Attachment 3 - CCN Next Gen - Medical West TOPR Price Schedule v4.xlsx

This is a pricing template for the Community Care Network (CCN) Next Generation Medical West contract with the Department of Veterans Affairs. The template establishes a comprehensive pricing structure across six contract line item numbers (CLINs) spanning a six-year performance period consisting of a base year plus five option years. The contract encompasses multiple healthcare service categories including standard Medicare rate healthcare services (CLIN X001), PPS-exempt healthcare services, waivers of payment rates, seasonal vaccinations and adult immunizations (CLIN X003), VA fee schedule services (CLIN X004), non-Medicare/non-VA fee schedule services (CLIN X005), urgent and emergent medications in both brand name and generic formulations with associated dispensing fees (CLIN X006), disaster response medications (CLIN X007), administrative services for healthcare and pharmacy benefits management (CLIN X008), organ acquisition costs (CLIN X009), and performance-based incentives/disincentives related to adverse credit reporting and value-based care metrics (CLIN X010).

The template also includes pricing for implementation services (CLIN X011), transition-out services (CLIN X012), and multiple optional task CLINs covering appointment scheduling and comprehensive care coordination at both VA facilities and contractor sites with tiered pricing structures (CLIN X013-X014), care coordination follow-up services (CLIN X015), and software development tasks in five size categories from extra-small to extra-large (CLIN X016). Pricing methodologies vary by service type, including percentages of Medicare rates, VA fee schedules, and AWP (average wholesale price) for medications, along with fixed per-unit and monthly per-veteran-population pricing models. The template requires offerors to submit basis of estimate (BOE) documentation for most CLINs to support their proposed pricing across the contract performance period.