36C25818Q0085-015.docx
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- Attached to
- Community Nursing Home in the following counties: Cochise, Graham, Pima, Pinal, Santa Cruz and Yuma
- Solicitation number
- 36C25818Q0085
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36C25818Q0085 ATTACHMENT 3 Deliverables Schedule.docx
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ATTACHMENT 3
DELIVERABLES SCHEDULE
| Deliverable |
| Frequency |
| # of Copies |
| Medium/Format |
| Submit To |
PRS#1
Nursing Home shall provide VA with copies of all State / Federal licensures, certifications, liability insurance, and annual survey and complaint investigation reports. PWS 5.3
| Annually and Upon request |
| One copy |
| Paper-Hard Copy |
| CNH Coordinator |
3601 S 6th Ave., Tucson, AZ 85723
PRS#2
Notifications of Veteran hospitalization and of any Veteran death within 24 hours or immediately the first business day after a weekend or holiday. PWS 5.6 & 5.7.2
| Anytime a discharge, death, or hospitalization occur. |
| None |
| Phone call or phone message |
| CNH Coordinator |
520-792-1450 ext. 6272
PRS#3
Notification of all reportable events on VA contract Veterans within 24 hours or immediately the first business day after a weekend or holiday. PWS 5.5
| Anytime a reportable event occurs. |
| None |
| Phone call or phone message |
| CNH Coordinator |
520-792-1450 ext. 6272
PRS# 4
Nursing home shall provide medical services, nursing, social work services, assistance with activities of daily living, activity therapy, case management, nutrition services, rehabilitation, and restorative care. PWS 5.2
| Daily |
| None |
| Will be reviewed monthly by VA Staff. |
| N/A |
PRS# 5
CNH must submit evaluations for VA review and authorization of therapy. PWS 5.9
| Anytime a contracted Veteran requires any therapy. |
| One copy |
| Authorization must be sent with monthly billing |
| Business Office |
3601 S 6th Ave., Tucson, AZ 85723
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