BPM004997_Evaluation_Tool.xlsx
XLSX spreadsheet 119 KB Posted
- Attached to
- Master Agreement AZ|CTR063848
- Contract number
- CTR063848
- Issued by
- Arizona
About this file
This document is an evaluation tool for a solicitation (ADVS14-00003649) by the Arizona State Veterans' Homes (ADVS) for rehabilitation and related services. The evaluation compares proposals from three vendors: Covenant Alliance Rehab, HealthPRO Heritage LLC, and Metro Fire Equipment Inc. across multiple scoring categories including experience, expertise, method of approach, and cost/pricing criteria for service provision at various Arizona Veterans' Home locations including Phoenix, Tucson, Yuma, and Flagstaff, as well as Arizona Veterans Medical Centers.
The contract covers rehabilitation services such as Occupational Therapy, Physical Therapy, and Speech Therapy, with detailed pricing for different service types including Medicare Part A and B billing, per-minute and per-session rates, and services for veterans/members. Metro Fire Equipment Inc. appears to have submitted the most comprehensive proposal, scoring 875 points and demonstrating capability to service all listed locations. Pricing includes specific rates for rehabilitation services, with options like 65% off Medicare Part B fee schedules, and ranges from per-minute billing to fixed rates for various medical facilities. The evaluation process extensively scores vendors on their ability to provide staffing, operational capabilities, financial stability, and service delivery across multiple veteran healthcare facilities.
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Conventant Alliance Rehab
| INITIAL EVALUATION REPORT | |
| Solicitation No. ADVS14-00003649 | BPM003992 |
| Total Score | 599 | ||
| 400 | Experience and Expertise | 300 | |
| 150 | 1 | Meets Expectations | 112.5 |
| Did the Offeror provide an Executive Summary shall be no more that two (2) pages. The following information shall be provided in this section of your proposal: |
6.2.1.3.1.1 Full legal company name.
6.2.1.3.1.2 Year business started.
6.2.1.3.1.3 State of incorporation or headquarters.
6.2.1.3.1.4 Business a United States Corporation.
6.2.1.3.1.5 Tax identification number.
6.2.1.3.1.6 Address location of company headquarters.
6.2.1.3.1.7 Provide a brief company history.
6.2.1.3.1.8 Provide your companies mission statement.
6.2.1.3.1.9 How many years of experience does your organization have in providing the requested services?
6.2.1.3.1.10 Identify the individual who has overall responsibility for the company’s operations in regards to this account, if awarded.
6.2.1.3.1.11 Provide a list of current number of people employed for entire organization and the roles of those employees that would specifically be supporting this contract for all regions awarded. Is your company currently involved in any litigation in which an adverse decision might result in a material change in the company’s financial position or future viability?
6.2.1.3.1.13 What is your company’s current capacity and current workload and how will your company bridge the gap, if any, to provide the critical services under this contract for all regions awarded?
6.2.1.3.1.14 A Statement of whether, in the last five (5) years, the Offeror has filed against it) any bankruptcy, or insolvency proceeding, whether voluntary or involuntary, or undergone the appointment of a receiver, trustee, or assignee for the benefit of creditors, and if so, an explanation providing relevant details and current status.
6.2.1.3.1.15 A Statement of whether there is any pending litigation initiated by Offeror or where Offeror is a defendant or party in any litigation that may have a material impact on Offeror’s ability to deliver the contracted services.
