Attachment 3- CCN Next Gen Dental Pricing Template.xlsx
XLSX spreadsheet 33 KB Posted
- Attached to
- Q503--CCN Next Gen - Dental Network
- Solicitation number
- 36C10G26R0004
About this file
This document is a Pricing Template for the Department of Veterans Affairs (VA) Community Care Network (CCN) Next Generation Dental Network solicitation (Solicitation Number: 36C10G26R0004). The template outlines multiple Contract Line Item Numbers (CLINs) covering dental services, including dental services at up to 100% of DVAFS rates, waivers of payment rates, non-DVAFS dental services, administrative services, implementation, optional appointment scheduling, software development, and transition services.
The pricing template allows offerors to provide detailed cost proposals across base and nine potential option periods, with specific line items for various service components such as implementation costs per VA facility, appointment scheduling administration, and software development tasks of different complexity levels (extra-small to extra-large). The solicitation is issued by the VA Headquarters and represents a comprehensive dental network services procurement that enables flexible pricing across multiple potential service areas and implementation scenarios.
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Text version
Pricing Template
| Community Care Network Next Generation - Dental |
| Pricing Schedule |
Offeror Name:
| Prices per CLIN per year | |||||||||||||
| CLIN | DESCRIPTION | UNIT/Directions | BASE PERIOD | OPTION PERIOD 1 | OPTION PERIOD 2 | OPTION PERIOD 3 | OPTION PERIOD 4 | OPTION PERIOD 5 | OPTION PERIOD 6 | OPTION PERIOD 7 | OPTION PERIOD 8 | OPTION PERIOD 9 | OPTION OF EXTEND SERVICES |
| CLIN X001 | Dental Services | Up to 100% of DVAFS | |||||||||||
| CLIN X002 | Waivers of Payment Rates | Maximum % above Medicare or VA Fee Schedule Rate | |||||||||||
| CLIN X003 | Non-DVAFS Dental Services | 50% billed charges | |||||||||||
| CLIN X004 | Administrative Services | Monthly Eligible Veteran Population | |||||||||||
| CLIN X005 | Implementation | Fixed Price Lump Sum | |||||||||||
| CLIN X006 | Optional: Appointment Scheduling | ||||||||||||
| CLIN X006AA | Implementation for Dental Appointment Scheduling: VA Facility | $ total cost of implementation per VA Facility | |||||||||||
| CLIN X006AB | Implementation for Dental Appointment Scheduling: Contractor's Site | $ total cost of implementation at Contractor’s site | |||||||||||
| CLIN X006AC | Dental Appointment Scheduling Administration | $ per Approved Referral for Appointment Scheduling | |||||||||||
| CLIN X007 | Optional: Software, Process, and Proof of Concept Development | ||||||||||||
| CLIN X007AA | Extra-Small Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AB | Small Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AC | Medium Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AD | Large Software Development Task Size | $ per software development task | |||||||||||
| CLIN X007AE | Extra Large Software Development Task Size | $ per software development task | |||||||||||
| CLIN X008 | Transition Out | Fixed Price Lump Sum |
CLIN X002 BOE
| CLIN X002 - Waivers of Payment Rates |
| BOE |
Offeror Name:
CLIN X004 BOE
| CLIN X004 - Administrative Services |
| BOE |
Offeror Name:
CLIN X005 BOE
| CLIN X005 - Implementation |
| BOE |
Offeror Name:
CLIN X006 BOE
| CLIN X006 - Optional: Appointment Scheduling |
| BOE |
Offeror Name:
CLIN X007 BOE
| CLIN X007 - Optional: Software Development |
| BOE |
Offeror Name:
CLIN X008 BOE
| CLIN X008 - Transition Out |
| BOE |
Offeror Name:
File details come from the government source that posted it. Updated .