36C24419R0052-025.docx

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Columbia County CBOC Wilkes- Barre VAMC
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36C24419R0052
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36C24419R0052 D.23 Attachment B.2 Schedule .docx

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B.2 PRICE/COST SCHEDULE

The quantities listed in the Price Schedule below are estimates only and are not to be considered a minimum or maximum.

The Government will order the below specified minimum contract value of services and may order up to and including the below specified maximum contract value of services through task orders under this basic Indefinite Delivery Indefinite Quantity (IDIQ) contract during the duration of the contract inclusive of all option periods. The maximum amount under this contract is not guaranteed.

The guaranteed minimum award amount for this contract is $175,000.00. The maximum aggregate value of all orders placed under this contract shall not exceed $16,500,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

Ordering Procedures: VA has the sole authority to assign Veterans treated by the contractor into the Primary Care Management Manual (PCMM) software program used to track primary care clinic veteran rosters. Specific billable processes for issuing task orders under the resultant contract are included in section 6. Refer to section 6.2.1 for billable roster information and refer to section 6.2.2 invoicing and payments for payment processing.

CLIN
DESCRIPTION OF SERVICES
ESTIMATED QUANTITY
UNIT
PRICE PER UNIT
TOTAL ESTIMATED COST
0001
Primary Care services will be provided in accordance with attached performance work statement for Columbia County, PA. The period of performance is a 5 year base. Pricing will be based on capitation rates per member, per month (PMPM).

POP Begin: 03/01/2020 POP End: 02/28/2025

0.00
PMPM
_____________
________________
0001AA
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Base POP Begin: 03/01/2020 POP End: 02/28/2021

18240
PMPM
$____________
$_______________
0001AB
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Base POP Begin: 03/01/2021 POP End: 02/28/2022

18360
PMPM
$____________
$_______________
0001AC
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Base POP Begin: 03/01/2022 POP End: 02/28/2023

18480
PMPM
$____________
$_______________
0001AD
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Base POP Begin: 03/01/2023 POP End: 02/29/2024

18600
PMPM
$____________
$_______________
0001AE
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Base POP Begin: 03/01/2024 POP End: 02/28/2025

18720
PMPM
$____________
$_______________

Base Period Estimated Total POP Begin: 03/01/2020 POP End: 02/28/2025

1001
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Option 1 POP Begin: 03/01/2025 POP End: 02/28/2026

18840
PMPM
$____________
$_______________
2001
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Option 2 POP Begin: 03/01/2026 POP End: 02/28/2027

18960
PMPM
$____________
$_______________
3001
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Option 3 POP Begin: 03/01/2027 POP End: 02/29/2028

19080
PMPM
$____________
$_______________
4001
Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Option 4 POP Begin: 03/01/2028 POP End: 02/28/2029

19200
PMPM
$____________
$_______________

Provide primary care services in accordance with attached performance work statement for Columbia County PA.

Contract Period: Option 5 POP Begin: 03/01/2029 POP End: 02/28/2030

19320
PMPM
$____________
$_______________
GRAND TOTAL
$_______________

36C24419R0052

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