Attachment 2 AM 3 Amended price schedule.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C25625R0028
About this file
This is a pricing schedule template for primary care services at the Kosciusko Community Based Outpatient Clinic (CBOC) spanning five ordering periods from October 1, 2025, to September 30, 2030. The schedule requires vendors to provide per member per month (PMPM) capitation rates for an estimated quantity of 2,120 members per month across all five years, with pricing inclusive of potential buildout costs.
The template is structured into five 12-month ordering periods, each requiring the same scope of primary care services with consistent member quantities. Vendors must provide unit pricing that will be multiplied by the monthly quantity and annualized (multiplied by 12) for each period. The document notes that pricing from the last order will apply to any extensions under FAR 52.217-8, and requires a grand total estimate for the full five-year period. This pricing schedule is part of solicitation 36C25625R0028 for the Department of Veterans Affairs Veterans Health Administration VISN 16.
View the file
Other files
Show all 37
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Ordering Period One (1) – 10-1-2025 to 9-30-2026
| Line Item |
| Services |
Unit
Estimated Quantity
Price per Unit
| Total Estimated Cost per month |
| Total Estimated Cost |
(monthly x12)
| 1001 |
| Primary Care Services at capitation rates per member per month (PMPM)-cost may include buildouts |
PMPM
2,120
Ordering Period Two (2) – 10-1-2026 to 9-30-2027
| Line Item |
| Services |
Unit
Estimated Quantity
Price per Unit
| Total Estimated Cost per month |
| Total Estimated Cost per year |
(monthly x12)
| 2001 |
| Primary Care Services at capitation rates per member per month (PMPM) |
PMPM
2,120
Ordering Period Three (3)– 10-1-2027 to 9-30-2028
| Line Item |
| Services |
Unit
Estimated Quantity
Price per Unit
| Total Estimated Cost per month |
| Total Estimated Cost per year (monthly x12) |
| 3001 |
| Primary Care Services at capitation rates per member per month (PMPM) |
PMPM
2,120
Ordering Period Four (4) - 10-1-2028 to 9-30-2029
| Line Item |
| Services |
Unit
Estimated Quantity
Price per Unit
| Total Estimated Cost per month |
| Total Estimated Cost per year (monthly x12) |
| 4001 |
| Primary Care Services at capitation rates per member per month (PMPM) |
PMPM
2,120
Ordering Period Five (5) - 10-1-2029 to 9-30-2030
| Line Item |
| Services |
Unit
Estimated Quantity
Price per Unit
| Total Estimated Cost per month |
| Total Estimated Cost per year (monthly x12) |
| 5001 |
| Primary Care Services at capitation rates per member per month (PMPM) |
PMPM
2,120
ESTIMATED GRAND TOTAL FOR FIVE YEARS $________________________
NOTE: Pricing from last order will apply to any extensions pursuant to FAR 52.217-8.
(End of B.2 Price/Cost Schedule of Services)
File details come from the government source that posted it. Updated .