CTR050594_Price_Sheet A2.pdf
PDF 198 KB Posted
- Attached to
- Master Agreement AZ|CTR050594
- Contract number
- CTR050594
- Issued by
- Arizona
About this file
This document is a Contract Amendment (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 CTR050594 and is associated with the Health Start Services program for the period of 7/1/2022 - 6/30/2023.
The contract outlines both required and optional services with detailed pricing and projected utilization. Required services include data preparation, client enrollments, various types of client visits (prenatal, family follow-up, multiple-child), screening visits, interventions, home assessments, consultations, and training. The total annual contract amount for required services is $349,650.00. Optional services include pregnancy test visits, community and client classes, and birth doula support, with an additional $3,350.00, bringing the total annual contract amount to $353,000.00. The pricing is structured with specific unit rates for each service type, such as per person, per month, per hour, or per class, with varying frequencies and projected utilization levels across different service categories.
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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.: CTR050594 AMENDMENT NO.: 2 Procurement Officer Diana Landeros
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 $300.00 12 $3,600.00 $3,600.00
Client Enrollments Per Person $100.00 87 $8,700.00 $8,700.00
Client Visits Prenatal Per Person $170.00 275 $46,750.00 $46,750.00
Client Visits Family Follow up Mom/Caregiver
Per Person $170.00 850 $144,500.00 $144,500.00
Client Family Follow-up Child Per Child $170.00 385 $65,450.00 $65,450.00
Multiple-Child Visits Per Child $90.00 400 $36,000.00 $36,000.00
Alcohol, Tobacco, Other Drugs Screening Visits
Per Class $75.00 90 $6,750.00 $6,750.00
Brief Intervention Visits Per Person $35.00 20 $700.00 $700.00
Healthy @ Home Assessments Per Person $75.00 90 $6,750.00 $6,750.00
Nurse Consultation Per Hour $40.00 20 $800.00 $800.00
Social Work/LPC Consultation Per Hour $50.00 23 $1,150.00 $1,150.00
Social Work/LPC Consultation Per Hour $75.00 20 $1,500.00 $1,500.00
Training - CHW/ CHN/ Coordinator Per Day $300.00 90 $27,000.00 $27,000.00
TOTAL $349,650.00
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR050594 AMENDMENT NO.: 2 Procurement Officer Diana Landeros
OPTIONAL SERVICES UNIT OF
MEASURE
UNIT
RATE
HEALTH
START
HEALTH
START $
OPTIONAL
Services TOTAL $
Pregnancy Test Visits Per Person $50.00 1 $50.00 $50.00
Classes for Community Per Class $300.00 3 $900.00 $900.00
Prenatal Visits - Birth Doula Support Per Person $0.00 $0.00
Classes for Clients Per Class $300.00 8 $2,400.00 $2,400.00
TOTAL $3,350.00
TOTAL ANNUAL CONTRACT AMOUNT $353,000.00
**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 .