435279-O22-1131REHABSC-00 Attachment 2 Price Sheet.pdf
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- Attached to
- DHS Southwest Center Therapy Services
- Contract number
- 435279-O22-1131REHABSC-00
- Issued by
- Wisconsin
About this file
This document is an executed cost worksheet and pricing schedule for State of Wisconsin Contract S-1131 DCTS-23 for therapy services at Southern Wisconsin Center (SWC). The contract was awarded to Select Rehabilitation, with the document signed by Trent Hermen, VP of Business Development, on February 16, 2022. The contract is administered by the Wisconsin Department of Health Services (DHS) and requires all therapy service positions to maintain appropriate State of Wisconsin licensure or certification.
The contract covers seven categories of therapy services with specific hourly rates: Licensed Physical Therapist at $54.00/hour, Physical Therapy Assistant at $38.00/hour, Physical Therapy Aide at $23.00/hour, Licensed Occupational Therapist at $54.00/hour, Occupational Therapy Assistant at $38.00/hour, Licensed Speech Therapist at $54.00/hour, and Speech Therapy Assistant at $33.00/hour. The total annual contract value is $525,700 based on estimated annual hours ranging from 500 to 3,000 hours per service category, derived from actual 2020 usage data. Compensation is limited to patient contact time, therapy-related services, patient-related meetings with SWC staff, and required SWC training, with vendors prohibited from billing third-party insurance providers as payment is considered complete.
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Other files
| File | Type | Posted |
|---|---|---|
| 435279-O22-1131REHABSC-00.docx.pdf | ||
| 435279-O22-1131REHABSC-00 Attachment 1 SOW.pdf |
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Text version
A B C
ITEM
NO.
SERVICES
HOURLY
RATE
ANNUAL
HOURS
(est.)
ANNUAL COST
1 Licensed Physical Therapist (LPT) $54.00 2,150 $116,100.00
2 Physical Therapy Assistant (PTA) $38.00 1,700 $64,600.00
3 Physcial Therapy Aide (TA) $23.00 700 $16,100.00
4 Licensed Occupational Therapist (LOT) $54.00 1,800 $97,200.00
5 Occupational Therapy Assistant (OTA) $38.00 1,400 $53,200.00
6 Licensed Speech Therapist (LSP) $54.00 3,000 $162,000.00
7 Speech Therapy Assistant (STA) $33.00 500 $16,500.00
$525,700.00
Vendor Authorized Signature:
Vendor Name (print) and Title:
Date:
The Total Annual Cost represents the offical bid amount that will determine low bid from a responsive, responsible bidder.
TOTAL ANNUAL COST
Trent Hermen - VP of Business Development
2/16/2022
ATTACHMENT A: COST WORKSHEET
SWC THERAPY SERVICES
S-1131 DCTS-23
Bidder must quote an hourly rate in Column "A" that will be billed to DHS. All Therapy Service positions listed must have the appropriate State of Wisconsin Licensure or Certification. Compensation shall only be provided for patient contact time, therapy related services, paitent related approved meetings with SWC Staff and required SWC trainings associated with this contract. The payment for services is considered payment in full and Vendors are not allowed to bill other third party insurance providers. The annual hours are an estimate based on actual usage in the 2020 calendar year.
S-0600-DCTS-17
S-1131 DCTS-23 Page 59Select Rehabilitation
DocuSign Envelope ID: AE44E7AF-9CED-4456-883E-4A28647E569E
| 2022-04-28T10:12:11-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .