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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Defense Health Agency
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CLINS TOTAL
| HT0011-16-R-0040-GLOBAL NAL-ATTACHMENT 4-PRICING SHEET-12-13-16 |
| BASE PERIOD |
| CLIN NO. | SUPPLIES/SERVICES | TYPE | QUANTITY | UNIT | UNIT PRICE | TOTAL PRICE |
| Base-0001 | Program Management and Quality Assurance | FFP | 6 | Months | ||
| Base-0002 | Eligibility Verification | FFP | 6 | Months | ||
| Base-0003 | Telehealth Triage Nurse | FFP | 6 | Months | ||
| Base-0004 | Care Coordination | FFP | 6 | Months | ||
| Base Optional CLIN-0005 | System Integration | CPFF | 6 | Months | ||
| Base-0006 | Telecommunications | FFP | 6 | Months | ||
| Base-0007 | Real Time Database Management | FFP | 6 | Months | ||
| Base-0008 | Business Intelligence/Report Management | FFP | 6 | Months | ||
| Base-0009 | PCM On-Call (Optional CLIN) | FFP | 6 | Months | ||
| Base-0010 | Travel | COST | 6 | Months | $15,000.00 | |
| Base-0011 | Implementation Period-Transition In | FFP | 6 | Months | ||
| BASE TOTAL | ||||||
| Option Period 1 |
| CLIN NO. | SUPPLIES/SERVICES | TYPE | QUANTITY | UNIT | UNIT PRICE | TOTAL PRICE |
| Option-1001 | Program Management and Quality Assurance | FFP | 12 | Months | ||
| Option-1002 | Eligibility Verification | FFP | 12 | Months | ||
| Option-1003 | Telehealth Triage Nurse | FFP | 12 | Months | ||
| Option-1004 | Care Coordination | FFP | 12 | Months | ||
| Optional CLIN-1005 | System Integration | CPFF | Months | |||
| Option-1006 | Telecommunications | FFP | 12 | Months | ||
| Option-1007 | Real Time Database Management | FFP | 12 | Months | ||
| Option-1008 | Business Intelligence/Report Management | FFP | 12 | Months | ||
| Option-1009 | PCM On-Call (Optional CLIN) | FFP | 12 | Months | ||
| Option-1010 | Travel | COST | 12 | Months | $15,000.00 | |
| OP1 TOTAL | ||||||
| Option Period 2 |
| CLIN NO. | SUPPLIES/SERVICES | TYPE | QUANTITY | UNIT | UNIT PRICE | TOTAL PRICE |
| Option-2001 | Program Management and Quality Assurance | FFP | 12 | Months | ||
| Option-2002 | Eligibility Verification | FFP | 12 | Months | ||
| Option-2003 | Telehealth Triage Nurse | FFP | 12 | Months | ||
| Option-2004 | Care Coordination | FFP | 12 | Months | ||
| Optional CLIN-2005 | System Integration | CPFF | Months | |||
| Option-2006 | Telecommunications | FFP | 12 | Months | ||
| Option-2007 | Real Time Database Management | FFP | 12 | Months | ||
| Option-2008 | Business Intelligence/Report Management | FFP | 12 | Months | ||
| Option-2009 | PCM On-Call (Optional CLIN) | FFP | 12 | Months | ||
| Option-2010 | Travel | COST | 12 | Months | $15,000.00 | |
| OP2 TOTAL | ||||||
| Option Period 3 |
| CLIN NO. | SUPPLIES/SERVICES | TYPE | QUANTITY | UNIT | UNIT PRICE | TOTAL PRICE |
| Option-3001 | Program Management and Quality Assurance | FFP | 12 | Months | ||
| Option-3002 | Eligibility Verification | FFP | 12 | Months | ||
| Option-3003 | Telehealth Triage Nurse | FFP | 12 | Months | ||
| Option-3004 | Care Coordination | FFP | 12 | Months | ||
| Optional CLIN-3005 | System Integration | CPFF | Months | |||
| Option-3006 | Telecommunications | FFP | 12 | Months | ||
| Option-3007 | Real Time Database Management | FFP | 12 | Months | ||
| Option-3008 | Business Intelligence/Report Management | FFP | 12 | Months | ||
| Option-3009 | PCM On-Call (Optional CLIN) | FFP | 12 | Months | ||
| Option-3010 | Travel | COST | 12 | Months | $15,000.00 | |
| OP3 TOTAL | ||||||
| Option Period 4 |
| CLIN NO. | SUPPLIES/SERVICES | TYPE | QUANTITY | UNIT | UNIT PRICE | TOTAL PRICE |
| Option-4001 | Program Management and Quality Assurance | FFP | 12 | Months | ||
| Option-4002 | Eligibility Verification | FFP | 12 | Months | ||
| Option-4003 | Telehealth Triage Nurse | FFP | 12 | Months | ||
| Option-4004 | Care Coordination | FFP | 12 | Months | ||
| Optional CLIN-4005 | System Integration | CPFF | Months | |||
| Option-4006 | Telecommunications | FFP | 12 | Months | ||
| Option-4007 | Real Time Database Management | FFP | 12 | Months | ||
| Option-4008 | Business Intelligence/Report Management | FFP | 12 | Months | ||
| Option-4009 | PCM On-Call (Optional CLIN) | FFP | 12 | Months | ||
| Option-4010 | Travel | COST | 12 | Months | $15,000.00 | |
| Option-4011 | Transition Out Period | FFP | 3 | Months |
| 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
File details come from the government source that posted it. Updated .