RHRP Services Usage_Consolidated 25Oct24V2.xlsx
XLSX spreadsheet 28 KB Posted
- Attached to
- Remote Health Readiness Program 4 (RHRP-4) Federal contract opportunity
- Solicitation number
- HT0011-24-RFI-0205
- Issued by
- Defense Health Agency
About this file
This document appears to be a file related to the Remote Health Readiness Program 4 (RHRP-4) federal contract opportunity. The RHRP-4 contract provides Individual Medical Readiness, Dental Readiness, and deployment services to Active Duty and Reserve service members who are geographically remote from military treatment facilities. The services include periodic health assessments, deployment mental health assessments, immunizations, laboratory services, audiology, vision screenings, pre- and post-deployment health assessments, dental readiness exams and treatment, and physical exams. These services are provided through a nationwide network of civilian medical and dental providers as well as group events. The contract opportunity is being solicited by the Defense Health Agency and serves over 400,000 service members and DoD civilians annually across the Army National Guard, Army Reserve, Navy Reserve, Marine Forces Reserve, Air National Guard, Air Force Reserve, Coast Guard, and Active Component TRICARE Prime Remote.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Pre-Solicitation Notice RHRP4.docx | DOCX document | |
| Industry Questions_12.19.24.pdf | ||
| DRAFT PWS INSTRUCTIONS RHRP-4.docx | DOCX document | |
| DHA_PWS_RHRP4_11.1.24_DRAFTV1.pdf | ||
| RHRP Industry Questions.docx | DOCX document | |
| RHRP4 PWS Comment Sheet.xlsx | XLSX spreadsheet | |
| RHRP4 Company POC List Industry Day_050724.pdf | ||
| DHA_RHRP4_IndustryDayBrief_050724.pdf | ||
| RHRP-4 Industry Day Vendor Questions 050724.pdf | ||
| DHA_RHRP4_IndustryDay_Schedule.pptx | PPTX presentation | |
| RFI RHRP-4_4.16.24_Final.docx | DOCX document |
Show all 11
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Sheet1
| Procedure | Modality | ||
| (IVG) | I= In-clinic | ||
| V= Virtual | |||
| PHYSICAL EXAM | V= Virtual | ||
| Physical exam | I | G = Group Event | |
| Airborne exam | I | G = Group Event | |
| Separation History and Physical Exam (SHPE) | IG | G = Group Event | |
| FIREFIGHTER PHYSICAL | |||
| Firefighter / CBRN exam | I | ||
| OCCUPATIONAL EXAM | |||
| Occupational Medicine Examination (Labs and tests will be determined by exposure concerns and ordered individually) | IG | ||
| RETENTION EXAM | |||
| Air Force retention exam | IG | ||
| Retention exam | IG | ||
| ACCESSION EXAM | |||
| Army Accession Exam | I | ||
| ASSESSMENTS | |||
| PHYSICAL HEALTH ASSESSMENT | |||
| DoD PHA (Parts B, C2) with data exchange | IVG | ||
| DoD PHA (Parts B, C1, C2) with data exchange | IVG | ||
| DoD PHA (Part C2) with data exchange | IVG | ||
| DoD PHA (Parts C1,C2) with data exchange | IVG | ||
| DoD PHA (Part B) previous five years | IG | ||
| DoD PHA (Part B) since most recent PHA or last year | IG | ||
| PHA Behavioral Health Specialist | IVG | ||
| Behavioral Health Assessment (DD Form 3024 Part C1) or MHA | IVG | ||
| DEPLOYMENT RELATED HEALTH ASSESSMENT | |||
| Pre-Deployment Health Assessment (Pre-DHA DD Form 2795) | IVG | ||
| PDHRA | IVG | ||
| PRE-DHA | IVG | ||
| AUDIOLOGY | |||
| Annual Audiometric Screen | IG | ||
| Comprehensive audio exam / pure tone air and bone conduction testing | IG | ||
| SPRINT (Speech Recognition in Noise Test) | I | ||
| AUDIO w/ Exam (PHA / Physical Exam) – IN-CLINIC MOHT (Military Operational Hearing Test) | I | ||
| Acoustic reflex testing threshold | I | ||
| Audio hearing test - pure tone air | I | ||
| Audiometry - pure tone air and bone conduction testing | I | ||
| Consultation w/ Otolaryngologist | I | ||
| Evoked acoustic emission, limited (single stimulus level, either transient or distortion products) | I | ||
| Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions) | I | ||
