36C25720R0029_Administration page and the Pricing Schedule.docx

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Q201 - DENTON CBOC
Solicitation number
36C25720R0029
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SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT:

Yomika Brock, Contracting Officer Department of Veterans Affairs VHA Regional Procurement Office West 124 E Hwy 67, STE 100 Duncanville, TX 75137 yomika.brock@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X]
52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or
[ ]
52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly[ ]
b. Semi-Annually[ ]
c. Other[X] Monthly

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Financial Services Center (FSC) Department of Veterans Affairs P.O. Box 149971 Austin TX 78714-8971

5. SUBCONTRACTING GOALS:

3% SDVOSB
5% VOSB
3% HUBZONE
5% SDB
5% WOSB
17.5% SB

6. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO
DATE ISSUED
0001
5/28/2020
0002
6/5/2020
0003
7/7/2020
0004
7/31/2020
0005
8/20/2020
0006
9/3/2020
0007
9/22/2020
0008
9/24/2020

36C25720R0029

Page of 74

B.2 SCHEDULE OF SERVICES

Ordering Procedures: An initial Task Order for Services will be issued by the VA Contracting Officer at the beginning of each contract year/period of performance. Task Orders will be emailed to the contractor. If Task Orders need to be increased or decreased, a modification will be done to the order by a VA Contracting Officer.

Quantities on the Schedule of Services are the yearly projected amounts for each contract line item. These projected quantities are for bidding purposes only. Unit prices for the contract line item numbers (CLINs) on the Schedule of Services are fixed prices. These fixed prices will govern regardless of quantities ordered under any subsequent task order(s).

Grand Total Projected Price will be used only for the purpose of determining the best value to the Government. The guaranteed minimum contract amount, including the base year and any option years exercised, is $475,000.00 and the maximum contract amount, including the base year and any option years exercised, shall not exceed $40,000,000.00.

PMPM includes cost of unassigned patient visits, contractor shall not bill separately or propose an additional CLIN or bill separately for these costs.

ITEM INFORMATION

BASE YEAR: 1 JANUARY 2021 – 31 DECEMBER 2021

ITEM NO.
DESCRIPTION
EST. QTY
UNIT
UNIT COST
TOTAL COST

Primary care services at capitation rates per member per month (PMPM).

Capitation rate is broken down as:

8,925 PMPM x 12 months = 107,100 (estimated)

107,100

EACH

TOTAL COST FOR BASE YEAR
$

OPTION YEAR 1: 1 JANUARY 2022 – 31 DECEMBER 2022

ITEM NO.
DESCRIPTION
EST. QTY
UNIT
UNIT COST
TOTAL COST

Primary care services at capitation rates per member per month (PMPM).

Capitation rate is broken down as:

9,371 PMPM x 12 months = 112,452 (estimated)

112,452

EACH

TOTAL COST FOR OPTION YEAR 1
$

OPTION YEAR 2: 1 JANUARY 2023 – 31 DECEMBER 2023

ITEM NO.
DESCRIPTION
EST. QTY
UNIT
UNIT COST
TOTAL COST

Primary care services at capitation rates per member per month (PMPM).

Capitation rate is broken down as: 9,840 PMPM x 12 months = 118,080 (estimated)

118,080

EACH

TOTAL COST FOR OPTION YEAR 2
$

OPTION YEAR 3: 1 JANUARY 2024 – 31 DECEMBER 2024

ITEM NO.
DESCRIPTION
EST. QTY
UNIT
UNIT COST
TOTAL COST

Primary care services at capitation rates per member per month (PMPM).

Capitation rate is broken down as:

10,332 PMPM x 12 months = 123,984 (estimated)

123,984

EACH

TOTAL COST FOR OPTION YEAR 3
$

OPTION YEAR 4: 1 JANUARY 2025 – 31 DECEMBER 2025

ITEM NO.
DESCRIPTION
EST. QTY
UNIT
UNIT COST
TOTAL COST

Primary care services at capitation rates per member per month (PMPM).

Capitation rate is broken down as:

10,849 PMPM x 12 months = 130,188 (estimated)

130,188

EACH

TOTAL COST FOR OPTION YEAR 4
$

SUMMARY:

BASE YEAR TOTAL
$
OPTION YEAR 1 TOTAL
$
OPTION YEAR 2 TOTAL
$
OPTION YEAR 3 TOTAL
$
OPTION YEAR 4 TOTAL
$
GRAND TOTAL
$

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