CSP015261_Amendment_1.pdf
PDF 75 KB Posted
- Attached to
- Competitive Selection OH|CSP015261
- Contract number
- CSP015261
- Issued by
- Ohio
About this file
This document is Amendment No. 1 to a Health and Wellness Program contract between the State of Ohio's Department of Administrative Services (DAS), General Services Division, and ActiveHealth Management, Inc., located in New York. The amendment is specifically for the Bureau of Workers' Compensation and is effective August 1, 2024, with the contract number CSP015261.
The amendment expands Biometric Screening add-on test options specifically for the firefighter population, introducing several new venipuncture testing services with associated per-participant costs. These new options include Complete Blood Count (CBC) at $6.00/participant, Comprehensive Metabolic Panel at $6.00/participant, Prostate Specific Antigen (PSA) for males at $9.60/participant, and Thyroid Stimulating Hormone (TSH) at $4.80/participant. Additionally, a Colorectal Cancer Screening Program is included at $14.40 per kit shipped and $48.00 per processed kit. The amendment notes a 20-participant minimum for events offering venipuncture services, with billing applied as if 20 participants were tested if that threshold is not met. All other contract terms and conditions remain unchanged.
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Other files
| File | Type | Posted |
|---|---|---|
| CSP015261_Rev_Contract.pdf |
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Text version
Index No.: BWC013 Contract No.: CSP015261 Eff. Date: 08/01/2024
STATE OF OHIO
DEPARTMENT OF ADMINISTRATIVE SERVICES
GENERAL SERVICES DIVISION
OFFICE OF PROCUREMENT SERVICES
4200 SURFACE ROAD, COLUMBUS, OH 43228-1395
AMENDMENT FOR CHANGE
AMENDMENT NO. 1
TO: LIMITED DISTRIBUTION – Bureau of Workers' Compensation
FROM: KATHLEEN C. MADDEN, DIRECTOR, DEPARTMENT OF ADMINISTRATIVE SERVICES
SUBJECT: CONTRACT FOR HEALTH AND WELLNESS PROGRAM
Attached are pages 4, 5, and 6 to this contract. Remove these pages from the existing contract and replace with the attached pages on the effective date.
This amendment is issued to include a mutually agreed upon modification to the Cost Summary Form to expand the Biometric Screening add-on test options available for the firefighter population. This amendment is also issued to repaginate.
All other prices, terms and conditions remain unchanged.
This Amendment, the main Requirements Contract and any additional amendments thereto are available from the DAS Web site at the following address:
http://www.ohio.gov/procure
Affected Contractor(s):
249746 ActiveHealth Management, Inc.
233 Spring Street New York, NY 10013
Index No: BWC013 Eff. Date: 08/01/24 *Page No. 4
ADDITIONAL PROGRAMS AVAILABLE CONT.
PROGRAM AREA COST
*Firefighter venipuncture add-on test option - Complete Blood Count (CBC) $6.00 /Participant
*Firefighter venipuncture add-on test option - Comprehensive Metabolic Panel (Chem 13)
$6.00 /Participant
*Firefighter venipuncture add-on test option - Prostate Specific Antigen (PSA) males only
$9.60 /Participant
*Firefighter venipuncture add-on test option - Thyroid Stimulating Hormone (TSH)
$4.80 /Participant
*Firefighter Insure Colorectal Cancer Screening Program
$14.40 /Per Kit Shipped
*Firefighter Insure Colorectal Cancer Screening Program
$48.00 /Total Cost Processed Kit
*Firefighter venipuncture add-on tests can be conducted at an on-site event or at a patient service center.
*There is a 20-participant minimum for events where venipuncture services are offered. If the participant minimum is not met, the Agency will be billed as if 20 participants were tested at the event.
*Indicates the expansion of Biometric Screening add-on test options available for the firefighter population, and repagination, per amendment 1.
*Page No. 5
CONTRACTOR INDEX
CONTRACTOR AND TERMS:
249746
ActiveHealth Management, Inc. DELIVERY: As Specified 233 Spring Street New York, NY 10013 TERMS: Net 30 Days
CONTRACTOR’S CONTACT:
Ms. Robin Kish PHONE: (330) 906-3030 EMAIL: rkish@activehealth.net
*Indicates repagination, per amendment 1.
mailto:rkish@activehealth.net
*Page No. 6
SUMMARY OF AMENDMENTS
Amendment Number
Effective Date Description
1 08/01/24
This amendment is issued to include a mutually agreed upon modification to the Cost Summary Form to expand the Biometric Screening add-on test options available for the firefighter population. This amendment is also issued to repaginate.
All other prices, terms and conditions remain unchanged.
SUMMARY OF AMENDMENTS
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