Attachment 3 - CCN Next Gen Dental Network Pricing Template.xlsx

XLSX spreadsheet 33 KB Posted

Attached to
Q503--CCN Next Gen - Dental Network
Solicitation number
36C10G26R0004
Issued by

About this file

This is a pricing template for the Community Care Network (CCN) Next Generation Dental Network solicitation issued by the Department of Veterans Affairs. The template establishes the structure for offerors to submit pricing across multiple contract line items (CLINs) spanning a base period and nine option periods.

The pricing template includes mandatory CLINs for core dental services: CLIN X001 covers dental services up to 100% of DVAFS (Department of Veterans Affairs Fee Schedule); CLIN X002 addresses waivers of payment rates with a maximum percentage above Medicare or VA Fee Schedule rates; CLIN X003 covers non-DVAFS dental services at 50% of billed charges; CLIN X004 establishes administrative services pricing per monthly eligible veteran population; CLIN X005 is a fixed-price lump sum for implementation; and CLIN X008 is a fixed-price lump sum for transition out services. Optional CLINs include CLIN X006 for appointment scheduling services (with separate implementation costs for VA facilities and contractor sites, plus per-referral administration fees) and CLIN X007 for software development tasks across five size categories (extra-small, small, medium, large, and extra-large). The template requires offerors to provide pricing for the base period and each option period, with separate basis-of-estimate (BOE) sections for each CLIN.

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Other files

File Type Posted
36C10G26R0004 CCN Next Gen - Dental Network Conformed Copy 03272026.pdf PDF
Attachment 3 - CCN Next Gen - Dental Network Pricing Template v3.xlsx XLSX spreadsheet
36C10G26R0004 0014 CCN Next Gen - Dental Network Amendment.pdf PDF
36C10G26R0004 0013 CCN Next Gen - Dental Network Amendment.pdf PDF
36C10G26R0004 Next Gen Dental Network_Conformed Copy_03232026.pdf PDF
36C10G26R0004 0012 CCN Next Gen - Dental Network Amendment.pdf PDF
36C10G26R0004 Next Gen Dental Network_Conformed Copy.pdf PDF
Attachment 3 - CCN Next Gen Dental Network Pricing Template v2.xlsx XLSX spreadsheet
36C10G26R0004 0011 CCN Next Gen - Dental Network Amendment.pdf PDF
Attachment 1 - CCN Next Gen Dental Network PWS_03_13_26 v4.pdf PDF
36C10G26R0004 0010 CCN Next Gen Dental Network Amendment.pdf PDF
36C10G26R0004 Next Gen Dental Network Conformed Copy 03062026.pdf PDF
Attachment 2-CCN Next Gen Dental Network Contractor Manual_03_06_26 v3.pdf PDF
Attachment 1 - CCN Next Gen Dental Network PWS_03_05_26 v3.pdf PDF
Attachment Ca - QASP Dental by CA_02_24_26 v2.pdf PDF
Attachment 1 - CCN Next Gen Dental Network PWS_02_25_26 v2.pdf PDF
CCN NG Dental Record of Questions Amendment 0009.pdf PDF
Attachment 2- CCN Next Gen Dental Contractor Manual_02_24_26 v2.pdf PDF
Attachment C - Performance Requirement Summary_Dental_02_24_26 v3.pdf PDF
Attachment R - Dental Network Provider Satisfaction Survey_02_24_26 v2.pdf PDF
36C10G26R0004 0009.pdf PDF
Attachment Q- Network Adequacy Rate Waiver Form- Dental Network_02_24_26 v3.pdf PDF
36C10G26R0004 0008 CCN Next Gen Dental Amendment.pdf PDF
CCN Next Gen - Care Coordination Slides.pdf PDF
CCN Next Gen - Eligibility_Enrollment Slides.pdf PDF
CCN Next Gen - Referrals_Authorizations_SEOCs Overview.mp4 MP4 file
CCN Next Gen - Eligibility_Enrollment Overview.mp4 MP4 file
CCN Next Gen - Care Coordintion Overview.mp4 MP4 file
CCN Next Gen - Referrals_Authorizations_SEOC Slides.pdf PDF
36C10G26R0004 0007 CCN Next Gen Dental Network Amendment.pdf PDF
Attachment 6 - Past Performance Reference Template - Dental Network.pdf PDF
36C10G26R0004 0006 CCN Next Gen Dental Amendment.pdf PDF
CCN NG Dental Record of Questions Amendment 0006.pdf PDF
CCN Next Generation Dental Pre-proposal Conference slides_01212026.pdf PDF
36C10G26R0004 0005 CCN Next Gen Dental Amendment.pdf PDF
36C10G26R0004 0004 CCN Next Gen Dental Amendment.pdf PDF
CCN Next Gen Dental Pre-proposal Conference 01212026 Recording.mp4 MP4 file
Attachment O Dental Volumes by Station Dental Network_Updated.xlsx XLSX spreadsheet
Attachment C- Performance Requirement Summary- Dental Network _V2.xlsx XLSX spreadsheet
36C10G26R0004 0003 CCN Next Gen Dental Amendment.pdf PDF
36C10G26R0004 0002 CCN Next Gen Dental Network Amendment.pdf PDF
Attachment 2- CCN Next Gen Dental Contractor Manual_v1.0.pdf PDF
36C10G26R0004 0001 CCN Next Gen Dental RFP Amendment 12.23.25.pdf PDF
Next Gen Dental Combined Synopsis_Solicitation_v2.pdf PDF
Dental IDIQ Record of Questions_Amendment 0001.pdf PDF
Attachment 4- Phase I Questionnaire- Dental Network.pdf PDF
Attachment N- Scheduling Return Reason Codes- Dental Network.docx DOCX document
Attachment J- Data Specifications- Dental Network.xlsx XLSX spreadsheet
Attachment C- Performance Requirement Summary- Dental Network.xlsx XLSX spreadsheet
Attachment Ma- EDI 834 Healthcare Provider Information Companion Guide- Dental Network.pdf PDF
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Text version

