36C24418Q0061-005.docx

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VA Lebanon Community Nursing Home Services with onsite ventilator capability
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36C24418Q0061
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36C24418Q0061 Attachment 4- Medicare pricing Spreadsheet.docx

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Attachment 4: Pricing Spreadsheet

Medicare Resource Utilization Group (RUG) rates have 66 Levels of Care, the Department of Veteran Affairs anticipates determining rates based on 8 blended categories’ comprised of the following: Complete below spreadsheet and submit with offer. Pricing Submitted shall be utilized in final BOA if selected for award.

CLINs
RESOURCE UTILIZATION GROUP (RUGs) IV (66 Levels of Care) grouped into 8 blended categories.

Source: Federal Register RUGS IV Pricing Schedule

Medicare Rate and Wage Adjustment average for grouping
Percentage Add-On or Discount
Adjusted Medicare

Per Diem Rate

0001
Rehab Plus Extensive Services

inclusive of: RUX, RUL, RVX, RVL, RHX, RHL, RMX, RML,RLX

0002
Rehab

inclusive of: RUC, RUB, RUA, RVC, RVB, RVA, RHC, RHB, RHA, RMC, RMB, RMA, RLB, RLA

0003
Extensive Services

inclusive of: ES3, ES2, ES1

0004
Special Care High

inclusive of: HE2, HE1, HD2, HD1, HC2, HC1, HB2, HB1

0005
Special Care Low

inclusive of: LE2, LE1, LD2, LD1, LC2, LC1, LB2, LB1

0006
Clinically Complex

inclusive of: CE2, CE1, CD2, CD1, CC2, CC1, CB2, CB1, CA2, CA1

0007
Impaired Cognition & Behavior Problems

inclusive of: BB2, BB1, BA2, BA1

0008
Reduced Physical Function

inclusive of: PE2, PE1, PD2, PD1, PC2, PC1, PB2, PB1, PA2, PA1

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