HT0011-16-R-0040-Global_NAL-Attachment_4-Pricing_Sheet-10-24-16.xlsx

XLSX spreadsheet 19 KB Posted

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Global Nurse Advice LIne
Solicitation number
HT0011-16-R-0040
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Attachment 4(Pricing Sheet). See attachment for more information.

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File Type Posted
HT0011-16-R-0040-Global_NAL-Draft_RFP_for_Comments-11-2-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_6-Draft_QASP-11-2-16.doc DOC document
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_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_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
Draft_RFP_-_Notice_-_Global_Nurse_Advice_Line_corrected.pdf PDF
Draft_Soliciation_-_HT0011-16-R-0040_v3.pdf PDF
Draft_RFP_-_Notice_-_Global_Nurse_Advice_Line.pdf PDF
Attachment_4-_Question_and_Answers_Worksheet.xlsx XLSX spreadsheet
Attachment_-3__Past_Performance_Questionaire.docx DOCX document
Attachment_2_-Global_NAL_Pricing_Template_-CLIN_Structure.xlsx XLSX spreadsheet
Attachment_1_-_Global_Nurse_Advice_Line_PWS_2016_0817.docx DOCX document
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CLINS TOTAL

HT0011-16-R-0040-GLOBAL NAL-ATTACHMENT 4-PRICING SHEET-10-24-16

BASE PERIOD

CLIN NO.SERVICESCLIN TYPEQUANTITYUNIT OF ISSUEUNIT PRICETOTAL PRICE
Base-0001Implementation Period-Transition In IAW PWSFFP6Months
Base-0002Program Management and Quality Assurance IAW PWSFFP6Months
Base-0003Eligibility Verification IAW PWSFFP6Months
Base-0004Telehealth Triage Nurse IAW PWSFFP6Months
Base-0005Care Coordination IAW PWSFFP6Months
Base-0006System Integration IAW PWSCPFF6Months
Base-0007Telecommunications IAW PWSFFP6Months
Base-0008Real Time Database Management IAW PWSFFP6Months
Base-0009Business Intelligence/Report ManagementFFP6Months
Base-0010-OptionalPCM On-Call (Optional CLIN) IAW PWSFFP6Months
Base-0011Travel IAW PWSCOST6Months

Option Period 1

CLIN NO.SERVICESCLIN TYPEQUANTITYUNIT OF ISSUEUNIT PRICETOTAL PRICE
Option-1002Program Management and Quality Assurance IAW PWSFFP12Months
Option-1003Eligibility Verification IAW PWSFFP12Months
Option-1004Telehealth Triage Nurse IAW PWSFFP12Months
Option-1005Care Coordination IAW PWSFFP12Months
Option-1006System Integration IAW PWSCPFF12Months
Option-1007Telecommunications IAW PWSFFP12Months
Option-1008Real Time Database Management IAW PWSFFP12Months
Option-1009Business Intelligence/Report Management IAW PWSFFP12Months
Option-1010PCM On-Call (Optional CLIN) IAW PWSFFP12Months
Option-1011Travel IAW PWSCOST12Months

Option Period 2

CLIN NO.SERVICESCLIN TYPEQUANTITYUNIT OF ISSUEUNIT PRICETOTAL PRICE
Option-2002Program Management and Quality Assurance IAW PWSFFP12Months
Option-2003Eligibility Verification IAW PWSFFP12Months
Option-2004Telehealth Triage Nurse IAW PWSFFP12Months
Option-2005Care Coordination IAW PWSFFP12Months
Option-2006System Integration IAW PWSCPFF12Months
Option-2007Telecommunications IAW PWSFFP12Months
Option-2008Real Time Database Management IAW PWSFFP12Months
Option-2009Business Intelligence/Report Management IAW PWSFFP12Months
Option-2010PCM On-Call (Optional CLIN) IAW PWSFFP12Months
Option-2011Travel IAW PWSCOST12Months
Option Period 3
CLIN NO.SERVICESCLIN TYPEQUANTITYUNIT OF ISSUEUNIT PRICETOTAL PRICE
Option-3002Program Management and Quality Assurance IAW PWSFFP12Months
Option-3003Eligibility Verification IAW PWSFFP12Months
Option-3004Telehealth Triage Nurse IAW PWSFFP12Months
Option-3005Care Coordination IAW PWSFFP12Months
Option-3006System Integration IAW PWSCPFF12Months
Option-3007Telecommunications IAW PWSFFP12Months
Option-3008Real Time Database Management IAW PWSFFP12Months
Option-3009Business Intelligence/Report Management IAW PWSFFP12Months
Option-3010PCM On-Call (Optional CLIN) IAW PWSFFP12Months
Option-3011Travel IAW PWSCOST12Months

Option Period 4

CLIN NO.SERVICESCLIN TYPEQUANTITYUNIT OF ISSUEUNIT PRICETOTAL PRICE
Option-4002Program Management and Quality Assurance IAW PWSFFP9Months
Option-4003Eligibility Verification IAW PWSFFP9Months
Option-4004Telehealth Triage Nurse IAW PWSFFP9Months
Option-4005Care Coordination IAW PWSFFP9Months
Option-4006System Integration IAW PWSCPFFMonths
Option-4007Telecommunications IAW PWSFFP9Months
Option-4008Real Time Database Management IAW PWSFFP9Months
Option-4009Business Intelligence/Report Management IAW PWSFFP9Months
Option-4010PCM On-Call (Optional CLIN) IAW PWSFFP9Months
Option-4011Travel IAW PWSCOST12Months
Option-4012Transition Out Period IAW PWSFFP3Months

FAR 52.217-8-6 Months Maximum

FAR 52.217-8-Option To Extend ServicesSUPPLIES/SERVICESTYPEQUANTITYUNITUNIT PRICETOTAL PRICE
52.217-8-OptionProgram Management and Quality Assurance IAW PWSFFP6Months
52.217-8-OptionEligibility Verification IAW PWSFFP6Months
52.217-8-OptionTelehealth Triage Nurse IAW PWSFFP6Months
52.217-8-OptionCare Coordination IAW PWSFFP6Months
52.217-8-OptionSystem Integration IAW PWSCPFF6Months
52.217-8-OptionTelecommunications IAW PWSFFP6Months
52.217-8-OptionReal Time Database Management IAW PWSFFP6Months
52.217-8-OptionBusiness Intelligence/Report Management IAW PWSFFP6Months
52.217-8-OptionPCM On-Call (Optional CLIN) IAW PWSFFP6Months
52.217-8-OptionCOST6Months
Travel IAW PWS
Base Period Total
Option Period 1 Total
Option Period 2 Total
Option Period 3 Total
Option Period 4 Total
FAR 52.217-8 Total
Grand Total (not Including 52.217-8)
Grand Total (Including 52.217-8)

CLIN Breakdown CLIN NO LABOR CATEGORY KEY PERSONNEL (Y/N) CONTRACTOR NAME PROPOSED HOURS FULLY BURDENED RATE TOTAL

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