Attachment_2_-Global_NAL_Pricing_Template_-CLIN_Structure.xlsx

XLSX spreadsheet 479 KB Posted

Attached to
Global Nurse Advice LIne Federal contract opportunity
Solicitation number
HT0011-16-R-0040
Issued by
Defense Health Agency

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Draft Pricing Template

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File Type Posted
HT0011-16-R-0040-Global_NAL-Attachment_6-Draft_QASP-11-2-16.doc DOC document
HT0011-16-R-0040-Global_NAL-Draft_RFP_for_Comments-11-2-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_8-Questions_For_Potential_Offerors-10-28-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-Draft_RFP_for_Comments-10-28-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Draft_RFP_For_Comments-10-24-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_5-OCI_Contract_List-10-24-16.xls XLS spreadsheet
HT0011-16-R-0040-Global_NAL-Attachment_3-Estimated_Workload_Sheet-10-24-2016.docx DOCX document
HT0011-16-R-0040-Global_NAL-Attachment_1-Non_Disclosure_Agreement-10-24-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-Attachment_7-Small_Business_Participation-_Plan-10-24-2016.doc DOC document
HT0011-16-R-0040-Global_NAL-Attachment_2-PII_Requirments-10-24-2016.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_4-Pricing_Sheet-10-24-16.xlsx XLSX spreadsheet
Draft_RFP_-_Notice_-_Global_Nurse_Advice_Line_corrected.pdf PDF
Attachment_1_-_Global_Nurse_Advice_Line_PWS_2016_0817.docx DOCX document
Attachment_4-_Question_and_Answers_Worksheet.xlsx XLSX spreadsheet
Draft_RFP_-_Notice_-_Global_Nurse_Advice_Line.pdf PDF
Attachment_-3__Past_Performance_Questionaire.docx DOCX document
Draft_Soliciation_-_HT0011-16-R-0040_v3.pdf PDF
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Summary

BaseOP 1OP2OP3OP4Total Cost
CLINSectionsCLIN TypeUnit of Issue (U/I)QtyUnit PriceTotal PriceQtyUnit PriceTotal PriceQtyUnit PriceTotal PriceQtyUnit PriceTotal PriceQtyUnit PriceTotal Price
0001Implementation PeriodFFPMonthly6$ - 0$ - 00$ - 0$ - 00$ - 0$ - 00$ - 0$ - 00$ - 0$ - 0$ - 0
0002Program Management and Quality AssuranceFFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0003Eligibility VerificationFFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0004Telehealth RN TriageFFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0004Care CoordinationFFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0005System IntegrationCostMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0006TelecommunicationsFFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0007Real Time DatabaseFFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0008Business Intelligence / Reporting CapabilityFFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0009Travel (ODC)CostNTE1$ - 0$ - 01$ - 0$ - 01$ - 0$ - 01$ - 0$ - 01$ - 0$ - 0$ - 0
0010PCM On Call (Optional)FFPMonthly6$ - 0$ - 012$ - 0$ - 012$ - 0$ - 012$ - 0$ - 09$ - 0$ - 0$ - 0
0011Transition Out Period (Optional)FFPMonthly0$ - 0$ - 00$ - 0$ - 00$ - 0$ - 00$ - 0$ - 03$ - 0$ - 0$ - 0
Total Cost with Optional CLINs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Cost without Optional CLINs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
* This sheet should be locked as the cells are linked to the other tabs.

Base

Base
CLINSectionsCLIN TypeUnit of Issue (U/I)QtyUnit PriceTotal Price
0001Implementation PeriodFFPMonthly6$ - 0
0002Program Management and Quality AssuranceFFPMonthly6$ - 0
0003Eligibility VerificationFFPMonthly6$ - 0
0004Telehealth RN TriageFFPMonthly6$ - 0
0005Care CoordinationFFPMonthly6$ - 0
0006System IntegrationCostMonthly6$ - 0
0007TelecommunicationsFFPMonthly6$ - 0
0008Real Time DatabaseFFPMonthly6$ - 0
0009Business Intelligence / Reporting CapabilityFFPMonthly6$ - 0
0010Travel (ODC)CostNTE1$ - 0
0011PCM On Call (Optional)FFPMonthly6$ - 0
FFPMonthly3$ - 0
Total Cost Base Period with Optional CLINs$ - 0
Total Cost Base Period without Optional CLINs$ - 0