Pricing Template

Community Care Network Next Generation - Dental
Pricing Schedule

Offeror Name:

Prices per CLIN per year
CLINDESCRIPTIONUNIT/DirectionsBASE PERIODOPTION PERIOD 1OPTION PERIOD 2OPTION PERIOD 3OPTION PERIOD 4OPTION PERIOD 5OPTION PERIOD 6OPTION PERIOD 7OPTION PERIOD 8OPTION PERIOD 9OPTION OF EXTEND SERVICES
CLIN X001Dental ServicesUp to 100% of DVAFS
CLIN X002Waivers of Payment RatesMaximum % above Medicare or VA Fee Schedule Rate
CLIN X003Non-DVAFS Dental Services50% billed charges
CLIN X004Administrative ServicesMonthly Eligible Veteran Population
CLIN X005ImplementationFixed Price Lump Sum
CLIN X006Optional: Appointment Scheduling
CLIN X006AAImplementation for Dental Appointment Scheduling: VA Facility$ total cost of implementation per VA Facility
CLIN X006ABImplementation for Dental Appointment Scheduling: Contractor's Site$ total cost of implementation at Contractor’s site
CLIN X006ACDental Appointment Scheduling Administration$ per Approved Referral for Appointment Scheduling
CLIN X007Optional: Software, Process, and Proof of Concept Development
CLIN X007AAExtra-Small Software Development Task Size$ per software development task
CLIN X007ABSmall Software Development Task Size$ per software development task
CLIN X007ACMedium Software Development Task Size$ per software development task
CLIN X007ADLarge Software Development Task Size$ per software development task
CLIN X007AEExtra Large Software Development Task Size$ per software development task
CLIN X008Transition OutFixed Price Lump Sum

CLIN X002 BOE

CLIN X002 - Waivers of Payment Rates
BOE

Offeror Name:

CLIN X004 BOE

CLIN X004 - Administrative Services
BOE

Offeror Name:

CLIN X005 BOE

CLIN X005 - Implementation
BOE

Offeror Name:

CLIN X006 BOE

CLIN X006 - Optional: Appointment Scheduling
BOE

Offeror Name:

CLIN X007 BOE

CLIN X007 - Optional: Software Development
BOE

Offeror Name:

CLIN X008 BOE

CLIN X008 - Transition Out
BOE

Offeror Name:

File details come from the government source that posted it. Updated .