CTR050592 A2 Pricing.pdf

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Master Agreement AZ|CTR050592
Contract number
CTR050592
Issued by
Arizona

About this file

This document is a Contract Amendment No. 2 issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The contract is identified by the number CTR050592 and involves the procurement of Health Start Services.

The contract details a comprehensive set of required and optional services with associated unit rates for the period of 7/1/2022 - 6/30/2023. Required services include data preparation, client enrollments, prenatal and family follow-up visits, multiple-child visits, substance screening, brief interventions, home assessments, nurse and social work consultations, and training. The total annual contract amount for required services is $90,670.00, with optional services adding $1,290.00 for a total annual contract amount of $91,960.00. Optional services include pregnancy test visits, community and client classes, and birth doula support. The pricing is structured with specific unit rates per month, person, child, class, hour, or day, providing a detailed breakdown of service costs.

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Text version

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR050592 AMENDMENT NO.: 2 Procurement Officer Mitchell Goldberg

PRICE SHEET

Annual Health Start Services Projection Form 7/1/2022 - 6/30/2023

FREQUENCY

FUNDING

LINES

REQUIRED SERVICES

UNIT OF

MEASURE

UNIT

RATE

HEALTH

START

HEALTH

START $

Required Services

TOTAL $

Data Preparation Per Month $250.00 12 $3,000.00 $3,000.00

Client Enrollments Per Person $190.00 20 $3,800.00 $3,800.00

Client Visits Prenatal Per Person $115.00 240 $27,600.00 $27,600.00 Client Visits Family Follow up Mom/Caregiver Per Person $115.00 200 $23,000.00 $23,000.00

Client Family Follow-up Child Per Child $115.00 160 $18,400.00 $18,400.00

Multiple-Child Visits Per Child $75.00 20 $1,500.00 $1,500.00 Alcohol, Tobacco, Other Drugs Screening Visits Per Class $80.00 23 $1,840.00 $1,840.00

Brief Intervention Visits Per Person $60.00 9 $540.00 $540.00

Healthy @ Home Assessments Per Person $60.00 45 $2,700.00 $2,700.00

Nurse Consultation Per Hour $90.00 12 $1,080.00 $1,080.00

Social Work/LPC Consultation Per Hour $80.00 12 $960.00 $960.00

Social Work/LPC Consultation Per Hour $0.00 0 $0.00 $0.00

Training - CHW/ CHN/ Coordinator Per Day $250.00 25 $6,250.00 $6,250.00

TOTAL $90,670.00

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR050592 AMENDMENT NO.: 2 Procurement Officer Mitchell Goldberg

OPTIONAL SERVICES

UNIT OF

MEASURE

UNIT

RATE

HEALTH

START

HEALTH

START $

OPTIONAL

Services

TOTAL $

Pregnancy Test Visits Per Person $80.00 0 $0.00 $0.00

Classes for Community Per Class $215.00 0 $0.00 $0.00

Prenatal Visits - Birth Doula Support Per Person $0.00 0 $0.00 $0.00

Classes for Clients Per Class $215.00 6 $1,290.00 $1,290.00

TOTAL $1,290.00

TOTAL ANNUAL CONTRACT AMOUNT $91,960.00

**Per Person/Per Day/Per the ADHS General Accounting Office guidelines www.gao.az.gov/travel

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