reference the Fee Schedule for Payment Locality 01 (Clackamas, Multnomah, and Washington), and Medicare Part B facility services reference current APC and ASC rates. Telehealth and tele-triage services are priced at fixed per-consultation rates, while session-based services (optometrist, oral surgery, mobile MRI, and mobile CT) are priced per defined hour sessions with pro-ration to the nearest quarter hour. The contract includes a 12-month base year with estimated quantities of 280 inpatient days and 630 outpatient visits, plus four optional 12-month renewal periods and a potential 6-month extension. All successful offeror unit pricing is considered public information and will be released to unsuccessful offerors and the public upon request. Offerors must also certify whether subcontracting opportunities exist and, if affirmative, submit a subcontracting plan in accordance with FAR Deviation 52.219-9.
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Solicitation Attachment 1: Contract Pricing & Subcontract Certification FCI Sheridan – Comprehensive Medical Services
15BFA024R00000030
Overview
Services are required to be provided in accordance with the Performance Work Statement included in this solicitation/contract. Offerors are required to submit, as a part of their business proposal, a completed copy of the Schedule of Items and Subcontract Certification.
Pricing Methodology
Except for telehealth consultations and services based on session rate, price proposals will be calculated from benchmarks utilizing Medicare reimbursement methodologies. For each category of service to be provided, Offerors will be allowed to propose a variance from the benchmark Medicare rate in the form of a discount from or a premium to Medicare rates established by the Centers for Medicare and Medicaid Services. The rates established in the resulting contract shall not be construed as participation in the Medicare program; contract rates will merely be equated to Medicare rates of reimbursement without reductions for deductibles, copayments, or coinsurance. When appropriate, outlier payments calculated in accordance with Medicare reimbursement methodologies shall be made in recognition of extremely costly stays. The outlier payment shall be calculated based upon the defined benchmark and will consist of the operating portion only. This structuring of the pricing methodology is not intended to be restrictive of any offeror; offerors need only to propose that percentage discount from or premium to the Medicare benchmark rate which will reflect the desired level of payment for the category of services rendered. If during contract performance, it is determined that a necessary contract deliverable is not covered by Medicare reimbursement methodologies, a separate rate shall be negotiated for such deliverable(s).
Medicare Part A. The Medicare benchmark to be utilized for all services covered by Medicare Part A shall be the most current Basic MS-DRG Payment (i.e., Operating Federal Rate) established for Core Based Statistical Area (CBSA) 38900-Portland-Vancouver-Hillsboro, OR- WA. The Basic MS-DRG calculation shall not include any provider-specific adjustments allowed under actual Medicare participation. Offerors may propose a discount from or a premium to Basic MS-DRG rates. (Refer to Attachment 3 of this solicitation)
Medicare Part B Physician Services and Non-physician Services. The Medicare benchmark to be utilized for all physician and non-physician services covered by Medicare Part B shall be those rates established in the most current Medicare Part B Fee Schedule for Payment Locality 01-Clackamas, Multnomah and Washington. The benchmark charges shall be those established for participating providers. Offerors may propose a discount from or a premium to the benchmark charges.
Medicare Part B Facility Services (including hospital outpatient services and ambulatory surgical centers). The Medicare benchmark to be utilized for all facility services covered by Medicare Part B shall be the most current APC and ASC rates calculated for CBSA – 38900- Portland-Vancouver-Hillsboro, OR-WA. Offerors may propose a discount from or a premium to the benchmark charges.
Estimated Quantities
Estimated quantities for the base year and all option years are detailed below. The estimated quantities provided are not a representation to the offeror/contractor that the estimated quantities will be required or ordered or that conditions affecting requirements will be stable or normal.
Inpatient and Outpatient Facility and Physician Services
FCI Sheridan
Base Year – Effective Date of Award (EDOA) through twelve (12) months from EDOA.
Inpatient Days: 280 days (estimated) Outpatient Visits: 630 visits (estimated)
Option Year 1 Inpatient Days: 280 days (estimated) Outpatient Visits: 630 visits (estimated)
Option Year 2 Inpatient Days: 280 days (estimated) Outpatient Visits: 630 visits (estimated)
Option Year 3 Inpatient Days: 280 days (estimated) Outpatient Visits: 630 visits (estimated)
Option Year 4 Inpatient Days: 280 days (estimated) Outpatient Visits: 630 visits (estimated)
Optional 6-month extension Inpatient Days: 140 days (estimated) Outpatient Visits: 315 visits (estimated)
Outpatient Institution Services
Estimated quantities shall remain constant for the 12-month base year and (4) 12-month options.
All option periods including 52.217-8 are detailed below. For Medicare-based services, duration of visits is listed for informational purposes only, as contracted rates will be based upon the Medicare allowable per procedure performed. Session-based services shall be paid based upon the provision of defined sessions.
Note: Session-priced items which exceed the established session or are less than a full session shall be pro-rated to the nearest quarter hour.
12-Month Base Year and (4) 12-Month Options
Other Physicians:
Visit Duration Hours
(approximate)
Visit Quantity per Contract Year (approximate)
Cardiologist 6 24 General Surgeon 6 12 Ophthalmologist: 6 12 Orthopedic Surgeon 6 12 Psychiatrist 8 52 Urologist 6 4
Session Based Service
(approximate)
Visit Quantity per Contract Year (approximate)
Optometrist 8 48 Oral Surgery 8 6 Mobile MRI: 6 24 Mobile CT 6 24
52.217-8 Optional 6-Month Extension
Other Physicians:
(approximate)
Visit Quantity per Contract Year (approximate)
Cardiologist 6 12 General Surgeon 6 6 Ophthalmologist: 6 6 Orthopedic Surgeon 6 6 Psychiatrist 8 26 Urologist 6 2
Session Based Service
(approximate)
Visit Quantity per Contract Year (approximate)
Optometrist 8 24 Oral Surgery 8 4 Mobile MRI: 6 12 Mobile CT 6 12
Tele-triage Services
Estimated quantities shall remain constant for the 12-month base year and (4) 12-month options.
