Attachment 3 - CCN Next Gen - Dental Network Pricing Template v3.xlsx
XLSX spreadsheet 30 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 is used by offerors to submit pricing for dental services and related administrative functions across a base period and nine optional periods.
The pricing template includes nine Contract Line Item Numbers (CLINs) covering the following services and deliverables: CLIN X001 for dental services up to 100% of DVAFS rates; CLIN X002 for waivers of payment rates not to exceed a maximum percentage above Medicare or VA Fee Schedule rates; CLIN X003 for non-DVAFS dental services at 50% of billed charges; CLIN X004 for administrative services priced monthly per eligible veteran population; CLIN X005 for implementation as a fixed-price lump sum; CLIN X006 for optional appointment scheduling services with separate implementation costs for VA facilities and contractor sites, plus per-referral administration fees; CLIN X007 for optional software development tasks in five size categories (extra-small through extra-large); and CLIN X008 for transition-out services as a fixed-price lump sum. The template also includes separate Basis of Estimate (BOE) sections for CLINs X004, X005, X006, X007, and X008 to support offeror pricing submissions.
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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 | Maximum % above Medicare or 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 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 .