HT0011-16-R-0040-Global_NAL-Attachment_4-Pricing_Sheet-12-13-16.xlsx

XLSX spreadsheet 18 KB Posted

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Global Nurse Advice Line
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HT0011-16-R-0040
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Attachment 4

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HT0011-16-R-0040-02-Global_NAL-Attachment_13-Questions_and_Answers-1-5-17.pdf PDF
HT0011-16-R-0040-02-Global_NAL_RFP-Conformed-1-5-17.pdf PDF
HT0011-16-R-0040-02-Global_NAL-RFP_Amendment_02-1-5-17.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_6-Small_Business_Participation_Plan-12-29-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-Attachment_5-Draft_QASP-12-29-16.doc DOC document
HT0011-16-R-0040-01-Global_NAL_RFP-Conformed-12-29-16.pdf PDF
HT0011-16-R-0040-01-Global_NAL_RFP-Amendment-12-29-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_3-Estimated_Workload_Sheet-12-29-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-Attachment_13-Questions_and_Answers-12-29-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_10-CDRLS-12-13-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_11-Written_Determination-12-13-16.doc DOC document
HT0011-16-R-0040-Global_NAL-Attachment_3-Estimated_Workload_Sheet-12-13-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-RFP-12-13-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_7-NAL_Satisfaction_Survey-12-13-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-Attachment_9-DFARS_Checklist-12-13-16.doc DOC document
HT0011-16-R-0040-Global_NAL-Attachment_12-OCI_Contract_List.xls XLS spreadsheet
HT0011-16-R-0040-Global_NAL-Attachment_8-TRICARE_Policy_For_Access_to_Care-12-13-16.pdf PDF
HT0011-16-R-0040-Global_NAL-Attachment_1-Non_Disclosure_Agreement-12-13-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-Attachment_5-Draft_QASP-12-13-16.doc DOC document
HT0011-16-R-0040-Global_NAL-Attachment_6-Small_Business_Participation_Plan-12-13-16.docx DOCX document
HT0011-16-R-0040-Global_NAL-Attachment_2-PII_Requirments-12-13-16.pdf PDF
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CLINS TOTAL

HT0011-16-R-0040-GLOBAL NAL-ATTACHMENT 4-PRICING SHEET-12-13-16
BASE PERIOD
CLIN NO.SUPPLIES/SERVICESTYPEQUANTITYUNITUNIT PRICETOTAL PRICE
Base-0001Program Management and Quality AssuranceFFP6Months
Base-0002Eligibility VerificationFFP6Months
Base-0003Telehealth Triage NurseFFP6Months
Base-0004Care CoordinationFFP6Months
Base Optional CLIN-0005System IntegrationCPFF6Months
Base-0006TelecommunicationsFFP6Months
Base-0007Real Time Database ManagementFFP6Months
Base-0008Business Intelligence/Report ManagementFFP6Months
Base-0009PCM On-Call (Optional CLIN)FFP6Months
Base-0010TravelCOST6Months$15,000.00
Base-0011Implementation Period-Transition InFFP6Months
BASE TOTAL
Option Period 1
CLIN NO.SUPPLIES/SERVICESTYPEQUANTITYUNITUNIT PRICETOTAL PRICE
Option-1001Program Management and Quality AssuranceFFP12Months
Option-1002Eligibility VerificationFFP12Months
Option-1003Telehealth Triage NurseFFP12Months
Option-1004Care CoordinationFFP12Months
Optional CLIN-1005System IntegrationCPFFMonths
Option-1006TelecommunicationsFFP12Months
Option-1007Real Time Database ManagementFFP12Months
Option-1008Business Intelligence/Report ManagementFFP12Months
Option-1009PCM On-Call (Optional CLIN)FFP12Months
Option-1010TravelCOST12Months$15,000.00
OP1 TOTAL
Option Period 2
CLIN NO.SUPPLIES/SERVICESTYPEQUANTITYUNITUNIT PRICETOTAL PRICE
Option-2001Program Management and Quality AssuranceFFP12Months
Option-2002Eligibility VerificationFFP12Months
Option-2003Telehealth Triage NurseFFP12Months
Option-2004Care CoordinationFFP12Months
Optional CLIN-2005System IntegrationCPFFMonths
Option-2006TelecommunicationsFFP12Months
Option-2007Real Time Database ManagementFFP12Months
Option-2008Business Intelligence/Report ManagementFFP12Months
Option-2009PCM On-Call (Optional CLIN)FFP12Months
Option-2010TravelCOST12Months$15,000.00
OP2 TOTAL
Option Period 3
CLIN NO.SUPPLIES/SERVICESTYPEQUANTITYUNITUNIT PRICETOTAL PRICE
Option-3001Program Management and Quality AssuranceFFP12Months
Option-3002Eligibility VerificationFFP12Months
Option-3003Telehealth Triage NurseFFP12Months
Option-3004Care CoordinationFFP12Months
Optional CLIN-3005System IntegrationCPFFMonths
Option-3006TelecommunicationsFFP12Months
Option-3007Real Time Database ManagementFFP12Months
Option-3008Business Intelligence/Report ManagementFFP12Months
Option-3009PCM On-Call (Optional CLIN)FFP12Months
Option-3010TravelCOST12Months$15,000.00
OP3 TOTAL
Option Period 4
CLIN NO.SUPPLIES/SERVICESTYPEQUANTITYUNITUNIT PRICETOTAL PRICE
Option-4001Program Management and Quality AssuranceFFP12Months
Option-4002Eligibility VerificationFFP12Months
Option-4003Telehealth Triage NurseFFP12Months
Option-4004Care CoordinationFFP12Months
Optional CLIN-4005System IntegrationCPFFMonths
Option-4006TelecommunicationsFFP12Months
Option-4007Real Time Database ManagementFFP12Months
Option-4008Business Intelligence/Report ManagementFFP12Months
Option-4009PCM On-Call (Optional CLIN)FFP12Months
Option-4010TravelCOST12Months$15,000.00
Option-4011Transition Out PeriodFFP3Months
OP4 TOTAL
Base Period
Option Period 1
Option Period 2
Option Period 3
Option Period 4
Grand Total

CLIN Breakdown CLIN NO LABOR CATEGORY KEY PERSONNEL (Y/N) CONTRACTOR NAME PLACE "P" FOR PRIME OR "S' FOR SUB PROPOSED HOURS FULLY BURDENED RATE TOTAL

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