6.2.1.3.1.16 Full disclosure of Public Sector contracts terminated for cause or convenience in the past five (5) years.
| 150 | 2 | Meets Expectations | 112.5 |
| Did the Offeror provide: 6.2.1.3.2.1 What market(s) are your current clients primary in? |
6.2.1.3.2.2 What experience do you have serving clients in Business Markets within the State of Arizona?
6.2.1.3.2.3 What is the range in size of your current clients?
6.2.1.3.2.4 How long have you provided services to your longest tenured client?
| 100 | 3 | Meets Expectations | 75 |
| Did the Offeror provide: 6.2.1.3.3.1 Offeror must provide evidence of financial stability and capability to fund all cost associated with providing the services throughout the term of the Contract. The latest two (2) years audited annual financial statements including Total Revenue, Net Income, and Total Assets must be submitted with the Offeror’s proposal. If audited financial data is unavailable, explain in the full the reason, and provide the latest non-audited financial information to include Balance Sheet, Income Statement, as well as Statements of Cash flows and Change in Financial Position. Include information to attest to the accuracy of the information provided. |
6.2.1.3.3.2 Offeror shall provide information regarding any irregularities that were discovered in any accounts maintained by the Offeror on behalf of others. Describe the circumstances and disposition of the irregularities.
6.2.1.3.4 Submit copies of all applicable certificates and licenses that support Offeror’s ability to provide the related services being proposed.
| 400 | Method of Approach | 298.5 | |
| 100 | 1 | Meets Expectations | 75 |
| Did the Offeror provide a narrative response to each specification that demonstrates their understanding of “the Scope of Work” requirements and describes the company’s overall method of approach for providing the service stated in this solicitation? | |||
| 50 | 2 | Meets Expectations | 37.5 |
| Did the Offeror describe their processes that will ensure the ease of use of this contract in regards to Section 3 titled “Contractor Requirements” in the Scope of Work in this solicitation. | |||
| 50 | 3 | Exceeds Expectations | 50 |
| Did the Offeror provide the companies implementation plan including ramp up time lines for providing services in this contract? | Detail plan and in deep timeline. | ||
| 40 | 4 | Meets Expectations | 30 |
| Did the Offeror describe their offering for phone and on-line support in regards to their complete program? | |||
| 40 | 5 | Meets Expectations | 30 |
| Did the Offeror confirm that the company can meet the minimum Insurance Requirements in Section 31 of the Special Terms and Conditions to this solicitation? |
| 40 | 6 | Meets Expectations | 30 |
| The Offeror provide the company’s current capacity vs current workload and how will your company bridge the gap to cover Occupational Therapy, Physical Therapy, Speech Therapy and Assistant(s) positions to provide the critical services under this contract? | |||
| 40 | 7 | Below Expectations | 16 |
| Did the offeror provide any suggestions based on what you have read in this RFP that may help increase efficiencies and/or provide better service for ADVS? | |||
| 30 | 8 | Meets Expectations | 22.5 |
| Did the offeror provide if the firm is capable of providing service to the Arizona State Veterans’ Home in Phoenix (ASVH-P), Arizona State Home in Tucson (ASVH-T), Arizona State Veterans Home Yuma and ASVH-Flagstaff? Do you have an office in Phoenix? Tell us how you would handle this facility, including current Occupational Therapy, Physical Therapy, Speech Therapy and Assistant(s) staff you have available and how you would recruit to meet ASVHs staffing needs in these positions. (See section 2 titled Introduction/Background of the Scope of Work for facility details) It is not required that your firm has the capability to provide service for all Homes? | Yuma and Flagstaff | ||
| 10 | 9 | Meets Expectations | 7.5 |
| Our Veterans’ Homes are twenty- four (24) hours a day, seven (7) days a week operations. Did the offeror confirm is they can provide personnel that can work shifts? | |||
| 200 | Cost/Pricing Criteria | 200.0 | |
| 200 | 0 |
For each of evaluation criteria above, a determination was made regarding how well the proposals satisfied the stated requirements. The rating definitions, found below, formed the basis for determining the scores assigned to each proposal. The comments fields were used to note strengths and weaknesses of the proposal.