| Speech audiometry threshold w/ speech recognition | I | ||
| Tympanometry | I | ||
| Distortion product evoked otoacoustic emissions, comprehensive diagnostic evaluation | I | ||
| AUDIO STAND ALONE – IN-CLINIC MOHT (Military Operational Hearing Test | I | ||
| Annual Audiometric Screen | IG | ||
| OPTOMETRY | |||
| Comprehensive eye exam | IG | ||
| Eye examination with refraction and prescription | I | ||
| Tonometry | I | ||
| Vision Screen with color and with & without correction | IG | ||
| Vision - Monocular | I | ||
| Vision Screen with color blindness | IG | ||
| IMMUNIZATIONS WITH EXAM | |||
| Hepatitis A | IG | ||
| Hepatitis B | IG | ||
| Influenza - Injectable (ODC Cost) | IG | ||
| PPD | IG | ||
| Tdap | IG | ||
| Tetanus and Diphtheria | IG | ||
| Twinrix | IG | ||
| Varicella | IG | ||
| Varicella titer | IG | ||
| Measles, Mumps, Rubella (MMR) | IG | ||
| Pediatric dose Hep A | IG | ||
| Pediatric dose Hep B | IG | ||
| Polio | IG | ||
| IMMUNIZATIONS STAND ALONE | |||
| Hepatitis A | IG | ||
| Hepatitis B | IG | ||
| Influenza - Injectable (ODC Cost) | IG | ||
| Japanese encephalitis | IG | ||
| Meningococcus | IG | ||
| Polio | IG | ||
| Rabies | IG | ||
| PPD | IG | ||
| Tdap | IG | ||
| Tetanus and Diphtheria | IG | ||
| Typhoid | IG | ||
| Twinrix | IG | ||
| Varicella | IG | ||
| Varicella titer | IG | ||
| Yellow fever | IG | ||
| Measles, Mumps, Rubella (MMR) | IG | ||
| Pediatric dose Hep A | IG | ||
| Pediatric dose Hep B | IG | ||
| Administration of vaccine | IG | ||
| Anthrax (6 shot series) (Government will provide vaccine) | IG | ||
| Globulin, Immune | IG | ||
| Menactra | IG | ||
| Rabies (3 shot series) | IG | ||
| LABORATORY SERVICE w/ Exam (PHA / Physical Exam) | |||
| AGR labs | I | ||
| Blood type and determination of Rh factor w/ venipuncture | IG | ||
| Chlamydia, DNA by SDA (urine) | IG | ||
| Chlamydia / Gonorrhea (by swab) | I | ||
| Chlamydia / Gonorrhea (reflex from swab) | I | ||
| CVSP | I | ||
| DNA test | IG | ||
| Gonorrhea, DNA by SDA (urine) | I | ||
| G6PD | IG | ||
| HIV test (phlebotomy only) | IG | ||
| Pregnancy, urine | IG | ||
| PSA | IG | ||
| PSA w/ rectal exam | I | ||
| Rectal exam with stool for guaiac | IG | ||
| Sickle cell screening test w/ confirmation by reflex to hemoglobulinopathy | IG | ||
| Stool occult for blood (1 slide) | I | ||
| Stool occult for blood (2 slide) | I | ||
| Stool occult for blood (3 slide) | I | ||
| Thin prep w/ preventive exam (pelvic) to collect specimen | IG | ||
| Phlebotomy (blood draw) | IG | ||
| Complete Blood Count (CBC) w/ differential | IG | ||
| LDH | I | ||
| Comprehensive Metabolic Panel | IG | ||
| Cholinesterase (plasma and RBC) | I | ||
| Complete Blood Count (CBC), differential and platelets with smear review | I | ||
| Blood lead | IG | ||
| Zinc protoporphyrin | IG | ||
| Urinalysis, complete with reflex microscope (prn) | IG | ||
| Hepatitis C antibody | IG | ||
| GGT | I | ||
| Albumin | IG | ||
| BUN and creatinine | IG | ||
| Total bilirubin for Solvents testing | IG | ||
| Cadmium - urine | IG | ||
| B-2 microglobulin - urine | IG | ||
| Cadmium - blood | IG | ||
| Urine Collection | IG | ||
| IMMUNIZATIONS - TITERS | |||
| Rabies Titer | I | ||
| MMR titer | IG | ||
| Measles, Rubella Titer | IG | ||
| LABORATORY SERVICE STAND ALONE | |||
| AGR labs | I | ||
| Blood type and determination of Rh factor w/ venipuncture | IG | ||
| Chlamydia, DNA by SDA (urine) | IG | ||
| CVSP | IG | ||
| DNA test (no lab) - use military labor and DNA card | IG | ||
| Gonorrhea, DNA by SDA (urine) | IG | ||
| G6PD | IG | ||
| HIV test (phlebotomy only) | IG | ||
| Phlebotomy (blood draw) | IG | ||
| Phlebotomy (CVSP, DNA, G6PD,HIV, Rabies Titer, Varicella Titer) (minimum 30 draws per day to schedule; price per completed draw) | IG | ||
| Pregnancy, urine | IG | ||
| PSA | IG | ||
| PSA w/ rectal exam | IG | ||
