26PSX0134 Exhibit B Price Schedule.xlsx
XLSX spreadsheet 30 KB Posted
- Attached to
- Sleep Apnea Diagnostic & Treatment Services
- Solicitation number
- 26PSX0134
- Issued by
- Connecticut
About this file
This is an Exhibit B Price Schedule for Sleep Apnea Diagnostic & Treatment Services (Contract 26PSX0134) issued by the State of Connecticut. The schedule establishes unit pricing for a comprehensive range of pulmonary consultation services delivered via telehealth, including sleep apnea testing, diagnosis, clinical recommendations, and equipment provision. The scope encompasses clinical assessments (initial and follow-up telehealth evaluations), portable home sleep apnea testing (HSAT) with repeat testing provisions, diagnostic reporting by registered polysomnographic technologists and board-certified sleep physicians, pulmonary consultation services, positive airway pressure (PAP) therapy equipment available for purchase, lease, or rental in three modalities (CPAP, AutoPAP, and BiPAP), replacement supplies and accessories, training sessions, 24/7 technical and clinical support, utilization and compliance reporting, and optional services. The contract specifies that all implementation services required under Exhibit A, including implementation planning, contract management, equipment deployment, testing, validation, and go-live support, shall be included in the proposed unit prices and not separately invoiced.
Bidders must enter pricing only in designated yellow-highlighted cells, with all prices including labor, supervision, administration, travel, delivery, setup, training, software, documentation, warranty support, and other necessary performance costs unless expressly stated otherwise. Equipment offerings must identify manufacturer, model, warranty period, and replacement response time, while leased equipment pricing must encompass maintenance, repairs, calibration, updates, replacement parts, technical support, and substitute equipment. Repeat testing caused by contractor error, equipment malfunction, lost data, or invalid results shall be provided at no charge. The contract specifies a 45-day payment term with prompt payment discount availability. Pricing adjustments are permitted only during 30-day periods immediately preceding annual contract anniversary dates and must be justified by Bureau of Labor Statistics Producer Price Index data with supporting documentation; DAS retains sole discretion to approve or disapprove adjustments in whole or part. Approved adjustments become effective ten days after approval date, and the contractor must honor purchase orders issued prior to adjustment effectiveness at the then-current price.
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Other files
| File | Type | Posted |
|---|---|---|
| 26PSX0134_Aug_25_26_solicitation_doc.pdf | ||
| 26PSX0134 Contract Document.pdf |
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Instructions
| EXHIBIT B – PRICE SCHEDULE |
| Sleep Apnea Diagnostic & Treatment Services |
| Bidder Instructions | |
| 1. | Enter pricing only in the yellow-highlighted cells. |
| 2. | All prices shall include labor, supervision, administration, travel, delivery, setup, training, software, documentation, warranty support, and all other costs necessary to perform the Contract unless expressly stated otherwise. |
| 3. | Do not include undisclosed administrative, processing, handling, activation, minimum-order, or similar fees. |
| 4. | A zero-dollar entry means the item is provided at no additional charge. Use “N/A” only when an item is not offered or does not apply. |
| 5. | Identify manufacturer, model, warranty period, and replacement response time for each equipment item offered. |
| 6. | For leased equipment, the monthly price shall include maintenance, repairs, calibration, updates, replacement parts, technical support, and substitute equipment. |