All option periods including 52.217-8 are detailed below. Payment for tele-triage services shall reflect the contracted rate and actual usage.
Tele-triage Consultation Quantity per Contract Year (approximate) Tele-triage 80
Telehealth Services
Estimated quantities shall remain constant for the 12-month base year and (4) 12-month options.
All option periods including 52.217-8 are detailed below. Payment for telehealth services shall reflect the contracted rate and actual usage.
12-Month Base Year and (4) 12-Month Options
Telehealth Specialty Consultation Quantity per Contract Year (approximate) Cardiologist 72 Dermatologist 40 Endocrinologist 12 Gastroenterologist 40 General Surgeon 12 Neurologist 72 Rheumatologist 24 Urologist 72 Oncologist 24 Orthopedist 72 Orthopedic Surgeon 24 Otolaryngologist 12 Pain Management 12 Podiatrist 12 Prosthetics/Orthotics 12 Psychiatry 72
52.217-8 Optional 6-Month Extension
Tele-triage Services
Tele-triage Consultation Quantity per Contract Year (approximate) Tele-triage 40
Telehealth Services
Telehealth Specialty Consultation Quantity per Contract Year (approximate) Cardiologist 36 Dermatologist 20 Endocrinologist 6 Gastroenterologist 20 General Surgeon 6 Neurologist 36 Rheumatologist 12 Urologist 36 Oncologist 12 Orthopedist 36 Orthopedic Surgeon 12 Otolaryngologist 6 Pain Management 6 Podiatrist 6 Prosthetics/Orthotics 6 Psychiatry 36
Offerors shall complete the following Schedule of Items. All proposed pricing will be evaluated in accordance with Federal Acquisition Regulation (FAR) Deviation 52.212-2, Evaluation - Commercial Products and Commercial Services, as outlines in the solicitation.
Base Year
Effective Date of Award (EDOA) through twelve (12) months from EDOA.
1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Telehealth Services: $_____________ per consultation 2c1. Tele-triage Services: $_____________ per consultation 2d. Outpatient Institution Services:
2d1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2d2. Optometrist: $_____________ per eight (8) hour session 2dn 3. Oral Surgeon: $_____________ per eight (8) hour session
2d4. Mobile MRI: $_____________ per six (6) hour session 2d5. Mobile CT: $_____________ per six (6) hour session
NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE,
INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0".
Option Year 1
1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Telehealth Services: $_____________ per consultation 2c1. Tele-triage Services: $_____________ per consultation 2d. Outpatient Institution Services:
2d1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2d2. Optometrist: $_____________ per eight (8) hour session 2d3. Oral Surgeon: $_____________ per eight (8) hour session 2d4. Mobile MRI: $_____________ per six (6) hour session 2d5. Mobile CT: $_____________ per six (6) hour session
Option Year 2
1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Telehealth Services: $_____________ per consultation 2c1. Tele-triage Services: $_____________ per consultation 2d. Outpatient Institution Services:
2d1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2d2. Optometrist: $_____________ per eight (8) hour session 2d3. Oral Surgeon: $_____________ per eight (8) hour session 2d4. Mobile MRI: $_____________ per six (6) hour session 2d5. Mobile CT: $_____________ per six (6) hour session
Option Year 3
1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B
2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Telehealth Services: $_____________ per consultation 2c1. Tele-triage Services: $_____________ per consultation 2d. Outpatient Institution Services:
2d1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2d2. Optometrist: $_____________ per eight (8) hour session 2d3. Oral Surgeon: $_____________ per eight (8) hour session 2d4. Mobile MRI: $_____________ per six (6) hour session 2d5. Mobile CT: $_____________ per six (6) hour session
Option Year 4
1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Telehealth Services: $_____________ per consultation 2c1. Tele-triage Services: $_____________ per consultation 2d. Outpatient Institution Services:
2d1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2d2. Optometrist: $_____________ per eight (8) hour session 2d3. Oral Surgeon: $_____________ per eight (8) hour session 2d4. Mobile MRI: $_____________ per six (6) hour session 2d5. Mobile CT: $_____________ per six (6) hour session
INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0"
Option to Extend Services as Authorized by FAR 52.217-8
1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Telehealth Services: $_____________ per consultation 2c1. Tele-triage Services: $_____________ per consultation 2d. Outpatient Institution Services:
2d1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2d2. Optometrist: $_____________ per eight (8) hour session 2d3. Oral Surgeon: $_____________ per eight (8) hour session 2d4. Mobile MRI: $_____________ per six (6) hour session 2d5. Mobile CT: $_____________ per six (6) hour session
All offerors are hereby advised the successful offeror’s unit pricing (to include discount percentage from or premium percentage to the benchmark Medicare rate) for the base year and all option years is public information in accordance with FAR Deviation 15.207-2. Accordingly, all successful unit pricing will be released to unsuccessful offerors with the notification of award as well as to the public when requested. Any party who objects to the release of their own unit pricing information, should they be awarded a contract in response to this solicitation, should not submit a proposal in response to the solicitation.
Subcontract Certification
This contract { } does or { } does not, provide for subcontracting possibilities.
If answer is in the affirmative, offeror { } will, submit a subcontracting plan in accordance with the requirements of FAR Deviation 52.219-9.
Offerors are strongly encouraged to consult the following link to obtain assistance with subcontracting opportunities: https://www.sba.gov/federal-contracting/counseling-help/commercial-market-representatives
File details come from the government source that posted it. Updated .