6-RFP 29-26-NH ATTACHMENT B.pdf
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- Attached to
- Occupational Medical Health Services
- Solicitation number
- RFP 29-26-NH
- Issued by
- Bernalillo County, New Mexico
About this file
This document is Attachment B to a Request for Proposals (RFP) issued by Bernalillo County, New Mexico for Occupational Medical Health Services. The attachment outlines the scope of medical services and testing procedures that prospective offerors must provide pricing for, including blood work (Complete Blood Count, SMAC, HDL, and toxicology screening), audiograms, spirometry, respiratory protection medical evaluations and fit testing, EKGs, spine and chest x-rays, certificates of pre-existing impairment, and infectious disease screenings with various vaccine options. Additional services encompassed in the pricing request include office visits at multiple complexity levels (limited, intermediate, extended, complex, and comprehensive), fitness-for-duty evaluations, return-to-work assessments, urinalyses, drug screening and breath alcohol testing, tetanus and rabies vaccines, physician consultation hours, and Medical Review Officer services. The document also includes pricing for pesticide and rodenticide testing on an as-needed basis.
Offerors must submit proposed rates for all 19 line items and service categories listed in the attachment. The pricing structure requires individual rates for each medical service and procedure, allowing offerors to propose alternative toxicology screening methods if desired. The cumulative total of all proposed rates must be included at the bottom of the attachment. This cost proposal attachment directly supports the County's need for comprehensive occupational health services including pre-employment screening, on-the-job injury treatment, OSHA-governed physicals, and fitness-for-duty evaluations to be provided to County employees and operations.
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Text version
ATTACHMENT B
In addition to the price quotations requested in Attachment A, prospective Offerors shall provide proposed rates for the following:
1. BLOOD WORK:
a. Complete Blood Count (CBC) $___________
b. SMAC $___________
c. HDL $___________
d. Toxicology Screening $___________
(The prospective Offeror may suggest alternative toxicology screening methods.)
The following tests or others may be requested on an as needed basis:
1) Pesticides
a) Agnique surface Film $___________
b) Bacillus thuringiensis isrealiensis $___________
c) Carbaryl $___________
d) Chlorpyrifos $___________
e) Malathion $___________
f) Methoprene $___________
g) Permethrin $___________
h) Piperonyl butoxide $___________
i) Prallethrin $___________
j) Pyrethrin $___________
k) Resmethrin $___________
I) Spinosad $___________
m) Sumithrin $___________
2) Rodenticides
a) Warfin-USDA $___________
b) Promar- EPA $___________
c) Diphacinone $___________
2. Audiogram $___________
3. Spirometry $___________
4. Respiratory Protection – Medical evaluation $___________
Medical evaluations using a medical questionnaire or initial medical exam using same information as medical questionnaire in accordance with OSHA Respirator Protection Standard 29CFR1910.134 providing written recommendation regarding employees’ ability to use respirator.
5. Respiratory Protection - Quantitative Fit Testing $___________
6. EKG:
a. Resting $___________
b. Pre-Treadmill Resting/Treadmill/ Post-Treadmill Resting $___________
7. Lumber Spine x-rays - for Back injuries:
a. Two Views $___________
b. Four Views $___________
8. Chest x-rays
a. One View $___________
9. Certificate of Pre-Existing Impairment $___________
10. Infectious Diseases:
a. Hepatitis B Vaccine
1) Three (3) injection series $___________
2) Single Injection $___________
3) Booster $___________
4) Titer $___________
b. HIV Exposure Blood Test $___________
c. TB Tine (Mantoux skin test) $___________
d. Infectious Disease Screening $___________
e. Tdap Vaccine $___________
11. Office visits:
a. Initial
1) Limited $___________
2) Intermediate $___________
3) Extended $___________
4) Complex $___________
5) Comprehensive $___________
b. Follow-up
1) Limited $___________
2) International $___________
3) Extended $___________
4) Complex $___________
5) Comprehensive $___________
12. Fitness-for-duty $___________
13. Return-to-work $___________
14. Urinalyses
a. Dip Stick $____________
b. Complete $___________
15. Drug screening (NIDA) and Breath Alcohol Test $___________
16. Tetanus $___________
17. Rabies Vaccine Serial $___________
18. Hourly rate of pay for Physician consult $___________
(Policy/Procedure Development, Testimony)
19. Medical Review Officer (MRO) $___________
TOTAL: (Items 1-19) $_______________________
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