Copy of Attachment 2 - Product Descriptions for HCPC Codes Worksheet.xlsx

XLSX spreadsheet 115 KB Posted Aug 25, 2022

Attached to: 23EHSDMEINCONTINENCEPRODUCTRFR: RFR for a Preferred Supplier of DME Incontinence Products
Solicitation number: BD-23-1039-EHS01-ASHWA-78829
Issued by: Suffolk County, Massachusetts

About this file

Written by GovTribe AI · Aug 1, 2024

This document is an attachment to a state and local contract opportunity issued by the Commonwealth of Massachusetts' Executive Office of Health and Human Services (EOHHS) to procure a preferred supplier for incontinence products offered to the state's MassHealth DME providers. The RFR requires online proposal submission via COMMBUYS and seeks to establish a contract for incontinence products with detailed specifications for standard and premium performance products across various HCPCS codes. The contract term and any renewal options are not specified.

The attachment provides detailed product specifications and minimum quality measures for the incontinence products, including requirements for plastic backing, rewet rates, retention capacity, breathability, and closure systems. Respondents are required to submit information on two product options for each HCPCS code, with additional details allowed if applicable. Pricing terms, set-asides, incumbent information, funding sources, and other financial details are not included in the provided documents.

View the file

Other files

File	Type	Posted
Massachusetts Substitute W-9 Form~3.pdf	PDF	Aug 25, 2022
Commonwealth of MA Standard Contract Form.docx	DOCX document	Aug 25, 2022
Standard Contract Form Instructions and Contractor Certifications~2.pdf	PDF	Aug 25, 2022
DME Preferred Supplier Absorbent Products RFR.docx	DOCX document	Aug 25, 2022
Contractor Authorized Signatory Listing for Sole Proprietors.pdf	PDF	Aug 25, 2022
Copy of Supplier Diversity Program SDP Plan Form~5.xlsx	XLSX spreadsheet	Aug 25, 2022
QA for RFR DME Incontinence Products Preferred Supplier.docx	DOCX document	Aug 25, 2022
Commonwealth Terms and Conditions~12.pdf	PDF	Aug 25, 2022
Attachment 5 - Model Contract for DME RFR.docx	DOCX document	Aug 25, 2022
Intent to Post -Advance Notice MassHealth Incontinence Products Preferred Supplier-WTO Notice.docx	DOCX document	Aug 25, 2022
Amendment 1 for Preferred Supplier of Incontinence Product RFR~1.docx	DOCX document	Aug 25, 2022
Attachment 6 - RFR Required Bidder Certifications DME Preferred Supplier.doc	DOC document	Aug 25, 2022
Contractor Authorized Signatory Listing for Contractors.pdf	PDF	Aug 25, 2022

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NAFC Standard & Premium HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4521
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4521
Premium Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4522
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity)Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4522
Premium Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4523
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4523
Premium Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4524
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4524
Premium Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4533
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4533
Premium Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4543
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4543
Premium Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4543-UD
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4543-UD
Premium Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Closure system allows for multiple fastening/unfastening
	Yes	No
Additional Product Information if Applicable

NAFC Standard Product HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4525
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4526
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4527
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4528
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4534
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Additional Product Information if Applicable

HCPCS Code Specifications (Product brand name, Size range, Style, etc.) and Minimum Quality Measures

	T4544
Standard Performance		Product 1	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Product 2	Specifications:

Plastic backed		Rewet Rate (g)		Rate of Acquisition (sec)
Yes	No	g		sec
Retention Capacity (g)			Breathable (permeabillity) Zones (cfm)

	g		cfm
	Universal Requirements: 1. Designed with elasticized waisband and side panels. 2. Designed with multi-elastic leg gathers > 100% elastic tension. 3. Backing is waterproof.
	Yes	No
Additional Product Information if Applicable

No NAFC Standard

T4529 Product 1

Product 2

Additional Product Information (if applicable)

T4530 Product 1

Product 2

Additional Product Information (if applicable)

T4531 Product 1

Product 2

Additional Product Information (if applicable)

T4532 Product 1

Product 2

Additional Product Information (if applicable)

T4535 Product 1

Product 2

Additional Product Information (if applicable)

T4535-UD Product 1

Product 2

Additional Product Information (if applicable)

T4536 Product 1

Product 2

Additional Product Information (if applicable)

T4537 Product 1

Product 2

Additional Product Information (if applicable)

T4539 Product 1

Product 2

Additional Product Information (if applicable)

T4540 Product 1

Product 2

Additional Product Information (if applicable)

T4541 Product 1

Product 2

Additional Product Information (if applicable)

T4542 Product 1

Product 2

Additional Product Information (if applicable)

File details come from the government source that posted it. Updated Aug 1, 2024.