| Exceeds Expectations |
| Meets Expectations |
| Below Expectations |
| Unacceptable |
| Complies |
| Doesn't Comply |
HealthPRO Heritage LLC
| INITIAL EVALUATION REPORT | |
| Solicitation No. ADVS14-00003649 | BPM003992 |
| Total Score | 507 | ||
| 400 | Experience and Expertise | 212.5 | |
| 150 | 1 | Below Expectations | 60 |
| Did the Offeror provide an Executive Summary shall be no more that two (2) pages. The following information shall be provided in this section of your proposal: |
6.2.1.3.1.1 Full legal company name.
6.2.1.3.1.2 Year business started.
6.2.1.3.1.3 State of incorporation or headquarters.
6.2.1.3.1.4 Business a United States Corporation.
6.2.1.3.1.5 Tax identification number.
6.2.1.3.1.6 Address location of company headquarters.
6.2.1.3.1.7 Provide a brief company history.
6.2.1.3.1.8 Provide your companies mission statement.
6.2.1.3.1.9 How many years of experience does your organization have in providing the requested services?
6.2.1.3.1.10 Identify the individual who has overall responsibility for the company’s operations in regards to this account, if awarded.
6.2.1.3.1.11 Provide a list of current number of people employed for entire organization and the roles of those employees that would specifically be supporting this contract for all regions awarded. Is your company currently involved in any litigation in which an adverse decision might result in a material change in the company’s financial position or future viability?
6.2.1.3.1.13 What is your company’s current capacity and current workload and how will your company bridge the gap, if any, to provide the critical services under this contract for all regions awarded?
6.2.1.3.1.14 A Statement of whether, in the last five (5) years, the Offeror has filed against it) any bankruptcy, or insolvency proceeding, whether voluntary or involuntary, or undergone the appointment of a receiver, trustee, or assignee for the benefit of creditors, and if so, an explanation providing relevant details and current status.
6.2.1.3.1.15 A Statement of whether there is any pending litigation initiated by Offeror or where Offeror is a defendant or party in any litigation that may have a material impact on Offeror’s ability to deliver the contracted services.
| 6.2.1.3.1.16 Full disclosure of Public Sector contracts terminated for cause or convenience in the past five (5) years. | Offeror needs to provide. | ||||
| 150 | 2 | Meets Expectations | 112.5 | ||
| Did the Offeror provide: 6.2.1.3.2.1 What market(s) are your current clients primary in? |
6.2.1.3.2.2 What experience do you have serving clients in Business Markets within the State of Arizona?
6.2.1.3.2.3 What is the range in size of your current clients?
6.2.1.3.2.4 How long have you provided services to your longest tenured client?
| 100 | 3 | Below Expectations | 40 |
| Did the Offeror provide: 6.2.1.3.3.1 Offeror must provide evidence of financial stability and capability to fund all cost associated with providing the services throughout the term of the Contract. The latest two (2) years audited annual financial statements including Total Revenue, Net Income, and Total Assets must be submitted with the Offeror’s proposal. If audited financial data is unavailable, explain in the full the reason, and provide the latest non-audited financial information to include Balance Sheet, Income Statement, as well as Statements of Cash flows and Change in Financial Position. Include information to attest to the accuracy of the information provided. |
6.2.1.3.3.2 Offeror shall provide information regarding any irregularities that were discovered in any accounts maintained by the Offeror on behalf of others. Describe the circumstances and disposition of the irregularities.
