CTR050596_MOHAVE_COUNTY_HEALTH_START_PRICE_SHEET.pdf
PDF 188 KB Posted
- Attached to
- Master Agreement AZ|CTR050596
- Contract number
- CTR050596
- Issued by
- Arizona
About this file
This is a Contract Amendment (Amendment No. 2) for the Health Start Program issued by the Arizona Department of Health Services, Office of Procurement, located in Phoenix, Arizona. The contract number is CTR050596, and the procurement officer is Diana Landeros.
The contract covers a range of health services for the period of 7/1/2022 - 6/30/2023, with both required and optional services. Required services include data preparation, client enrollments, prenatal and family follow-up visits, multiple-child visits, alcohol and drug screening, brief interventions, home assessments, nurse and social work consultations, and training. The total annual contract amount is $203,700.00, broken down into $183,300.00 for required services and $20,400.00 for optional services. Optional services include pregnancy test visits, prenatal visits with birth doula support, and client classes. Unit rates vary from $0 to $250 per unit, with frequencies ranging from 6 to 384 units across different service categories. Payments are to be made according to the ADHS General Accounting Office guidelines.
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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.: CTR050596 AMENDMENT NO.: 2
Procurement Officer Diana Landeros
PRICE SHEET
HEALTH START PROGRAM
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 $150.00 48 $7,200.00 $7,200.00
Client Visits Prenatal
Per Person $175.00 384 $67,200.00 $67,200.00
Client Visits Family Follow up Mom/Caregiver
Per Person $175.00 174 $30,450.00 $30,450.00
Client Family Follow-up Child
Per Child $175.00 174 $30,450.00 $30,450.00
Multiple-Child Visits Per Child $125.00 108 $13,500.00 $13,500.00
Alcohol, Tobacco, Other Drugs Screening Visits
Per Class $125.00 36 $4,500.00 $4,500.00
Brief Intervention Visits
Per Person $100.00 30 $3,000.00 $3,000.00
Healthy @ Home Assessments
Per Person $125.00 36 $4,500.00 $4,500.00
Nurse Consultation Per Hour $125.00 24 $3,000.00 $3,000.00
Social Work/LPC Consultation
Per Hour $125.00 12 $1,500.00 $1,500.00
Training - CHW/ CHN/ Coordinator
Per Day $250.00 60 $15,000.00 $15,000.00
TOTAL $183,300.00
CONTRACT AMENDMENT
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
CONTRACT NO.: CTR050596 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 $125.00 120 $15,000.00 $15,000.00
Classes for Community
Per Class $0.00 $0.00
Prenatal Visits - Birth Doula Support
Per Person $200.00 21 $4,200.00 $4,200.00
Classes for Clients Per Class $200.00 6 $1,200.00 $1,200.00
TOTAL $20,400.00
TOTAL ANNUAL CONTRACT AMOUNT $203,700.00
**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 .