Attachment 7- Estimated usage by Site (West).xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- NCO 4 West DME Services Federal contract opportunity
- Solicitation number
- 36C24420Q0939
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Altoona
| CLIN | Description of supplies/services | Estimated Usage |
| 0001 | Rate for pick-up or delivery. The charge required for scheduling the delivery or pick up appointment with the patient or his/her caregiver; storage, delivery, assembly, set-up, installation and adjustment of basic DME, basic manual wheelchairs and scooters; reclaiming the DME (including disassembly, un-installation and pick up); providing patient instructions for use, care, maintenance & basic trouble-shooting of the DME, basic manual and power wheelchairs and scooters by a manufacturer trained technition; and completing a delivery certification. | 360 |
| 0002 | REPAIR SERVICE: Repair service for all DME and wheelchairs to restore items picked-up to first class condition will be made on the basis of an hourly rate with agreement reached on a per job basis with the Prosthetic Representative and Prosthetics, prior to any repair service, except in cases of emergency | 300 |
| 0003 | INSTALLATION/ASSESSMENT of VA supplied grab bars. | 144 |
| 0004 | AFTER HOURS/EMERGENCY DELIVERY: The Contractor will offer emergency delivery service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 0 |
| 0005 | AFTER HOURS/EMERGENCY REPAIR: The Contractor will offer emergency repair service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 0 |
| 0006 | COMPLEX POWER CHAIRS: With adjustable seating 60 minutes to put together, 90 minutes to set-up, 1 follow-up visit Certified Technician to include delivery and set up | 0 |
| 0007 | INSTALLATION/SET-UP Installation and set-up of VA owned Telehealth equipment Contract Period: Base | 60 |
| 0008 | Rate for one person to travel to veterans home, connect with VA via contractor owned cellular connected device (Ipad or similar- equiped with VA secure app provided by VA) and walk through areas of home guided by VA therapist , so therapist can see home environment. Can only be requested when done in conjunction with DME delivery/set ups. | 20 |
Butler
| CLIN | Description of supplies/services | Estimated Usage |
| 0001 | Rate for pick-up or delivery. The charge required for scheduling the delivery or pick up appointment with the patient or his/her caregiver; storage, delivery, assembly, set-up, installation and adjustment of basic DME, basic manual wheelchairs and scooters; reclaiming the DME (including disassembly, un-installation and pick up); providing patient instructions for use, care, maintenance & basic trouble-shooting of the DME, basic manual and power wheelchairs and scooters by a manufacturer trained technition; and completing a delivery certification. | 160 |
| 0002 | REPAIR SERVICE: Repair service for all DME and wheelchairs to restore items picked-up to first class condition will be made on the basis of an hourly rate with agreement reached on a per job basis with the Prosthetic Representative and Prosthetics, prior to any repair service, except in cases of emergency | 75 |
| 0003 | INSTALLATION/ASSESSMENT of VA supplied grab bars. | 96 |
| 0004 | AFTER HOURS/EMERGENCY DELIVERY: The Contractor will offer emergency delivery service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 0 |
| 0005 | AFTER HOURS/EMERGENCY REPAIR: The Contractor will offer emergency repair service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 0 |
| 0006 | COMPLEX POWER CHAIRS: With adjustable seating 60 minutes to put together, 90 minutes to set-up, 1 follow-up visit Certified Technician to include delivery and set up | 0 |
| 0007 | INSTALLATION/SET-UP Installation and set-up of VA owned Telehealth equipment Contract Period: Base | 12 |
| 0008 | Rate for one person to travel to veterans home, connect with VA via contractor owned cellular connected device (Ipad or similar- equiped with VA secure app provided by VA) and walk through areas of home guided by VA therapist , so therapist can see home environment. Can only be requested when done in conjunction with DME delivery/set ups. | 30 |
Erie
| CLIN | Description of supplies/services | Estimated Usage |
| 0001 | Rate for pick-up or delivery. The charge required for scheduling the delivery or pick up appointment with the patient or his/her caregiver; storage, delivery, assembly, set-up, installation and adjustment of basic DME; reclaiming the DME (including disassembly, un-installation and pick up); providing patient instructions for use, care, maintenance & basic trouble-shooting of the DME; and completing a delivery certification. | 175 |
| 0002 | REPAIR SERVICE: Repair service for all DME and wheelchairs to restore items picked-up to first class condition will be made on the basis of an hourly rate with agreement reached on a per job basis with the Prosthetic Representative and Prosthetics, prior to any repair service, except in cases of emergency | 50 |
| 0003 | INSTALLATION/ASSESSMENT of VA supplied grab bars. | 30 |
| 0004 | AFTER HOURS/EMERGENCY DELIVERY: The Contractor will offer emergency delivery service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 10 |
| 0005 | AFTER HOURS/EMERGENCY REPAIR: The Contractor will offer emergency repair service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 35 |
| 0006 | COMPLEX POWER CHAIRS: With adjustable seating 60 minutes to put together, 90 minutes to set-up, 1 follow-up visit Certified Technician | 75 |
| 0007 | INSTALLATION/SET-UP Installation and set-up of VA owned Telehealth equipment Contract Period: Base | 25 |
| 0008 | Rate for one person to travel to veterans home, connect with VA via contractor owned cellular connected device (Ipad or similar- equiped with VA secure app provided by VA) and walk through areas of home guided by VA therapist , so therapist can see home environment. | 35 |
Pittsburgh
| CLIN | Description of supplies/services | Estimated Usage |
| 0001 | Rate for pick-up or delivery. The charge required for scheduling the delivery or pick up appointment with the patient or his/her caregiver; storage, delivery, assembly, set-up, installation and adjustment of basic DME; reclaiming the DME (including disassembly, un-installation and pick up); providing patient instructions for use, care, maintenance & basic trouble-shooting of the DME; and completing a delivery certification. | 3351 |
| 0002 | REPAIR SERVICE: Repair service for all DME and wheelchairs to restore items picked-up to first class condition will be made on the basis of an hourly rate with agreement reached on a per job basis with the Prosthetic Representative and Prosthetics, prior to any repair service, except in cases of emergency | 600 |
| 0003 | INSTALLATION/ASSESSMENT of VA supplied grab bars. | 998 |
| 0004 | AFTER HOURS/EMERGENCY DELIVERY: The Contractor will offer emergency delivery service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 0 |
| 0005 | AFTER HOURS/EMERGENCY REPAIR: The Contractor will offer emergency repair service for all equipment. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. | 60 |
| 0006 | COMPLEX POWER CHAIRS: With adjustable seating 60 minutes to put together, 90 minutes to set-up, 1 follow-up visit Certified Technician | 600 |
| 0007 | INSTALLATION/SET-UP Installation and set-up of VA owned Telehealth equipment Contract Period: Base | 0 |
| 0008 | Rate for one person to travel to veterans home, connect with VA via contractor owned cellular connected device (Ipad or similar- equiped with VA secure app provided by VA) and walk through areas of home guided by VA therapist , so therapist can see home environment. | 0 |
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