| 6.2.1.3.4 Submit copies of all applicable certificates and licenses that support Offeror’s ability to provide the related services being proposed. | Needs to provide 2021. | ||||
| 400 | Method of Approach | 94 | |||
| 100 | 1 | Unacceptable | 0 | ||
| Did the Offeror provide a narrative response to each specification that demonstrates their understanding of “the Scope of Work” requirements and describes the company’s overall method of approach for providing the service stated in this solicitation? | Scope of work for Lusiana VA home. | ||||
| 50 | 2 | Below Expectations | 20 | ||
| Did the Offeror describe their processes that will ensure the ease of use of this contract in regards to Section 3 titled “Contractor Requirements” in the Scope of Work in this solicitation. | Agrees, but did not specify how. | ||||
| 50 | 3 | Unacceptable | 0 | ||
| Did the Offeror provide the companies implementation plan including ramp up time lines for providing services in this contract? | Did not provide information. | ||||
| 40 | 4 | Unacceptable | 0 | ||
| Did the Offeror describe their offering for phone and on-line support in regards to their complete program? | Did not have phone or online support. | ||||
| 40 | 5 | Meets Expectations | 30 | ||
| Did the Offeror confirm that the company can meet the minimum Insurance Requirements in Section 31 of the Special Terms and Conditions to this solicitation? |
| 40 | 6 | Below Expectations | 16 |
| The Offeror provide the company’s current capacity vs current workload and how will your company bridge the gap to cover Occupational Therapy, Physical Therapy, Speech Therapy and Assistant(s) positions to provide the critical services under this contract? | Did not provide information. | ||
| 40 | 7 | Below Expectations | 16 |
| Did the offeror provide any suggestions based on what you have read in this RFP that may help increase efficiencies and/or provide better service for ADVS? | |||
| 30 | 8 | Below Expectations | 12 |
| Did the offeror provide if the firm is capable of providing service to the Arizona State Veterans’ Home in Phoenix (ASVH-P), Arizona State Home in Tucson (ASVH-T), Arizona State Veterans Home Yuma and ASVH-Flagstaff? Do you have an office in Phoenix? Tell us how you would handle this facility, including current Occupational Therapy, Physical Therapy, Speech Therapy and Assistant(s) staff you have available and how you would recruit to meet ASVHs staffing needs in these positions. (See section 2 titled Introduction/Background of the Scope of Work for facility details) It is not required that your firm has the capability to provide service for all Homes? | Offeror did not provide answer. | ||
| 10 | 9 | Unacceptable | 0 |
| Our Veterans’ Homes are twenty- four (24) hours a day, seven (7) days a week operations. Did the offeror confirm is they can provide personnel that can work shifts? | Offeror 5 days a week. PRN. | ||
| 200 | Cost/Pricing Criteria | 200.0 | |
| 200 | 200 |
For each of evaluation criteria above, a determination was made regarding how well the proposals satisfied the stated requirements. The rating definitions, found below, formed the basis for determining the scores assigned to each proposal. The comments fields were used to note strengths and weaknesses of the proposal.
| Exceeds Expectations |
| Meets Expectations |
| Below Expectations |
| Unacceptable |
| Complies |
| Doesn't Comply |
Metro Fire Equip. Inc.
| INITIAL EVALUATION REPORT | |
| Solicitation No. ADVS14-00003649 | BPM004997 |
| Total Score | 875 | ||
| 300 | Experience | 225 | |
| 150 | 1 | Meets Expectations | 112.5 |
| Did the Offeror provide an Executive Summary shall be no more that two (2) pages. The following information shall be provided in this section of your proposal: |
6.2.1.3.1.1 Full legal company name.
6.2.1.3.1.2 Year business started.
6.2.1.3.1.3 State of incorporation or headquarters.
6.2.1.3.1.4 Business a United States Corporation.
6.2.1.3.1.5 Tax identification number.
6.2.1.3.1.6 Address location of company headquarters.
6.2.1.3.1.7 Provide a brief company history.
6.2.1.3.1.8 Provide your companies mission statement.
6.2.1.3.1.9 How many years of experience does your organization have in providing the requested services?
6.2.1.3.1.10 Identify the individual who has overall responsibility for the company’s operations in regards to this account, if awarded.
6.2.1.3.1.11 Provide a list of current number of people employed for entire organization and the roles of those employees that would specifically be supporting this contract for all regions awarded. Is your company currently involved in any litigation in which an adverse decision might result in a material change in the company’s financial position or future viability?
6.2.1.3.1.13 What is your company’s current capacity and current workload and how will your company bridge the gap, if any, to provide the critical services under this contract for all regions awarded?
