Attachment IX - Dental Plan Charts-Basic-Standard-High.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
G009--VA Dental Insurance Program (VADIP) Reauthorization (VA-22-00011137)
Solicitation number
36C79122R0006
Issued by

View the file

Other files

File Type Posted
36C79122R0006 0002.docx DOCX document
36C79122R0006 0001.docx DOCX document
Attachment IV - VISNs to Zip Codes.xlsx XLSX spreadsheet
Attachment V - VHA Dental Network Map-Rating Regions.pdf PDF
Attachment VIII - Definitions and Acronyms.xlsx XLSX spreadsheet
Attachment VII - VET Population 2019 by County and State.docx DOCX document
Attachment I - Quality Assurance Surveillance Plan v2.docx DOCX document
Attachment VI - CHAMPVA Enrolled by ZIP FY17-FY20.xlsx XLSX spreadsheet
Attachment S2 - PAST PERFORMANCE QUESTIONNAIRE.docx DOCX document
S01-VADIP-36C79122R0006-Final 06-08-22.docx DOCX document
Attachment III - Enrolled Vets Demographics Sep 30 2020.xlsx XLSX spreadsheet
Attachment II - Performance Requirements Summary Table.xlsx XLSX spreadsheet
Show all 12

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

CLIN 0001-Basic Plan

CLN 0001 - Basic Plan - Base Period and 4 Option Periods
Plan NameVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVA
VHA Rating RegionsDescriptionBase YearOption 1Option 2Option 3Option 4
1New England
2NY & NJ
4PA & DE
5WV & MD
6VA & NC
7AL, GA & SC
8FL, Virgin Is., PR
9KY & TN
10MI, IN & OH
12WI & IL
15KS & MO
16AR, LS & MS
17Texas
19MT, WY, CO, UT & OK
20WA, OR, ID & AK
21CA, NV, HI, Philippines, Guam, Amer Samoa
22AZ & NM
23ND, SD, MN, NE & IA
SubTotal AverageERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!

Total ERROR:#DIV/0!

CLIN 0002-Standard Plan

CLN 0002 - Standard Plan - Base Period and 4 Option Periods
Plan NameVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVA
VHA Rating RegionsDescriptionBase YearOption 1Option 2Option 3Option 4
1New England
2NY & NJ
4PA & DE
5WV & MD
6VA & NC
7AL, GA & SC
8FL, Virgin Is., PR
9KY & TN
10MI, IN & OH
12WI & IL
15KS & MO
16AR, LS & MS
17Texas
19MT, WY, CO, UT & OK
20WA, OR, ID & AK
21CA, NV, HI, Philippines, Guam, Amer Samoa
22AZ & NM
23ND, SD, MN, NE & IA
SubTotal AverageERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!

Total ERROR:#DIV/0!

CLIN 0003-High Plan

CLN 0003 - High Plan - Base Period and 4 Option Periods
Plan NameVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVAVeteranCHAMPVA
VHA Rating RegionsDescriptionBase YearOption 1Option 2Option 3Option 4
1New England
2NY & NJ
4PA & DE
5WV & MD
6VA & NC
7AL, GA & SC
8FL, Virgin Is., PR
9KY & TN
10MI, IN & OH
12WI & IL
15KS & MO
16AR, LS & MS
17Texas
19MT, WY, CO, UT & OK
20WA, OR, ID & AK
21CA, NV, HI, Philippines, Guam, Amer Samoa
22AZ & NM
23ND, SD, MN, NE & IA
SubTotal AverageERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!

Total ERROR:#DIV/0!

File details come from the government source that posted it. Updated .