36C24526Q0019 0002.docx
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- Solicitation number
- 36C24526Q0019
About this file
This is an Amendment to a Request for Proposal (RFQ) for Ground Ambulance Services at the Martinsburg VA Medical Center. The solicitation (36C24526Q0019) is a 5-year Commercial Firm Fixed Price, Single Award Indefinite Delivery/Indefinite Quantity (IDIQ) contract with a maximum ceiling of $2.6 million. The contract will support ground ambulance transportation services with various transport types including Advanced Life Support (Emergent and Non-Emergent), Basic Life Support, Critical Care Transport, and additional mileage and waiting time services.
The amendment extends the quote submission deadline to December 18, 2025, at 1:00 PM EST. The contract includes a base period from January 15, 2026, to January 14, 2027, with four additional one-year option periods extending through January 14, 2031, and a final six-month option period. The incumbent contractor is Patient Transportation Inc. from Martinsburg, WV. The Department of Veterans Affairs will award the contract to the Lowest Price Technically Acceptable (LPTA) contractor, with a minimum guaranteed amount of $1,000 and task orders to be issued by a warranted Contracting Officer.
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| 36C24526Q0019 0001.docx | DOCX document | |
| 36C24526Q0019_1.docx | DOCX document |
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5. PROJECT NUMBER (if applicable)
CODE
7. ADMINISTERED BY
2. AMENDMENT/MODIFICATION NUMBER
CODE
6. ISSUED BY
8. NAME AND ADDRESS OF CONTRACTOR
4. REQUISITION/PURCHASE REQ. NUMBER
3. EFFECTIVE DATE
9A. AMENDMENT OF SOLICITATION NUMBER
9B. DATED
PAGE OF PAGES
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
10B. DATED
BPA NO.
1. CONTRACT ID CODE
FACILITY CODE
CODE
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
E. IMPORTANT:
is extended,
(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.
12. ACCOUNTING AND APPROPRIATION DATA
(REV. 11/2016)
is required to sign this document and return ___________ copies to the issuing office.
is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
15C. DATE SIGNED
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER
Contractor
16C. DATE SIGNED
14. DESCRIPTION OF AMENDMENT/MODIFICATION
16B. UNITED STATES OF AMERICA
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER
16A. NAME AND TITLE OF CONTRACTING OFFICER
15B. CONTRACTOR/OFFEROR
STANDARD FORM 30
PREVIOUS EDITION NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)
(If required)
(SEE ITEM 11)
(SEE ITEM 13)
(X)
CHECK
ONE
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
(Signature of person authorized to sign) (Signature of Contracting Officer) 12-10-2025 613-26-1-826-0001 Department of Veterans Affairs VISN 5 Contracting 849 International Drive Linthicum
MD
21090 Department of Veterans Affairs VISN 5 Contracting 849 International Drive Linthicum
MD
21090 To all Offerors/Bidders
36C24526Q0019 09-29-2025
X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 12-18-2025 13:00 EST See CONTINUATION Page X The purpose of this amendment is to update B.2 and B.4.
The quote due date has been extended to December 18, 2025 by 1:00PM ET.
Dan Feng Lu
VA-VHA-RPOE-2024-0053
CONTINUATION PAGE
B.2 SINGLE AWARD TASK ORDER CONTRACTS (SATOC)
Quantities listed are estimated only and are not guaranteed.
This is a 5-year Commercial Firm Fixed Price, Single Award Indefinite Delivery / Indefinite Quantity (IDIQ) contract, for Ground Ambulance Services to support Martinsburg VA Medical Center. The Department of Veteran Affairs intends to award to the Lowest Price Technically Acceptable (LPTA) contractor.
Accordingly, funds are not obligated on this contract at the award; rather, funds are obligated via task orders issued against the contract. Task orders shall only be issued by a warranted VA Contracting Officer (CO). VA CO will issue task orders to the contractor authorizing services via Standard Form 1449. Each task order shall clearly identify the dollar amount authorized under the individual task order and the period of performance of the individual task order. When a task order period of performance is completed, additional services shall not be provided unless a new task order is issued in accordance with this IDIQ.
The minimum dollar amount guaranteed under this contract for the performance period of the five year is $1,000.00. The maximum dollar amount or contract ceiling for this contract is 2,600,000.00. The maximum amount is not guaranteed. The combined total of all orders placed against this contract cannot exceed the maximum amount/ceiling of this contract.
(End of Clause)
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 20.00 |
| EA |
| __________________ |
| __________________ |
(A0427) Advanced Life Support Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital. (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Base POP Begin: 01-15-2026 POP End: 01-14-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 5.00 |
| EA |
| __________________ |
| __________________ |
(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2026 POP End: 01-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 175.00 |
| EA |
| __________________ |
| __________________ |
(A0428) Basic Life Support, Non-Emergency Transport, Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration. (base rate, to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2026 POP End: 01-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2.00 |
| EA |
| __________________ |
| __________________ |
(A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care. (A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care.
POP Begin: 01-15-2026 POP End: 01-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12,000.00 |
| EA |
| __________________ |
| __________________ |
(A0425) Mileage Trip Outside the Base Rate
POP Begin: 01-15-2026 POP End: 01-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,520.00 |
| EA |
| __________________ |
| __________________ |
(A0420) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).