6.2.1.3.1.14 A Statement of whether, in the last five (5) years, the Offeror has filed against it) any bankruptcy, or insolvency proceeding, whether voluntary or involuntary, or undergone the appointment of a receiver, trustee, or assignee for the benefit of creditors, and if so, an explanation providing relevant details and current status.
6.2.1.3.1.15 A Statement of whether there is any pending litigation initiated by Offeror or where Offeror is a defendant or party in any litigation that may have a material impact on Offeror’s ability to deliver the contracted services.
6.2.1.3.1.16 Full disclosure of Public Sector contracts terminated for cause or convenience in the past five (5) years.
| 100 | 2 | Meets Expectations | 75 |
| Did the Offeror provide: 6.2.1.3.2.1 What market(s) are your current clients primary in? |
6.2.1.3.2.2 What experience do you have serving clients in Business Markets within the State of Arizona?
6.2.1.3.2.3 What is the range in size of your current clients?
6.2.1.3.2.4 How long have you provided services to your longest tenured client?
| 50 | 3 | Meets Expectations | 37.5 |
| Did the Offeror provide: 6.2.1.3.3.1 Offeror must provide evidence of financial stability and capability to fund all cost associated with providing the services throughout the term of the Contract. The latest two (2) years audited annual financial statements including Total Revenue, Net Income, and Total Assets must be submitted with the Offeror’s proposal. If audited financial data is unavailable, explain in the full the reason, and provide the latest non-audited financial information to include Balance Sheet, Income Statement, as well as Statements of Cash flows and Change in Financial Position. Include information to attest to the accuracy of the information provided. |
6.2.1.3.3.2 Offeror shall provide information regarding any irregularities that were discovered in any accounts maintained by the Offeror on behalf of others. Describe the circumstances and disposition of the irregularities.
6.2.1.3.4 Submit copies of all applicable certificates and licenses that support Offeror’s ability to provide the related services being proposed.
| 300 | Capacity of Offeror | 225 | |
| 100 | 1 | Meets Expectations | 75 |
| Did the Offeror confirm that the company can meet the minimum Insurance Requirements in Section 31 of the Special Terms and Conditions to this solicitation? |
| 100 | 1 | Meets Expectations | 75 |
| Did the Offeror describe their offering for phone and on-line support in regards to their complete program? | |||
| 100 | 1 | Meets Expectations | 75 |
| The Offeror provide the company’s current capacity vs current workload and how will your company bridge the gap to cover services? | |||
| 300 | Method of Approach | 225 | |
| 100 | 1 | Meets Expectations | 75 |
| Did the Offeror provide a narrative response to each specification that demonstrates their understanding of “the Scope of Work” requirements and describes the company’s overall method of approach for providing the service stated in this solicitation? | Offeror did not provide pricing for kitchen hood cleaning | ||
| 50 | 2 | Meets Expectations | 37.5 |
| Did the Offeror describe their processes that will ensure the ease of use of this contract in regards to Section 3 titled “Contractor Requirements” in the Scope of Work in this solicitation. | |||
| 50 | 3 | Meets Expectations | 37.5 |
| Did the Offeror provide the companies implementation plan including ramp up time lines for providing services in this contract? | |||
| 75 | 7 | Meets Expectations | 56.25 |
| Did the offeror provide any suggestions based on what you have read in this RFP that may help increase efficiencies and/or provide better service for ADVS? | |||
| 15 | 8 | Meets Expectations | 11.25 |
| Did the offeror provide if the firm is capable of providing service to the all sites? | |||
| 10 | 9 | Meets Expectations | 7.5 |
| Our Veterans’ Homes are twenty- four (24) hours a day, seven (7) days a week operations. Did the offeror confirm is they can provide timely serivce? | |||
| 200 | Cost/Pricing Criteria | 200.0 | |
| 200 | 200 |
For each of evaluation criteria above, a determination was made regarding how well the proposals satisfied the stated requirements. The rating definitions, found below, formed the basis for determining the scores assigned to each proposal. The comments fields were used to note strengths and weaknesses of the proposal.