COA 2 and 3

TRICARE Health PlansRateQuantityAnnual Cost
TRICARE Prime MTF
TRICARE Prime MCSC
TRICARE Standard
Other TRICARE and DEERS Eligible (TFL, Reserve Select, Retired Reserve, Young Adult, Standard Overseas, Prime Remote Overseas, DEERS Eligible)
*These beneficiaries are only eligible if they are traveling or physically residing in the United States.
RegionRateQuantityAnnual Cost
CONUS
Europe
Pacific
TLAC

OP1

OP1
CLINSectionsCLIN TypeUnit of Issue (U/I)QtyUnit PriceTotal Price
1001Implementation PeriodFFPMonthly0$ - 0$ - 0
1002Program Management and Quality AssuranceFFPMonthly12$ - 0
1003Eligibility VerificationFFPMonthly12$ - 0
1004Telehealth RN TriageFFPMonthly12$ - 0
1005Care CoordinationFFPMonthly12$ - 0
1006System IntegrationCostMonthly12$ - 0
1007TelecommunicationsFFPMonthly12$ - 0
1008Real Time DatabaseFFPMonthly12$ - 0
1009Business Intelligence / Reporting CapabilityFFPMonthly12$ - 0
1010Travel (ODC)CostNTE1$ - 0
1011PCM On Call (Optional)FFPMonthly12$ - 0
FFPMonthly0$ - 0$ - 0
Total Cost Option Period 1 with Optional CLINs$ - 0
Total Cost Option Period 1 without Optional CLINs$ - 0

OP2

OP2
CLINSectionsCLIN TypeUnit of Issue (U/I)QtyUnit PriceTotal Price
2001Implementation PeriodFFPMonthly0$ - 0$ - 0
2002Program Management and Quality AssuranceFFPMonthly12$ - 0
2003Eligibility VerificationFFPMonthly12$ - 0
2004Telehealth RN TriageFFPMonthly12$ - 0
2005Care CoordinationFFPMonthly12$ - 0
2006System IntegrationCostMonthly12$ - 0
2007TelecommunicationsFFPMonthly12$ - 0
2008Real Time DatabaseFFPMonthly12$ - 0
2009Business Intelligence / Reporting CapabilityFFPMonthly12$ - 0
2010Travel (ODC)CostNTE1$ - 0
2011PCM On Call (Optional)FFPMonthly12$ - 0
FFPMonthly0$ - 0$ - 0
Total Cost Option Period 2 with Optional CLINs$ - 0
Total Cost Option Period 2 without Optional CLINs$ - 0

OP3

OP3
CLINSectionsCLIN TypeUnit of Issue (U/I)QtyUnit PriceTotal Price
3001Implementation PeriodFFPMonthly0$ - 0$ - 0
3002Program Management and Quality AssuranceFFPMonthly12$ - 0
3003Eligibility VerificationFFPMonthly12$ - 0
3004Telehealth RN TriageFFPMonthly12$ - 0
3005Care CoordinationFFPMonthly12$ - 0
3006System IntegrationCostMonthly12$ - 0
3007TelecommunicationsFFPMonthly12$ - 0
3008Real Time DatabaseFFPMonthly12$ - 0
3009Business Intelligence / Reporting CapabilityFFPMonthly12$ - 0
3010Travel (ODC)CostNTE1$ - 0$ - 0
3011PCM On Call (Optional)FFPMonthly12$ - 0
FFPMonthly0$ - 0$ - 0
Total Cost Option Period 3 with Optional CLINs$ - 0
Total Cost Option Period 3 without Optional CLINs$ - 0

OP4

Base
CLINSectionsCLIN TypeUnit of Issue (U/I)QtyUnit PriceTotal Price
4001Implementation PeriodFFPMonthly0$ - 0
4002Program Management and Quality AssuranceFFPMonthly9$ - 0
4003Eligibility VerificationFFPMonthly9$ - 0
4004Telehealth RN TriageFFPMonthly9$ - 0
4005Care CoordinationFFPMonthly9$ - 0
4006System IntegrationCostMonthly9$ - 0
4007TelecommunicationsFFPMonthly9$ - 0
4008Real Time DatabaseFFPMonthly9$ - 0
4009Business Intelligence / Reporting CapabilityFFPMonthly9$ - 0
4010Travel (ODC)CostNTE1$ - 0$ - 0
4011PCM On Call (Optional)FFPMonthly9$ - 0
4012Transition Out Period (Optional)FFPMonthly3$ - 0
Total Cost Option Period 4 with Optional CLINs$ - 0
Total Cost Option Period 4 without Optional CLINs$ - 0

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