36C24419R0074-037.docx
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- McKean County CBOC Services - ERIE VAMC
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- 36C24419R0074
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36C24419R0074 D.35 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 $16,000,000.00. 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. Refer to section 6.2.1 Billable Roster for Specific billable processes under the resultant contract. 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 McKean 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: 06/01/2020 POP End: 05/31/2025
| 0.00 |
| PMPM |
| _____________ |
| ________________ |
| 0001AA |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Base POP Begin: 06/01/2020 POP End: 05/31/2021
| 13740 |
| PMPM |
| $____________ |
| $_______________ |
| 0001AB |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Base POP Begin: 06/01/2021 POP End: 05/31/2022
| 13860 |
| PMPM |
| $____________ |
| $_______________ |
| 0001AC |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Base POP Begin: 06/01/2022 POP End: 05/31/2023
| 13980 |
| PMPM |
| $____________ |
| $_______________ |
| 0001AD |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Base POP Begin: 06/01/2023 POP End: 05/31/2024
| 14100 |
| PMPM |
| $____________ |
| $_______________ |
| 0001AE |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Base POP Begin: 06/01/2024 POP End: 05/31/2025
| 14220 |
| PMPM |
| $____________ |
| $_______________ |
Base Period Estimated Total POP Begin: 06/01/2020 POP End: 05/31/2025
| 1001 |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Option 1 POP Begin: 06/01/2025 POP End: 05/31/2026
| 14340 |
| PMPM |
| $____________ |
| $_______________ |
| 2001 |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Option 2 POP Begin: 06/01/2026 POP End: 05/31/2027
| 14460 |
| PMPM |
| $____________ |
| $_______________ |
| 3001 |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Option 3 POP Begin: 06/01/2027 POP End: 05/31/2028
| 14580 |
| PMPM |
| $____________ |
| $_______________ |
| 4001 |
| Provide primary care services in accordance with attached performance work statement for McKean County PA. |
Contract Period: Option 4 POP Begin: 06/01/2028 POP End: 05/31/2029
| 14700 |
| PMPM |
| $____________ |
| $_______________ |
Provide primary care services in accordance with attached performance work statement for McKean County PA.
Contract Period: Option 5 POP Begin: 06/01/2029 POP End: 05/31/2030
| 14820 |
| PMPM |
| $____________ |
| $_______________ |
| GRAND TOTAL |
| $_______________ |
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