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Attachment J.7 Contract Price Summary September 9, 2022 PART I: The offeror shall complete all fields labeled as “TBD” below.
CLIN 0001- TRANSITION PERIOD*
| CLIN/SLIN |
| Description |
| Unit of Measure |
| Maximum Quantity |
| Unit Price |
| Total Price |
| CLIN 0001 |
| Transition Period |
TBD
*CLIN 0001-Transition Period will only be included in this contract if applicable.
CLIN 0002- BASE PERIOD
| CLIN/SLIN |
| Description |
| Unit of Measure |
| Maximum Quantity |
| Unit Price |
| Total Price |
TBD
| SLIN 0002AA |
| Measures Reviewed: Endorsement and Maintenance |
| Each |
| 90 |
| TBD |
| TBD |
| SLIN 0002AB |
| (Optional SLIN) Measures Reviewed: Endorsement and Maintenance |
| Each |
| 20 |
| TBD |
| TBD |
| SLIN 0002AC |
| Measures Reviewed: Pre-Rulemaking |
| Each |
| 30 |
| TBD |
| TBD |
| SLIN 0002AD |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0002AE |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0002AF |
| Measures Reviewed: Measure Set Review |
| Each |
| 35 |
| TBD |
| TBD |
| SLIN 0002AG |
| (Optional SLIN) Measures Reviewed: Measure Set Review |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0002AH |
| (Deliverable 2-3) Final Project Management Plan |
TBD
| SLIN 0002AJ |
| (Deliverable 2-13) Final Annual Report |
TBD
| SLIN 0002AK |
| (Deliverable 2-17) Health Care Ad Hoc Tasks: Level of Effort Units |
| Each |
| 240 |
| $5,000 |
| $1,200,000 |
| SLIN 0002AL |
| (Deliverable 4-27) Measure Selection and Removal-Related Ad Hoc Tasks |
| Each |
| 10 |
| TBD |
| TBD |
| SLIN 0002AM |
| (Deliverable 5-1) Core Quality Measures Collaborative (CQMC) Activities Implementation Proposal |
TBD
| SLIN 0002AN |
| (Deliverable 6-1) Transition Plan |
TBD
CLIN 0003- OPTION PERIOD 1
| CLIN/SLIN |
| Description |
| Unit of Measure |
| Maximum Quantity |
| Unit Price |
| Total Price |
| CLIN 0003 |
| Option Period 1 |
TBD
| SLIN 0003AA |
| Measures Reviewed: Endorsement and Maintenance |
| Each |
| 90 |
| TBD |
| TBD |
| SLIN 0003AB |
| (Optional SLIN) Measures Reviewed: Endorsement and Maintenance |
| Each |
| 20 |
| TBD |
| TBD |
| SLIN 0003AC |
| Measures Reviewed: Pre-Rulemaking |
| Each |
| 30 |
| TBD |
| TBD |
| SLIN 0003AD |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0003AE |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0003AF |
| Measures Reviewed: Measure Set Review |
| Each |
| 35 |
| TBD |
| TBD |
| SLIN 0003AG |
| (Optional SLIN) Measures Reviewed: Measure Set Review |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0003AH |
| (Deliverable 2-3) Final Project Management Plan |
TBD
| SLIN 0003AJ |
| (Deliverable 2-13) Final Annual Report |
TBD
| SLIN 0003AK |
| (Deliverable 2-17) Health Care Ad Hoc Tasks: Level of Effort Units |
| Each |
| 240 |
| $5,000 |
| $1,200,000 |
| SLIN 0003AL |
| (Deliverable 4-27) Measure Selection and Removal-Related Ad Hoc Tasks |
| Each |
| 10 |
| TBD |
| TBD |
| SLIN 0003AM |
| (Deliverable 5-1) CQMC Activities Implementation Proposal |
TBD
| SLIN 0003AN |
| (Deliverable 6-1) Transition Plan |
TBD
CLIN 0004- OPTION PERIOD 2
| CLIN/SLIN |
| Description |
| Unit of Measure |
| Maximum Quantity |
| Unit Price |
| Total Price |
| CLIN 0004 |
| Option Period 2 |
TBD
| SLIN 0004AA |
| Measures Reviewed: Endorsement and Maintenance |
| Each |
| 90 |
| TBD |
| TBD |
| SLIN 0004AB |
| (Optional SLIN) Measures Reviewed: Endorsement and Maintenance |
| Each |
| 20 |
| TBD |
| TBD |
| SLIN 0004AC |
| Measures Reviewed: Pre-Rulemaking |
| Each |
| 30 |
| TBD |
| TBD |
| SLIN 0004AD |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0004AE |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0004AF |