| Exceeds Expectations |
| Meets Expectations |
| Below Expectations |
| Unacceptable |
| Complies |
| Doesn't Comply |
Service Areas
| Vendor | ASVH-Phoenix | ASVH-Tucson | ASVH-Yuma | ASVH-Flagstaff | AVMC-CN | AVMC-SV | AVMC-M |
| Metro Fire Equip. Inc. | X | X | X | X | X | X | X |
Checklist
Margie Silva: Margie Silva:
| Attachment A | Attachment B | Attachment C | Attachment D | Attachment E | Attachment F | Attachment G | Attachment H | Attachment I | Attachment J | Attachment L | |||
| Vendor | Questionaire Completed | Offer and Acceptance | Notice, Correspondence, and Payment | Reference | Subcontractors | Boycott of Israel | Forced Labor of Ethnic Ban Uyghurs Ban | Confidential Info. Disclosure | Percent Increase | Experience and Capacity Questionnaire | Method of Approach | Conformation Statements | Notes |
| Metro Fire Equip. Inc. | X | X | X | X | X | X | X | X | X | X | X | X |
Pricing Sheet
| Metro Fire Equip. Inc. | |||||||||
| Code | Field type | Label | I1_1 | Required Item | ASVH-F Quarterly Sprinkler Inspection and Tests | 1 | EA | 1702.75 | |
| I1_21 | Required Item | Rehabilitation Services – Location ASVH-Flagstaff (Per Minute) | I1_2 | Required Item | ASVH-F Annual Fire Alarm Inspections and Tests | 1 | EA | 7120 | |
| I1_20 | Required Item | Rehabilitation Services for the Veterans/Members residing (15 minute sessions) –Location ASVH-Flagstaff (Per Session) | I1_4 | Required Item | ASVH-F Annual Fire Extinguisher Inspection and Tests | 1 | EA | 10.75 | |
| I1_19 | Required Item | Rehabilitation Services All Other Payor Sources - Location ASVH-Flagstaff (Per Minute) | I1_5 | Required Item | ASVH-F Semi-Annual Kitchen Hood Inspection and Tests | 1 | EA | 840 | |
| I1_18 | Required Item | Rehabilitation Services Medicare Part A, per billable minute - Location ASVH-Flagstaff (Per Minute) | I1_6 | Required Item | ASVH-F Semi-Annual Kitchen Hood cleaning | 1 | EA | ||
| I1_17 | Required Item | Rehabilitation Services Medicare Part ASVH-Flagstaff B % off CPT Code – 65% off the then current Medicare Part B fee Schedule for | I1_7 | Required Item | ASVH-F Hourly Rate for Repair Services | 1 | Hour | 135 | |
| I1_16 | Required Item | Rehabilitation Services – Location ASVH-Yuma (Per Session) | I1_8 | Required Item | ASVH-F Hourly Rate for Urgent Response Services | 1 | Hour | 202.5 | |
| I1_15 | Required Item | Rehabilitation Services for the Veterans/Members residing (15 minute sessions) –Location ASVH-Yuma (Per Minute)) | I1_9 | Required Item | ASVH-F Fixed Rate for electronic fire monitoring | 1 | EA | 45 | |
| I1_14 | Required Item | Rehabilitation Services All Other Payor Sources - Location ASVH-Yuma (Per Minute) | I1_10 | Required Item | ASVH-Y Annual Fire Alarm Inspection and Tests | 1 | Each | 7020 | |
| I1_13 | Required Item | Rehabilitation Services Medicare Part A, per billable minute - Location ASVH-Yuma (Per Minute) | I1_11 | Required Item | ASVH-Y Fire Alarm Inspections | 1 | EA | 7020 | |