| Rectal exam w/ stool for guaiac | IG | ||
| Sickle cell screening test w/ confirmation by reflex to hemoglobulinopathy | IG | ||
| Stool occult for blood (1 slide) | IG | ||
| Stool occult for blood (2 slide) | IG | ||
| Stool occult for blood (3 slide) | IG | ||
| Thin prep w/ preventive exam (pelvic) to collect specimen | IG | ||
| Complete Blood Count (CBC) w/ differential | IG | ||
| Cholinesterase (plasma & RBC) | I | ||
| Hazardous Waste | IG | ||
| Lead | IG | ||
| Benzene | IG | ||
| Urinalysis, complete w/ reflex microscope (p.r.n.) | IG | ||
| Rapid Plasma Reagin (RPR) | IG | ||
| LDH | I | ||
| Comprehensive Metabolic Panel | I | ||
| Complete Blood Count (CBC), differential and platelets with smear review | I | ||
| Zinc protoporphyrin | IG | ||
| Blood lead | IG | ||
| Hepatitis C Antibody | IG | ||
| CVSP (Cholestech) (minimum 25 screens per day to schedule; price per completed screen) | G | ||
| HPV lab | IG | ||
| Status hCG Strip (Kit Only) | IG | ||
| MISCELLANEOUS MEDICAL SERVICE w/ Exam (PHA / Physical Exam) | |||
| Breast exam | IG | ||
| Chest x-ray, posterior-anterior view | IG | ||
| EKG, resting | IG | ||
| Mammography | IG | ||
| Chest x-ray, posterior-anterior and lateral views with interpretation | IG | ||
| Spirometry - Pulmonary Function Test (PFT) | IG | ||
| Administer TB Risk Assessment Tool | IVG | ||
| MISCELLANEOUS MEDICAL SERVICE STAND ALONE | |||
| Breast exam | IG | ||
| B-read | IG | ||
| Chest x-ray, posterior-anterior view; lateral view | IG | ||
| EKG, resting | IG | ||
| Mammography | IG | ||
| Spirometry - Pulmonary Function Test (PFT) | IG | ||
| DENTAL ASSESSMENTS | |||
| Annual Dental Exam (Periodic Oral Examination) | IG | ||
| Annual Dental Exam (Comprehensive Oral Examination) | IG | ||
| Dental bitewing, single film | IG | ||
| Dental bitewing, set of two films | IG | ||
| Dental bitewing, set of three films | IG | ||
| Dental bitewing, set of four films as indicated | IG | ||
| Complete series x-ray | IG | ||
| Intraoral periapical x-ray | IG | ||
| Panographic x-ray | IG | ||
| DENTAL TREATMENT | |||
| Consultation Dental Exam | IG | ||
| Office visit after hours | IG | ||
| Hospital call | IG | ||
| Detailed and extensive oral evaluation | IG | ||
| Comprehensive periodontal evaluation | IG | ||
| Amalgam, One Surface, Permanent | IG | ||
| Amalgam, Two Surfaces, Permanent | IG | ||
| Amalgam, Three Surfaces, Permanent | IG | ||
| Amalgam, Four or More Surfaces, Permanent | IG | ||
| Apicoectomy - Anterior | IG | ||
| Apicoectomy - Bicuspid | IG | ||
| Apicoectomy - Molar - first root | IG | ||
| Apicoectomy - Molar - each add'l root | IG | ||
| Resin Based Composite, one surface | IG | ||
| Resin Based Composite, two surfaces | IG | ||
| Resin Based Composite, three surfaces | IG | ||
| Resin Based Composite, four surface | IG | ||
| Resin (1) one surface posterior | IG | ||
| Resin (2) two surface posterior | IG | ||
| Resin (3) three surface posterior | IG | ||
| Resin (4) four or more posterior | IG | ||
| Anterior (excluding final restoration) | IG | ||
| Bicuspid (excluding final restoration) | IG | ||
| Molar (excluding final restoration) | IG | ||
| Core build up including pins | IG | ||
| Prefab post & core | IG | ||
| Extraction, single tooth | IG | ||
| Extraction deciduous tooth | IG | ||
| Surgical removal of erupted tooth | IG | ||
| Removal of impacted tooth-completely bony | IG | ||
| Removal of impacted tooth soft tissue | IG | ||
| Removal of impacted tooth partial bony | IG | ||
| Analgesic Nitrous | IG | ||
| IV anesthesia each additional 15 minutes | IG | ||
| Regional block anesthesia | IG | ||
| Deep Sedation / general anesthesia each additional 15 minutes | IG | ||
| Non-intravenous conscious sedation | IG | ||
| Therapeutic drug injection - includes antibiotic or injection of sedative | IG | ||
| Palliative treatment of dental pain | IG | ||