| 7. | Repeat testing caused by Contractor error, equipment malfunction, lost data, or invalid results shall be provided at no charge. |
| 8. | Optional services may be purchased only with prior written authorization from the State. |
| 9 | Implementation Services required under Exhibit A, including implementation planning, Contract Manager and Clinical Director designation, implementation meetings, communication planning, equipment deployment planning, testing, validation, and go-live support, shall be included in the prices proposed in this Exhibit B and shall not be separately invoiced. |
Exhibit B Price Schedule
| 26PSX0134 Exhibit B Price Schedule | |||||||
| Sleep Apnea Diagnostic & Treatment Services | |||||||
| Contractor Name: | Payment Terms: 45 Days | ||||||
| Prompt Payment Discount: | |||||||
| All shipping, handling, implementation, software, reporting, training, routine technical support, administrative costs, and other incidental expenses necessary to perform the Services described in Exhibit A shall be included in the unit prices below unless specifically identified as a separate line item. | |||||||
| A. Clinical Assessment | |||||||
| Item | Description | Unit | Unit Price | ||||
| A-1 | Initial Telehealth Sleep Evaluation, including review of medical history, presenting symptoms, clinical indicators for obstructive sleep apnea, determination of medical necessity, and issuance of required prescription | Per Consultation | |||||
| A-2 | Follow-Up Telehealth Consultation | Per Consultation | |||||
| B. Portable Testing | |||||||
| Item | Description | Unit | Unit Price | ||||
| B-1 | HSAT, including test kit, instructions, delivery, return shipping, data collection, and standard report | Each | |||||
| B-2 | Repeat test due to inconclusive results not caused by Contractor error | Each | |||||
| B-3 | Repeat test required due to Contractor error, equipment malfunction, lost data, or invalid result | Each | included | ||||
| B-4 | Onsite setup of HSAT device | Per patient | |||||
| B-5 | Participant consultation regarding testing procedures | Per patient | |||||
| B-6 | Replacement of lost or damaged testing component, excluding normal wear and tear | Each | |||||
| C. Reporting | |||||||
| Item | Description | Unit | Unit Price | ||||
| C-1 | Registered Polysomnographic Technologist (RPSGT) Review of Sleep Study Data | Per Study | |||||
| C-2 | Physician Final Interpretation by Pulmonologist or Board-Certified Sleep Physician | Per Study | |||||
| C-3 | Written Diagnostic Report including Clinical Findings, Diagnosis, Severity, Treatment Recommendation, and Additional Recommendations when Applicable | Per Report | |||||
| C-4 | Expedited Twenty-Four (24) Hour Diagnostic Review and Report Following Receipt of Returned Device | Per Report | |||||
| D. Pulmonary Consultation Services | |||||||
| Item | Description | Unit | Unit Price | ||||
| D-1 | Telehealth Pulmonary Consultation including review of Diagnostic Findings and Treatment Recommendations | Per Consultation | |||||
| D-2 | Follow-Up Telehealth Consultation | Per Consultation | |||||
| D-3 | Telehealth Consultation with Respiratory Therapist (if ordered) | Per Consultation | |||||
| E. Positive Airway Pressure (PAP) Therapy Equipment | |||||||
| Item | Description | Unit | Unit Price | Manufacturer | Model | Warranty Period | Replacement Time |
| E-1 | Continuous Positive Airway Pressure (CPAP) Purchase | Each | |||||
| E-2 | Automatic Positive Airway Pressure (AutoPAP) Purchase | Each | |||||
| E-3 | Bi-Level Positive Airway Pressure (BiPAP) Purchase | Each | |||||
| E-4 | CPAP Lease | 12 Months | |||||
| E-5 | AutoPAP Lease | 12 Months | |||||
| E-6 | BiPAP Lease | 12 Months | |||||
| E-7 | CPAP Rental | Per Month | |||||
| E-8 | AutoPAP Rental | Per Month | |||||
| E-9 | BiPAP Rental | Per Month | |||||
| E-10 | Initial PAP Starter Kit Including Mask, Tubing, Filters, and Manufacturer-Required Accessories | Each Kit | |||||
