6. Schedule of Services.pdf
PDF 79 KB Posted
- Solicitation number
- 15BFA024R00000009
About this file
This solicitation seeks comprehensive medical services for adult incarcerated individuals in residential reentry centers and on home confinement. The Bureau of Prisons is soliciting a nationwide healthcare delivery system to provide medical care to both male and female federal adults in custody housed in Residential Re-entry Centers and on Home Confinement, including those being monitored under the Federal Location Monitoring program by the United States Probation Office. Services include inpatient and outpatient facility services, inpatient and outpatient physician services, ambulance services, clinical laboratory services, durable medical equipment, prosthetics/orthotics and supplies, Federal Qualified Health Center dialysis treatment, occupational, speech and physical therapy, non-Medicare dental services, optometry services, pharmaceuticals, medical supplies, prescription eyeglasses, extended stay per diem, and billing services for medical care rendered to inmates housed with state and local government entities. Pricing will be based on various categories comparing rates to Medicare, average wholesale price, or actual billed charges. Questions regarding this solicitation must be submitted to the Contracting Officer in writing no later than February 14, 2024.
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Text version
Schedule of Services
Inpatient Facility Services Inpatient Rehabilitation Facility (IRF) Services Home Health and Hospice Inpatient Psychiatric Services Long Term Care Skilled Nursing Facility Services (SNF) Dialysis Services for end-stage renal disease
Outpatient Facility Services (includes Outpatient Hospital and Ambulatory Surgical Centers) Inpatient Physician Services Outpatient Physician Services Ambulance Services Clinical Laboratory Services Durable Medical Equipment (DME), Prosthetics/Orthotics, and Supplies Federal Qualified Health Center (FQHC) Dialysis Treatment Services Occupational Therapy (OT), Speech Therapy (ST), and Physical Therapy (PT)
Non-Medicare Dental Services and Services with “D” Codes
Pricing Category 5
___Discount or +___ Premium to Actual Billed Charges by Medical Provider OR negotiated lesser amountOptometry Services
___Discount or +___ Premium to Average Whole Price (AWP)
Pricing Category 4
Pharmaceuticals (Generic)
Pharmaceuticals (Non-Generic) ___Discount or +___ Premium to Average
Whole Price (AWP)
Pricing Category 6
___Discount or +___ Premium Medicare OR Actual Billed Charges by the Provider
Out of Network (OON)
Pricing Category 7
Pricing Category 1
___Discount or +___ Premium to Medicare Part A
Pricing Category 2
___Discount or +___ Premium to Medicare Part B
Pricing Category 3
Non-Medicare Medical Supplies
Prescription Eye Glasses Single Lens
Prescription Eye Glasses Bi-Focal
Extended Stay Per Diem
Billing services for medical care rendered to RRMB inmates housed with state and local government entities
Price Per Glasses ____________
Pricing Category 10 Price Per Day ____________
Pricing Category 11
Price Per Claim Processed ________
___Discount or +___ Premium to Actual Billed Charges by Medical Supplier OR negotiated lesser amount
Pricing Category 8
Pricing Category 9
Price Per Glasses ____________
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