| Measures Reviewed: Measure Set Review |
| Each |
| 35 |
| TBD |
| TBD |
| SLIN 0004AG |
| (Optional SLIN) Measures Reviewed: Measure Set Review |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0004AH |
| (Deliverable 2-3) Final Project Management Plan |
TBD
| SLIN 0004AJ |
| (Deliverable 2-13) Final Annual Report |
TBD
| SLIN 0004AK |
| (Deliverable 2-17) Health Care Ad Hoc Tasks: Level of Effort Units |
| Each |
| 240 |
| $5,000 |
| $1,200,000 |
| SLIN 0004AL |
| (Deliverable 4-27) Measure Selection and Removal-Related Ad Hoc Tasks |
| Each |
| 10 |
| TBD |
| TBD |
| SLIN 0004AM |
| (Deliverable 5-1) CQMC Activities Implementation Proposal |
TBD
| SLIN 0004AN |
| (Deliverable 6-1) Transition Plan |
TBD
CLIN 0005- OPTION PERIOD 3
| CLIN/SLIN |
| Description |
| Unit of Measure |
| Maximum Quantity |
| Unit Price |
| Total Price |
| CLIN 0005 |
| Option Period 3 |
TBD
| SLIN 0005AA |
| Measures Reviewed: Endorsement and Maintenance |
| Each |
| 90 |
| TBD |
| TBD |
| SLIN 0005AB |
| (Optional SLIN) Measures Reviewed: Endorsement and Maintenance |
| Each |
| 20 |
| TBD |
| TBD |
| SLIN 0005AC |
| Measures Reviewed: Pre-Rulemaking |
| Each |
| 30 |
| TBD |
| TBD |
| SLIN 0005AD |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0005AE |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0005AF |
| Measures Reviewed: Measure Set Review |
| Each |
| 35 |
| TBD |
| TBD |
| SLIN 0005AG |
| (Optional SLIN) Measures Reviewed: Measure Set Review |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0005AH |
| (Deliverable 2-3) Final Project Management Plan |
TBD
| SLIN 0005AJ |
| (Deliverable 2-13) Final Annual Report |
TBD
| SLIN 0005AK |
| (Deliverable 2-17) Health Care Ad Hoc Tasks: Level of Effort Units |
| Each |
| 240 |
| $5,000 |
| $1,200,000 |
| SLIN 0005AL |
| (Deliverable 4-27) Measure Selection and Removal-Related Ad Hoc Tasks |
| Each |
| 10 |
| TBD |
| TBD |
| SLIN 0005AM |
| (Deliverable 5-1) CQMC Activities Implementation Proposal |
TBD
| SLIN 0005AN |
| (Deliverable 6-1) Transition Plan |
TBD
CLIN 0006- OPTION PERIOD 4
| CLIN/SLIN |
| Description |
| Unit of Measure |
| Maximum Quantity |
| Unit Price |
| Total Price |
| CLIN 0006 |
| Option Period 4 |
TBD
| SLIN 0006AA |
| Measures Reviewed: Endorsement and Maintenance |
| Each |
| 90 |
| TBD |
| TBD |
| SLIN 0006AB |
| (Optional SLIN) Measures Reviewed: Endorsement and Maintenance |
| Each |
| 20 |
| TBD |
| TBD |
| SLIN 0006AC |
| Measures Reviewed: Pre-Rulemaking |
| Each |
| 30 |
| TBD |
| TBD |
| SLIN 0006AD |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0006AE |
| (Optional SLIN) Measures Reviewed: Pre-Rulemaking |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0006AF |
| Measures Reviewed: Measure Set Review |
| Each |
| 35 |
| TBD |
| TBD |
| SLIN 0006AG |
| (Optional SLIN) Measures Reviewed: Measure Set Review |
| Each |
| 15 |
| TBD |
| TBD |
| SLIN 0006AH |
| (Deliverable 2-3) Final Project Management Plan |
TBD
| SLIN 0006AJ |
| (Deliverable 2-13) Final Annual Report |
TBD
| SLIN 0006AK |
| (Deliverable 2-17) Health Care Ad Hoc Tasks: Level of Effort Units |
| Each |
| 240 |
| $5,000 |
| $1,200,000 |
| SLIN 0006AL |
| (Deliverable 4-27) Measure Selection and Removal-Related Ad Hoc Tasks |
| Each |
| 10 |
| TBD |
| TBD |
| SLIN 0006AM |
| (Deliverable 5-1) CQMC Activities Implementation Proposal |
TBD
| SLIN 0006AN |
| (Deliverable 6-1) Transition Plan |
TBD
PART II: The offeror shall mark either “Yes” or “No” in response to the statement below.
Yes No
___ ___ The offeror affirms that they agree to the payment terms and conditions for SLIN 000[#]AK, as detailed above and within the subject solicitation.