| Oral antibiotics (given at the office) | IG | ||
| Periodontal scaling and root planing | IG | ||
| Perio scaling and root planing per quadrant | IG | ||
| Full mouth debridement | IG | ||
| Gingivectomy, 1-3 teeth | IG | ||
| Gingivectomy, 4 or more teeth | IG | ||
| Sedative filling | IG | ||
| Pin retention in addition to filling | IG | ||
| Retrograde filling | IG | ||
| Pulpal debridement | IG | ||
| Pulp vitality tests | IG | ||
| Incomplete endo therapy | IG | ||
| Retreatment of molar endo | IG | ||
| Immediate denture maxillary | IG | ||
| Immediate denture mandibular | IG | ||
| Partial denture maxillary (resin base) | IG | ||
| Partial denture mandibular (resin base) | IG | ||
| Adjust maxillary denture | IG | ||
| Add tooth to existing partial denture | IG | ||
| Mandibular partial denture flexible base | IG | ||
| Add clasp to existing partial denture | IG | ||
| Reline mandibular partial denture (chair side) | IG | ||
| Reline complete maxillary denture (laboratory) | IG | ||
| Reline mandibular partial denture (laboratory) | IG | ||
| Reline complete maxillary denture (chair side) | IG | ||
| Reline complete mandibular denture (chair side) | IG | ||
| Reline maxillary partial denture (chair side) | IG | ||
| Interim partial denture (maxillary) | IG | ||
| Interim partial denture (mandibular) | IG | ||
| Recement fixed partial denture | IG | ||
| Adjust complete denture - mandibular | IG | ||
| Adjust partial denture - maxillary | IG | ||
| Adjust partial denture - mandibular | IG | ||
| Replace missing or broken teeth - complete denture (each tooth) | IG | ||
| Reline complete mandibular denture (laboratory) | IG | ||
| Reline maxillary partial denture (laboratory) | IG | ||
| Complete denture maxillary | IG | ||
| Complete denture mandibular | IG | ||
| Maxillary partial denture - cast metal | IG | ||
| Mandibular partial denture - cast metal | IG | ||
| Repair or replace broken clasp - partial denture | IG | ||
| Replace missing or broken teeth (partial) | IG | ||
| Rebase complete maxillary denture | IG | ||
| Rebase complete mandibular denture | IG | ||
| Fixed partial denture sectioning | IG | ||
| Fixed partial denture repair, by report | IG | ||
| Surgical removal of residual root tips | IG | ||
| Primary closure of sinus perforation | IG | ||
| Biopsy of oral tissue (soft) | IG | ||
| Biopsy of oral tissue - hard | IG | ||
| Alveoloplasty in conjunction with extractions | IG | ||
| Alveoloplasty in conjunction with extractions per quad | IG | ||
| Alveoloplasty not in conjunction with extractions | IG | ||
| Complicated suture | IG | ||
| Complicated suture - greater than 5 cm | IG | ||
| Repair of maxillofacial hard or softer tissue defect | IG | ||
| Excision of malignant tumor (lesion diameter greater than 1.25 cm) | IG | ||
| Excision of malignant tumor - lesion diameter up to 1.25 cm | IG | ||
| Excision of benign lesion - lesion diameter less than 1.25 cm | IG | ||
| Excision of malignant lesion up to 1.25 cm | IG | ||
| Excision of malignant lesion greater than 1.25 cm | IG | ||
| Excision of malignant lesion, complicated | IG | ||
| Excision of benign lesion greater than 1.25 cm | IG | ||
| Excision of benign lesion, complicated | IG | ||
| Removal of odontogenic cyst / tumor - lesion diameter up to 1.25cm | IG | ||
| Removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm | IG | ||
| Removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm | IG | ||
| Removal of benign odontogenic cyst or tumor (lesion diameter greater than 1.25 cm) | IG | ||
| Removal of lateral exostosis (maxilla or mandible) | IG | ||
| Removal of torus mandibularis | IG | ||
| Removal of torus palatinus | IG | ||
| Brush biopsy - transepithelial sample collection | IG | ||
| Destruction of lesion by physical / chemical | IG | ||
| Crown repair, by report | IG | ||
| Recement crown | IG | ||
| Stainless steel crown | IG | ||
