36C24418R0352-005.docx
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- 36C24418R0352
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36C24418R0352 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 contract if selected for award. Pricing to be adjusted on an annual basis based on based on Medicare rate pricing. Percentage Add-On or Discount remain constant over life of contract.
| 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 (Invoice 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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