POP Begin: 01-15-2026 POP End: 02-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 20.00 |
| EA |
| __________________ |
| __________________ |
(A0427) Advanced Life Support Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital. (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 1 POP Begin: 01-15-2027 POP End: 01-14-2028
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 5.00 |
| EA |
| __________________ |
| __________________ |
(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2027 POP End: 01-14-2028
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 175.00 |
| EA |
| __________________ |
| __________________ |
(A0428) Basic Life Support, Non-Emergency Transport, Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration. (base rate, to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2027 POP End: 01-14-2028
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2.00 |
| EA |
| __________________ |
| __________________ |
(A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care. (A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care.
POP Begin: 01-15-2027 POP End: 01-14-2028
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12,000.00 |
| EA |
| __________________ |
| __________________ |
(A0425) Mileage Trip Outside the Base Rate
POP Begin: 01-15-2027 POP End: 01-14-2028
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,520.00 |
| EA |
| __________________ |
| __________________ |
(A0420) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).
POP Begin: 01-15-2027 POP End: 01-14-2028
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 20.00 |
| EA |
| __________________ |
| __________________ |
(A0427) Advanced Life Support Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital. (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 2 POP Begin: 01-15-2028 POP End: 01-14-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 5.00 |
| EA |
| __________________ |
| __________________ |
(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2028 POP End: 01-14-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 175.00 |
| EA |
| __________________ |
| __________________ |
(A0428) Basic Life Support, Non-Emergency Transport, Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration. (base rate, to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2028 POP End: 01-14-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2.00 |
| EA |
| __________________ |
| __________________ |
(A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care. (A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care.
POP Begin: 01-15-2028 POP End: 01-14-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12,000.00 |
| EA |
| __________________ |
| __________________ |
(A0425) Mileage Trip Outside the Base Rate
POP Begin: 01-15-2028 POP End: 01-14-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,520.00 |
| EA |
| __________________ |
| __________________ |
(A0420) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).
POP Begin: 01-15-2028 POP End: 01-14-2029
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 20.00 |
| EA |
| __________________ |
| __________________ |
(A0427) Advanced Life Support Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital. (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 3 POP Begin: 01-15-2029 POP End: 01-14-2030
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 5.00 |
| EA |
| __________________ |
| __________________ |
(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2029 POP End: 01-14-2030
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 175.00 |
| EA |
| __________________ |
| __________________ |
(A0428) Basic Life Support, Non-Emergency Transport, Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration. (base rate, to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2029 POP End: 01-14-2030
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2.00 |
| EA |
| __________________ |
| __________________ |
(A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care. (A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care.
POP Begin: 01-15-2029 POP End: 01-14-2030
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12,000.00 |
| EA |
| __________________ |
| __________________ |
(A0425) Mileage Trip Outside the Base Rate
POP Begin: 01-15-2029 POP End: 01-14-2030
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,520.00 |
| EA |
| __________________ |
| __________________ |
(A0420) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).
POP Begin: 01-15-2029 POP End: 01-14-2030
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 20.00 |
| EA |
| __________________ |
| __________________ |
(A0427) Advanced Life Support Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital. (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 4 POP Begin: 01-15-2030 POP End: 01-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 5.00 |
| EA |
| __________________ |
| __________________ |
(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2030 POP End: 01-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 175.00 |
| EA |
| __________________ |
| __________________ |
(A0428) Basic Life Support, Non-Emergency Transport, Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration. (base rate, to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2030 POP End: 01-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2.00 |
| EA |
| __________________ |
| __________________ |
(A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care. (A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care.
POP Begin: 01-15-2030 POP End: 01-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12,000.00 |
| EA |
| __________________ |
| __________________ |
(A0425) Mileage Trip Outside the Base Rate
POP Begin: 01-15-2030 POP End: 01-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,520.00 |
| EA |
| __________________ |
| __________________ |
(A0420) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).
POP Begin: 01-15-2030 POP End: 01-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 0.00 |
| EA |
| __________________ |
| __________________ |
(A0427) Advanced Life Support Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital. (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 5 POP Begin: 01-15-2031 POP End: 07-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 0.00 |
| EA |
| __________________ |
| __________________ |
(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2031 POP End: 07-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 0.00 |
| EA |
| __________________ |
| __________________ |
(A0428) Basic Life Support, Non-Emergency Transport, Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration. (base rate, to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue
POP Begin: 01-15-2031 POP End: 07-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 0.00 |
| EA |
| __________________ |
| __________________ |
(A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care. (A0434) Critical Care Transport (Upper-Level Care) Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care.
POP Begin: 01-15-2031 POP End: 01-14-2032
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 0.00 |
| EA |
| __________________ |
| __________________ |
(A0425) Mileage Trip Outside the Base Rate
POP Begin: 01-15-2031 POP End: 07-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 0.00 |
| EA |
| __________________ |
| __________________ |
(A0420) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).
POP Begin: 01-15-2031 POP End: 07-14-2031
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| GRAND TOTAL |
| __________________ |
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