Attachment 4- Price Sheet.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
Integrated Referral Management and Appointing Center (IRMAC) Services
Solicitation number
HT941026R2001
Issued by

About this file

This is a Price Sheet template for the Integrated Referral Management and Appointing Center (IRMAC) Services contract. The sheet outlines pricing structures across a base period and five option years, spanning from 30 September 2026 through 29 June 2031. The contract is organized into three primary service categories: Patient Appointing Services (PAS), Referral Management Services (RMS), and Clear Legible Reporting Services (CLR), each subdivided into Pacific and Hawaii regional CLINs. The base period covers three months (30 September 2026 – 29 December 2026), while Option Years 1 through 4 each cover 12-month periods, and Option Year 5 (the extension) covers six months (30 December 2030 – 29 June 2031).

The pricing template includes dedicated CLINs for each service category and region, with unit prices to be filled in by offerors. A separate CLIN (0011, 1011, 2011, 3011, 4011, and 5011) is designated for Contract Manpower Reporting under the National Security Personnel System (NSP). All option years include a fixed field of 11000 associated with the Clear Legible Reporting Services CLINs. Offerors must complete unit pricing for each regional service offering and calculate totals for each period. The solicitation is an 8(a) set-aside with an estimated award date of 17 August 2026, and services will be provided to Defense Health Network Indo-Pacific Military Treatment Facilities in Hawaii and the Pacific Northwest.

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Other files

File Type Posted
Combined Synopsis Solicitation - HT941026R2001 - Amendment 8.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 7.pdf PDF
HT941026R2001_Questions_Answers_22 SEP 2026.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 6.pdf PDF
Attachment 1 - IRMAC PERFORMANCE WORK STATEMENT - Amendment 6.pdf PDF
Attachment 5- Incumbent Information and PHIRMAC Data- Amendment 5.pdf PDF
HT941026R2001_Questions _Answers_10 SEP 2026.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 5.pdf PDF
Attachment 1 - IRMAC PERFORMANCE WORK STATEMENT - Amendment 5.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 4.pdf PDF
Attachment 1 - IRMAC PERFORMANCE WORK STATEMENT - Amendment 4.pdf PDF
Attachment 5- Incumbent Information and PHIRMAC Data- Amendment 4.pdf PDF
HT941026R2001_Questions _Answers_27 AUG 2026.pdf PDF
Attachment 2 - Past Performance Questionnaire- Amendment 4.docx DOCX document
Attachment 4- Price Sheet- Amendment 4.xlsx XLSX spreadsheet
RFP HT941026R2001- Certification Form - Amendment 4.docx DOCX document
Combined Synopsis Solicitation - HT941026R2001 - Amendment 3.pdf PDF
Attachment 4- Price Sheet- Amendment 3.xlsx XLSX spreadsheet
HT941026R2001_Questions_Answers.pdf PDF
Attachment 4- Price Sheet- Amendment 2.xlsx XLSX spreadsheet
Combined Synopsis Solicitation - HT941026R2001 - Amendment 2.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 1.pdf PDF
RFP HT941026R2001- Certification Form.docx DOCX document
Attachment 1 - PWS Exhibit G - MTF Specialty Referral Notification Letter.pdf PDF
Combined Synopsis Solicitation - HT941026R2001.pdf PDF
Attachment 2 - Past Performance Questionnaire.docx DOCX document
Attachment 3 - Past Performance Summary Sheet.docx DOCX document
Attachment 1 - PWS Exhibit B - Example Primary Care Appointing Criteria.xlsx XLSX spreadsheet
Attachment 1- PWS Exhibit C - Example Specialty Care Appt Criteria.xlsx XLSX spreadsheet
Attachment 1 - PERFORMANCE WORK STATEMENT (PWS).pdf PDF
Attachment 1 - PWS Exhibit D - Example Referral Guideline.xlsx XLSX spreadsheet
Attachment 1 - PWS Exhibit E - Example Performance Report Formats.pptx PPTX presentation
Attachment 5- Incumbent Information and PHIRMAC Data.docx DOCX document
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Text version

Sheet1

PRICE SHEET BASE PERIOD (POP30 September 2026 – 29 December 2026)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
0001Patient Appointing Services (PAS)
0001AAPacific PAS3
0001ABHawaii PAS3
0002Referral Management Services (RMS)
0002AAPacific RMS3
0002ABHawaii RMS3
0003Clear Legible Reporting Services (CLR)3
0003AAPacific CLR3
0003ABHawaii CLR3

0011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 1 (POP 30 September 2026 – 29 December 2026)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
1001Patient Appointing Services (PAS)
1001AAPacific PAS12
1001ABHawaii PAS12
1002Referral Management Services (RMS)
1002AAPacific RMS12
1002ABHawaii RMS12
1003Clear Legible Reporting Services (CLR)11000
1003AAPacific CLR12
1003ABHawaii CLR12

1011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 2 (POP 30 December 2027 – 29 December 2028)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
2001Patient Appointing Services (PAS)
2001AAPacific PAS12
2001ABHawaii PAS12
2002Referral Management Services (RMS)
2002AAPacific RMS12
2002ABHawaii RMS12
2003Clear Legible Reporting Services (CLR)11000
2003AAPacific CLR12
2003ABHawaii CLR12

2011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 3 (POP 30 December 2028 – 29 December 2029)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
3001Patient Appointing Services (PAS)
3001AAPacific PAS12
3001ABHawaii PAS12
3002Referral Management Services (RMS)
3002AAPacific RMS12
3002ABHawaii RMS12
3003Clear Legible Reporting Services (CLR)11000
3003AAPacific CLR12
3003ABHawaii CLR12

3011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 4 (POP 30 December 2029 – 29 December 2030)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
4001Patient Appointing Services (PAS)
4001AAPacific PAS12
4001ABHawaii PAS12
4002Referral Management Services (RMS)
4002AAPacific RMS12
4002ABHawaii RMS12
4003Clear Legible Reporting Services (CLR)11000
4003AAPacific CLR12
4003ABHawaii CLR12

4011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 5 (POP 30 December 2030 – 29 June 2031) EXTENSION IAW FAR 52.217-8
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
5001Patient Appointing Services (PAS)
5001AAPacific PAS6
5001ABHawaii PAS6
5002Referral Management Services (RMS)
5002AAPacific RMS6
5002ABHawaii RMS6
5003Clear Legible Reporting Services (CLR)11000
5003AAPacific CLR6
5003ABHawaii CLR6

5011 Contract Manpower Reporting NSP

Total Price

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