ATTACHMENT C - PRICE SCHEDULE.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- R699-- Address Vendor Questions - Credentials Verification Organization for Non-CCN providers
- Solicitation number
- 36C10X21Q0168
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10X21Q0168 0001_1.docx | DOCX document | |
| 36C10X21Q0168 0001 (Final).pdf | ||
| PWS ATTACHMENT A - QUALITY ASSURANCE SURVEILLANCE PLAN - 07.16.2021.docx | DOCX document | |
| PWS ATTACHMENT B - MONTHLY REPORT TEMPLATE.xlsx | XLSX spreadsheet | |
| ATTACHMENT B - PAST PERFORMANCE QUESTIONNAIRE.pdf | ||
| 36C10X21Q0168 (Final).pdf | ||
| PWS ATTACHMENT C- CREDENTIALING APPLICATION REQUEST EXAMPLE.docx | DOCX document | |
| ATTACHMENT A - PAST PERFORMANCE REFERENCES.pdf | ||
| 36C10X21Q0168_1.docx | DOCX document |
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Text version
Price Schedule Solicitation #36C10X21Q0168 |Credentials Verification Organization for Non-CCN Providers
| Attachment C Price Schedule |
| OFFEROR NAME: |
| Insert offeror name above and complete the following Price Schedule. |
| YEAR 1 | ||||||
| CLIN | Description | Maximum Quantities | Unit | Unit Price | Total Price | |
| 0001 | Task 1: Online Database for VA Staff (7.1) One time charge for duration of contract for up to 50 licenses | 1 | LT | |||
| 0002 | Task 2: Approved credentialing process/Implementation (7.2.1) FAQ, Provider communication plan, SOP - (One time charge for duration of contract) | 1 | LT | |||
| 0003 | Task 2: Credentials Verification Organization (CVO) Services (7.2.2) New Providers, priced per provider | 8065 | EA | |||
| 0004 | Task 2: Re-credentialing Verification (7.2.3) All VCA providers credentialed in Year 1 (every 3 years), priced per | |||||
| provider (RESERVED for Year 4) | 0 | N/A | NSP | NSP | ||
| 0005 | Task 3: Credentialing Committee (7.3) | 10 | MO | |||
| 0006 | Task 4: Monitoring Providers/NPDB-CQ Enrollment Process (7.4) (Non-CCN Providers from Year 1) monitored after credentialed, priced by provider | 8065 | EA | |||
| 0007 | Monthly Status Reporting - Monthly reporting on all aspects of IDIQ and current orders, | |||||
| priced by each month | 10 | MO | ||||
| YEAR 1 TOTAL |
| YEAR 2 | ||||||
| CLIN | Description | Maximum Quantities | Unit | Unit Price | Total Price | |
| 1001 | Task 2: Credentials Verification Organization (CVO) Services (7.2.2) New Providers, priced per provider | 400 | EA | |||
| 1002 | Task 2: Re-credentialing Verification (7.2.3) All VCA providers crednetialed in Year 1, every 3 years, priced per | |||||
| provider (RESERVED for Year 4) | 0 | N/A | NSP | NSP | ||
| 1003 | Task 3: Credentialing Committee (7.3) | 12 | MO | |||
| 1004 | Task 4: Monitoring Providers/NPDB-CQ (New & Renewals) (7.4) (Non-CCN Providers from Year 1 - 2) monitored after credentialed, priced by provider | 8065 | EA | |||
| 1005 | Monthly Status Reporting - Monthly reporting on all aspects of IDIQ and current orders, priced by each month | 12 | MO | |||
| YEAR 2 TOTAL | ||||||
| YEAR 3 | ||||||
| CLIN | Description | Maximum Quantities | Unit | Unit Price | Total Price | |
| 2001 | Task 2: Credentials Verification Organization (CVO) Services (7.2.2) New Providers, priced per provider | 400 | EA | |||
| 2002 | Task 2: Re-credentialing Verification (7.2.3) All VCA providers crednetialed in Year 1, every 3 years, priced per | |||||
| provider (RESERVED for Year 4) | 0 | N/A | NSP | NSP | ||
| 2003 | Task 3: Credentialing Committee (7.3) | 12 | MO | |||
| 2004 | Task 4: Monitoring Providers/NPDB-CQ (New & Renewals) (7.4) (Non-CCN Providers from Year 1 - 3) monitored after credentialed, priced by provider | 9000 | EA | |||
| 2005 | Monthly Status Reporting - Monthly reporting on all aspects of IDIQ and current orders, priced by each month | 12 | MO | |||
| YEAR 3 TOTAL | ||||||
| YEAR 4 | ||||||
| CLIN | Description | Maximum Quantities | Unit | Unit Price | Total Price | |
| 3001 | Task 2: Credentials Verification Organization (CVO) Services (7.2.2) New Providers, priced per provider | 400 | EA | |||
| 3002 | Task 2: Re-credentialing Verification (7.2.3) All VCA providers crednetialed in Year 1, every 3 years, priced per | |||||
| provider | 8065 | EA | ||||
| 3003 | Task 3: Credentialing Committee (7.3) | 12 | MO | |||
| 3004 | Task 4: Monitoring Providers/NPDB-CQ (New & Renewals) (7.4) (Non-CCN Providers from Year 1 - 4) monitored after credentialed, priced by provider | 9000 | EA | |||
| 3005 | Monthly Status Reporting - Monthly reporting on all aspects of IDIQ and current orders, priced by each month | 12 | MO | |||
| YEAR 4 TOTAL | ||||||
| YEAR 5 | ||||||
| CLIN | Description | Maximum Quantities | Unit | Unit Price | Total Price | |
| 4001 | Task 2: Credentials Verification Organization (CVO) Services (7.2.2) New Providers, priced per provider | 200 | EA | |||
| 4002 | Task 2: Re-credentialing Verification (7.2.3) All VCA providers crednetialed in Year 2, every 3 years, priced per | |||||
| provider | 400 | N/A | ||||
| 4003 | Task 3: Credentialing Committee (7.3) | 12 | MO | |||
| 4004 | Task 4: Monitoring Providers/NPDB-CQ (New & Renewals) (7.4) (Non-CCN Providers from Year 1 - 5) monitored after credentialed | 9000 | EA | |||
| 4005 | Monthly Status Reporting - Monthly reporting on all aspects of IDIQ and current orders, priced by each month | 12 | MO | |||
| YEAR 5 TOTAL | ||||||
| GRAND TOTAL |
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