| E-11 | Initial Mask Fitting Kit | Each Kit | |||||
| E-12 | PAP Device Setup, Patient Instruction, and Initial Therapy Education | Each | |||||
| F. Replacement Supplies | |||||||
| Item | Description | Unit | Unit Price | ||||
| F-1 | Full Face Mask | Each | |||||
| F-2 | Nasal Mask | Each | |||||
| F-3 | Nasal Pillow Mask | Each | |||||
| F-4 | Standard Tubing | Each | |||||
| F-5 | Heated Tubing | Each | |||||
| F-6 | Reusable Filter | Each | |||||
| F-7 | Disposable Filter | Each | |||||
| F-8 | Water Chamber | Each | |||||
| F-9 | Power Supply | Each | |||||
| F-10 | Power Cord | Each | |||||
| F-11 | Oxygen Adapter | Each | |||||
| F-12 | Oxygen Tubing | Each | |||||
| F-13 | Headgear | Each | |||||
| F-14 | Chin Strap | Each | |||||
| F-15 | Cleaning and Sanitation supplies | Package | |||||
| F-16 | Other Components Required to Maintain Prescribed Therapy | Each | |||||
| G. Training | |||||||
| Item | Description | Unit | Unit Price | ||||
| G-1 | Initial Virtual Training | Session | |||||
| G-2 | Initial Onsite Training | Session | |||||
| G-3 | Additional Training Session | Session | |||||
| G-4 | Written Educational Materials | Each | Included | ||||
| G-5 | Documentation of Training Attendance | Each | Included | ||||
| H. Support | |||||||
| Item | Description | Unit | Unit Price | ||||
| H-1 | 24/7 Technical Support and Clinical Support in Accordance with the Requirements of Exhibit A | Each | Included | ||||
| H-2 | Onsite Respiratory Therapist Support | Visit | |||||
| H-3 | Additional Onsite Clinical Support | Hour | |||||
| I. Reporting | |||||||
| Item | Description | Unit | Unit Price | ||||
| I-1 | Monthly Utilization Reports | Each | Included | ||||
| I-2 | PAP Compliance Reports | Each | Included | ||||
| I-3 | Additional Custom Reports | Report | |||||
| I-4 | Quarterly Performance Review Meeting | Each | Included | ||||
| J. Optional Services | |||||||
| Item | Description | Unit | Unit Price | ||||
| J-1 | Additional Optional Products or Services | Each |
Price Adjustment
| 26PSX0134 EXHIBIT B PRICE SCHEDULE |
| PRICE ADJUSTMENT |
| PRICING/PERCENTAGE OFF MARKET RATE WILL REMAIN FIRM FOR TWENTY-FOUR (24) MONTHS FOLLOWING THE EFFECTIVE DATE OF THE CONTRACT. |
CONTRACTOR SHALL HAVE THE RIGHT TO REQUEST A PERCENTAGE CHANGE ONLY DURING THE THIRTY (30) DAYS IMMEDIATELY PRECEDING THE ANNUAL ANNIVERSARY DATES OF THE EFFECTIVE DATE OF THE CONTRACT DURING THE TERM OF THE CONTRACT.
DURING THIS THIRTY (30) DAY PERIOD, THE CONTRACTOR MUST SUBMIT A REQUEST IN WRITING TO DAS IN ACCORDANCE WITH THE NOTICE PROVISION OF THE CONTRACT.
PRICE/PERCENTAGE OFF MARKET RATE ADJUSTMENT REQUESTS WILL BE DETEREMINED BY THE BUREAU OF LABOR STATISTICS PRODUCER PRICE INDEXES ("PPI"). PRICE ADJUSTMENT RQUESTS MUST NOT EXCEED THE PPI AND MUST BE CONSISTENT WITH THE PPI. THE CONTRACTOR MUST FULLY DOCUMENT ANY PRICE REQUEST, ATTACHING TO THE REQUEST, AT A MINIMUM, THE APPLICABLE PPI DATA, MANUFACTURERE OR SUPPLIER DOCUMENTATION SUPORTING ANY INCRASE, DOCUMENTATION DEMONSTRATING THE IMPACT OF THE INCREASE ON TEH CONTRACTOR'S COSTS AND DETAILED CALCULATION OF THE REQUESTED ADJUSTMENT TO SUPPORT THE REQUESTED PRICE ADJUSTMENT.
DAS MAY, IN ITS SOLE DISCRETION, APPROVE OR DISAPPROVE THE REQUESTED PRICE/PERCENTAGE OFF MARKET RATE ADJUSTMENT, IN WHOLE OR IN PART.
IF APPROVED, THE PERCENTAGE CHANGE WILL BECOME EFFECTIVE TEN (10) DAYS AFTER THE DATE OF THE APPROVAL.
THE CONTRACTOR SHALL HONOR ANY PURCHASE ORDER(S) ISSUED PRIOR TO THE EFFECTIVE DATE OF THE APPROVAL AT THE PRICE IN EFFECT AT THE TIME OF THE ISSUANCE OF THE PURCHASE ORDER.
THE CONTRACTOR SHALL SUBMIT ALL REQUESTS IN ACCORDANCE WITH CONTRACT SECTION NOTICE. A REQUEST MADE TO THE CLIENT AGENCY SHALL NOT BE VALID AND THE PARTIES SHALL TREAT IT AS IF THE CONTRACTOR HAD NOT MADE THE REQUEST AT ALL.
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