| I1_12 | Required Item | Rehabilitation Services Medicare Part A, per billable minute - Location ASVH-Yuma (Per Minute) | I1_12 | Required Item | ASVH-Y Annual Fire Extinguisher Inspection and Tests | 1 | EA | 7.7 | |
| I1_11 | Required Item | Rehabilitation Services Medicare Part B % off CPT Code – 65% off the then current Medicare Part B fee Schedule for ASVH-Yuma | I1_13 | Required Item | ASVH-Y Semi-Annual Kitchen Hood Inspection and Tests | 1 | EA | 840 | |
| I1_10 | Required Item | Rehabilitation Services – Location ASVH-Tucson (Per Minute) | I1_14 | Required Item | ASVH-Y Semi-Annual Kitchen Hood cleaning | 1 | EA | ||
| I1_9 | Required Item | Rehabilitation Services for the Veterans/Members residing (15 minute sessions) –Location ASVH-Tucson (Per Session) | I1_15 | Required Item | ASVH-Y Hourly Rate for Repair Services | 1 | Hour | 135 | |
| I1_8 | Required Item | Rehabilitation Services All Other Payor Sources - Location ASVH-Tucson ( Per Minute) | I1_16 | Required Item | ASVH-Y Quarterly Sprinkler Inspection and Tests | 1 | EA | 472.25 | |
| I1_7 | Required Item | Rehabilitation Services Medicare Part A, per billable minute - Location ASVH-Tucson (Per Minute) | I1_17 | Required Item | ASVH-Y Fixed Rate for electronic fire monitoring | 1 | EA | 45 | |
| I1_6 | Required Item | Rehabilitation Services Medicare Part B % off CPT Code – 65% off the then current Medicare Part B fee Schedule for ASVH-Tucson | I1_18 | Required Item | ASVH-Y Hourly Rate for Urgent Response Services | 1 | Hour | 202.5 | |
| I1_5 | Required Item | Rehabilitation Services – Location ASVH-Phoenix | I1_19 | Required Item | ASVH-P Quarterly Sprinkler Inspection and Tests | 1 | EA | 1062 | |
| I1_4 | Required Item | Rehabilitation Services for the Veterans/Members residing (15 minute sessions) –Location ASVH-Phoenix (Per Session) | I1_20 | Required Item | ASVH-F Fire Alarm Inspections and Tests | 1 | EA | 7120 | |
| I1_3 | Required Item | Rehabilitation Services All Other Payor Sources - Location ASVH-Phoenix (Per Minute) | I1_21 | Required Item | ASVH-P Fire Alarm Inspections and Tests | 1 | EA | 10535 | |
| I1_2 | Required Item | Rehabilitation Services Medicare Part A, per billable minute - Location ASVH-Phoenix (Per Minute) | I1_22 | Required Item | ASVH-P Annual Fire Alarm Inspection and Tests | 1 | EA | 10535 | |
| I1_1 | Required Item | Rehabilitation Services Medicare Part B % off CPT Code – 65% off the then current Medicare Part B fee for ASVH-Phoenix | I1_23 | Required Item | ASVH-P Annual Fire Extinguisher Inspection and Tests | 1 | EA | 7.7 | |
| I1_24 | Required Item | ASVH-P Quarterly-Annual Kitchen Hood Inspection and Tests | 1 | EA | 870 | ||||
| I1_25 | Required Item | ASVH-P Quarterly-Annual Kitchen Hood cleaning | 1 | EA | |||||
| I1_26 | Required Item | ASVH-P Hourly Rate for Repair Services | 1 | Hour | 135 | ||||
| I1_27 | Required Item | ASVH-P Hourly Rate for Urgent Response Services | 1 | Hour | 202.5 | ||||
| I1_28 | Required Item | ASVH-P Fixed Rate for electronic fire monitoring | 1 | EA | 45 | ||||
| I1_29 | Required Item | ASVH-T Annual Fire Alarm Inspection and Tests | 1 | EA | 9521.99 | ||||
