D17_Price_Worksheet.xlsx

XLSX spreadsheet 11 KB Posted

Attached to
CNH IDC NMVAHCS State Wide Federal contract opportunity
Solicitation number
36C25819Q0002
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

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36C25819Q0002 D17 Price Worksheet.xlsx

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CNH

Price Worksheet
It is understood that no obligation beyond the minimum guarantee amount specified below will be incurred by the Department of Veteran Affairs for services rendered under this contract.
Minimum Guarantee Amount: The guaranteed minimum $ 160.00
Estimated Maximum Amount: The estimated maximum $5,000,000.00

CLIN RUGS IV CATEGORY PRICING UNIT ESTIMATED QUANTITY

0001 RESPITE CARE / BED HOLD DAY 1

0002REDUCED PHYSICAL FUNCTIONDAY5
RUG Codes: PA1, PA2, PB1, PB2, PC1, PC2, PD1, PD2, PE1, PE2
0003BEHAVIORAL SYMPTOMS/COGNITIVE PERFORMANCEDAY3
RUG Codes: BA1, BA2, BB1, BB2
0004CLINICALLY COMPLEXDAY2
CE1, CE2, CD1, CC1, CC2, CB1, CB2, CA1, CA2
0005SPECIAL CARE LOWDAY1
LE1, LE2, LD1, LD2, LC1, LC2, LB1, LB2
0006SPECIAL CARE HIGHDAY1
RUG Codes: HE1, HE2, HD1, HD2, HC1, HC2, HB1, HB2
0007EXTENSIVE CAREDAY5
RUG Codes: ES1, ES2, ES3
0008REHABILITATIONDAY1
RUG Codes: RUC, RUB, RUA, RVC, RVB, RVA, RHC, RHA, RMC, RHB, RLB, RLA
0009REHABILITATION PLUS EXTENSIVE CAREDAY1
RUG Codes: RUX, RUL, RSV, RVL, RHX, RHL, RMS, RML, RLS

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