Attachment 3 - CCN Next Gen Dental Network Pricing Template v2.xlsx
XLSX spreadsheet 31 KB Posted
- Attached to
- Q503--CCN Next Gen - Dental Network
- Solicitation number
- 36C10G26R0004
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 pricing structure for dental services to be provided to eligible veterans, with pricing submissions required across multiple contract line items (CLINs) spanning a base period and up to nine option periods.
The core service CLINs include: CLIN X001 for dental services priced at up to 100% of the VA Fee Schedule (DVAFS); CLIN X002 for payment rate waivers not to exceed 200% above Medicare rates; CLIN X003 for non-DVAFS dental services at 50% of billed charges; and CLIN X004 for administrative services priced per month based on eligible veteran population. Additional CLINs address implementation (CLIN X005 and X006 series for optional appointment scheduling services), optional software development tasks in five size categories (CLIN X007AA through X007AE), and transition out services (CLIN X008). Offerors must provide basis of estimate (BOE) documentation for CLINs X002, X004, X005, X006, X007, and X008. The template requires pricing entries for the base period and all nine option periods, enabling the VA to evaluate total contract value across the full performance period.
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Text version
Pricing Template
| Community Care Network Next Generation - Dental |
| Pricing Schedule |
Offeror Name:
| Prices per CLIN per year | |||||||||||||
| CLIN | DESCRIPTION | UNIT/Directions | BASE PERIOD | OPTION PERIOD 1 | OPTION PERIOD 2 | OPTION PERIOD 3 | OPTION PERIOD 4 | OPTION PERIOD 5 | OPTION PERIOD 6 | OPTION PERIOD 7 | OPTION PERIOD 8 | OPTION PERIOD 9 | OPTION OF EXTEND SERVICES |
| CLIN X001 | Dental Services | Up to 100% of DVAFS | |||||||||||
| CLIN X002 | Waivers of Payment Rates | Not to exceed 200% above Medicare of VA Fee Schedule Rate | |||||||||||
| CLIN X003 | Non-DVAFS Dental Services | 50% billed charges | |||||||||||
| CLIN X004 | Administrative Services | Monthly Eligible Veteran Population | |||||||||||
| CLIN X005 | Implementation | Fixed Price Lump Sum | |||||||||||
| CLIN X006 | Optional: Appointment Scheduling | ||||||||||||
| CLIN X006AA | Implementation for Dental Appointment Scheduling: VA Facility | $ total cost of implementation per VA Facility | |||||||||||
| CLIN X006AB | Implementation for Dental Appointment Scheduling: Contractor's Site | $ total cost of implementation at Contractor’s site | |||||||||||
| CLIN X006AC | Dental Appointment Scheduling Administration | $ per Approved Referral for Appointment Scheduling | |||||||||||
| CLIN X007 | Optional: Software, Process, and Proof of Concept Development | ||||||||||||
| CLIN X007AA | Extra-Small Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AB | Small Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AC | Medium Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AD | Large Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AE | Extra Large Software Development Task Size | $ per software development task | |||||||||||
| CLIN X008 | Transition Out | Fixed 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 .