| Resin based composite crown, anterior | IG | ||
| Post removal | IG | ||
| Provisional crown | IG | ||
| Prefabricated resin crown | IG | ||
| Prefabricated stainless steel crown, primary tooth | IG | ||
| Retreatment of previous RCT - anterior | IG | ||
| Retreatment of previous RCT - bicuspid | IG | ||
| Oroantral fistula closure | IG | ||
| Internal root repair of perforation defects | IG | ||
| Osseous surgery (including flap entry & closure) - one to three contiguous teeth or bounded teeth spaces per quadrant | IG | ||
| Treatment of root canal obstruction - non surgical | IG | ||
| Apexification / recalcification - initial visit | IG | ||
| Incision and drainage of abscess-soft tissue | IG | ||
| Removal of foreign body from mucosa, skin or subcutaneous alveolar tissue | IG | ||
| Removal of reaction producing foreign bodies, musculoskeletal | IG | ||
| Removal of loose or sloughed-off dead bone caused by infection or reduced blood supply | IG | ||
| Osseous, osteoperiosteal, or cartilage graft of the mandible or facial bone - autogenous or nonautogenous | IG | ||
| Frenulectomy (frenum are muscle fibers covered by a mucous membrane that attaches the cheek, lips, and / or tongue to associated dental mucosa) | IG | ||
| Appliance removal (not by dentist who placed it) includes removal of archbar | IG | ||
| Occlusal adjustment | IG | ||
| Cone beam CT, limited | IG | ||
| Cone beam CT, mandible | IG | ||
| Cone beam CT, maxilla | IG | ||
| Overdenture, complete maxillary | IG | ||
| Overdenture, complete mandibular | IG | ||
| Coronectomy | IG | ||
| Alveoloplasty (1-3 teeth) | IG | ||
| Re-evaluation – limited, problem focused (established patient; not post-operative visit) | IG | ||
| Intraoral-periapical each additional radiographic image | IG | ||
| Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth | IG | ||
| Maxillary partial denture flexible base including any clasps, rests and teeth | IG | ||
| Repair broken complete denture base-mandibular | IG | ||
| Repair broken complete denture base-maxillary | IG | ||
| Repair resin partial denture base-mandibular | IG | ||
| Repair resin partial denture base-maxillary | IG | ||
| Implant removal, by report | IG | ||
| Removal of impacted tooth-completely bony, with unusual surgical complications | IG | ||
| Maxillary sinusotomy for removal of tooth fragment or foreign body | IG | ||
| Maxilla – closed reduction (teeth immobilized, if present) | IG | ||
| Mandible – closed reduction(teeth immobilized, if present) | IG | ||
| Alveolus – closed reduction may include stabilization of teeth | IG | ||
| Deep Sedation / general anesthesia first 15 minutes | IG | ||
| IV anesthesia first 15 minutes | IG | ||
| Therapeutic Parenteral Drugs, two or more administrations, different medications | IG | ||
| Occlusal Guard: Hard appliance, full arch | IG | ||
| Occlusal Guard: Soft appliance, full arch | IG | ||
| Occlusal adjustment – limited | IG | ||
| Mobile vehicle, dental treatment | G | ||
| Mobile vehicle, dental bitewings, set of 4 films as indicated (price per set) | G | ||
| Prescription Authorization for Dental Restorative Services | IG | ||
| Portable dental treatment team (minimum amount to be invoiced for treatment services; services beyond minimum amount to be invoiced per individual service; services limited to dental treatment services listed in Attachment 1; price per team, per day) | G | ||
| MISCELLANEOUS FEE | |||
| SC-Requested Direct Outreach (price per SM) | |||
| VA disability rating admin (price per individual service) | |||
| Summary of care profile | |||
| Legacy transciption of profile with PHA | |||
| DD Form 2697 in lieu of SHPE | |||
| CANCELLATION FEE | |||
| NO SHOW FEE | |||
| INFLUENZA VACCINE | |||
| Administration of influenza vaccine (CPT 90460) Current CMAC rate | IG |
File details come from the government source that posted it. Updated .