| I1_30 | Required Item | ASVH-T Fire Alarm Inspections and Tests | 1 | EA | 9521.99 | ||||
| I1_31 | Required Item | ASVH-T Quarterly Sprinkler Inspection and Tests | 1 | EA | 967.25 | ||||
| I1_32 | Required Item | ASVH-T Annual Fire Extinguisher Inspection and Tests | 1 | EA | 8.35 | ||||
| I1_33 | Required Item | ASVH-T Quarterly-Annual Kitchen Hood Inspection and Tests | 1 | EA | 843.98 | ||||
| I1_34 | Required Item | ASVH-T Quarterly-Annual Kitchen Hood cleaning | 1 | EA | |||||
| I1_35 | Required Item | ASVH-T Hourly Rate for Repair Services | 1 | Hour | 135 | ||||
| I1_36 | Required Item | ASVH-T Hourly Rate for Urgent Response Services | 1 | Hour | 202.5 | ||||
| I1_37 | Required Item | ASVH-T Fixed Rate for electronic fire monitoring | 1 | EA | 45 | ||||
| I1_38 | Required Item | Fixed Rate for Fire Extinguisher Refills | 1 | Each | 30 | ||||
| I1_39 | Required Item | Percentage Off Parts/Materials | 1 | % | 10 | ||||
| I1_40 | Required Item | AVMC-M Annual Fire Alarm Inspection and Tests | 1 | EA | 1752.99 | ||||
| I1_41 | Required Item | AVMC-M Fire Alarm Inspections and Tests | 1 | EA | 1752.99 | ||||
| I1_42 | Required Item | AVMC- M Sprinkler Inspection and Tests | 1 | EA | 483.98 | ||||
| I1_43 | Required Item | AVMC-M Annual Fire Extinguisher Inspection and Tests | 1 | EA | 12.42 | ||||
| I1_44 | Required Item | AVMC-M Hourly Rate for Repair Services | 1 | Hour | 135 | ||||
| I1_45 | Required Item | AVMC-M Hourly Rate for Urgent Response Services | 1 | Hour | 202.5 | ||||
| I1_46 | Required Item | AVMC-M Fixed Rate for electronic fire monitoring | 1 | EA | 45 | ||||
| I1_47 | Required Item | AVMC-SV Annual Fire Alarm Inspection and Tests | 1 | EA | 1643 | ||||
| I1_48 | Required Item | AVMC-SV Fire Alarm Inspections and Tests | 1 | EA | 1643 | ||||
| I1_49 | Required Item | AVMC-SV Sprinkler Inspection and Tests | 1 | EA | 787 | ||||
| I1_50 | Required Item | AVMC-SV Annual Fire Extinguisher Inspection and Tests | 1 | EA | 9.56 | ||||
| I1_51 | Required Item | AVMC-SV Hourly Rate for Repair Services | Hour | 135 | |||||
| I1_52 | Required Item | AVMC-SV Hourly Rate for Urgent Response Services | 1 | Hour | 202.5 | ||||
| I1_53 | Required Item | AVMC-SV Fixed Rate for electronic fire monitoring | 1 | EA | 45 | ||||
| I1_54 | Required Item | AVMC-CN Annual Fire Alarm Inspection and Tests | 1 | EA | 1643 | ||||
| I1_55 | Required Item | AVMC-CN Fire Alarm Inspections and Tests | 1 | EA | 1643 | ||||
| I1_56 | Required Item | AVMC-CN Sprinkler Inspection and Tests | 1 | EA | 440 | ||||
| I1_57 | Required Item | AVMC-CN Annual Fire Extinguisher Inspection and Tests | 1 | EA | 7 | ||||
| I1_58 | Required Item | AVMC-CN Hourly Rate for Repair Services | 1 | Hour | 135 | ||||
| I1_59 | Required Item | AVMC-CN Hourly Rate for Urgent Response Services | 1 | Hour | 202.5 | ||||
| I1_60 | Required Item | AVMC- Fixed Rate for electronic fire monitoring | 1 | EA | 45 |
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File details come from the government source that posted it. Updated .