Section L Exhibit L-11 Price Proposal Template v2.xlsx

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TRICARE Quality Monitoring Contract (TQMC)
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HT940222R0002
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HT940222R0002_Conformed 0006.pdf PDF
HT940222R0002_Amendment 0006.pdf PDF
Attachment J-24 CDRL to CLIN Crosswalk v1.pdf PDF
Additional QA_Amendment 0006.pdf PDF
HT940222R0002_Amendment 0005.pdf PDF
HT940222R0002_Conformed 0005.pdf PDF
HT940222R0002_Amendment 0004.pdf PDF
CDRLs updated via Amendment 0004.zip ZIP file
HT940222R0002_Conformed 0004.pdf PDF
Attachment J-24 CDRL to CLIN Crosswalk.pdf PDF
Additional QA_Amendment 0004.pdf PDF
Section C 7.1.2 DHA FY22 Annual Training List.pdf PDF
Section L Exhibit L-11 Price Proposal Template v1.xlsx XLSX spreadsheet
HT940222R0002_Conformed 0003.pdf PDF
Section L Exhibit L-14 CMS Care Compare quarterly TE Continuous data-Redacted.xlsx XLSX spreadsheet
HT940222R0002_Amendment 0003.pdf PDF
Attachment J-4 OGC Appeals and Hearings Internal and External Reviews v1.docx DOCX document
Section C_7.1.1 DHA CAC Request Process.pdf PDF
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CDRL 0T010 Transition-In Plan v1.pdf PDF
Section L Exhibit L-12 Solicitation Cross-Reference Table (Sections L M and C) v1.docx DOCX document
Attachment J-23 - QSRS Software Installation and Update Process.docx DOCX document
Section L Exhibit L-1 Sample Client Authorization Letter v1.docx DOCX document
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TQMC QA.pdf PDF
HT940222R0002_Amendment 0002.pdf PDF
Attachment J-17 QASP v1.docx DOCX document
HT940222R0002_Amendment 0001.pdf PDF
Section J CDRLs.zip ZIP file
HT940222R0002_Conformed 0001.pdf PDF
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Price Proposal Template

TQMC HT940222R0002
Section L Exhibit L-11 Price Proposal Template v1
OFFEROR:
Price Proposal by CLIN
PeriodCLIN/ SLINCLIN DescriptionUnit of IssueQuantityPrice EachPrice Total
Transition-in0001Transition-in (PWS Section C paragraph 1.6.1.1). Firm-fixed-price (FFP).LO1$0.00
0002Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)NSP
Base totalTotal$0.00
Option Year 11001HEDIS Audit (PWS Section 5 Paragraph 5.3.1)
1001AAAnnual NCQA HEDIS® Validation Audit (PWS Section 5 paragraph 5.3.1) FFP.EA1$0.00
1001ABHEDIS Consultation and Education (PWS Section 5 paragraph 5.3.1.3)HR24$0.00
1002National Hospital Quality Measures (PWS Section 5 Paragraph 5.3.2)
1002AANational Hospital Quality Measures Data Collection Tools and Data Management (MTF with Essentris) (PWS Section 5 paragraph 5.3.2) FFP per Inpatient MTF per quarter.EA192$0.00
1002ABNational Hospital Quality Measures National Hospital Quality Measures Quality Measures data file for submission to CMSEA1$0.00
1003Joint Commission ORYX® Hospital Quality Measures (PWS Section 5 Paragraph 5.3.3)
1003AAJoint Commission ORYX® Data Collection Tools, Data Management and Data File Submission (For MTFs with Essentris) (PWS Section 5 paragraph 5.3.3.2-5.3.3.7) FFP per MTF per quarterly submission.EA120$0.00
1003ABJoint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.EA95,000$0.00
1003ACClinical Quality Measurement Result Accuracy Validation (PWS Section 5 paragraph 5.3.4) Fixed price per chart.EA2,000$0.00
1004Leapfrog Program Support (PWS Section 5, paragraph 5.3.5)
1004AALeapfrog Value-Based Purchasing Program Data & Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)EA1$0.00
1004ABLeapfrog Communications (PWS Section 5 paragraph 5.3.5.5.3.1)EA1$0.00
1004ACLeapfrog Education Series Attendance (PWS Section 5 paragraph 5.3.5.5.2.2)EA6$0.00
1004ADLeapfrog Annual Meeting (PWS Section 5 paragraph 5.3.5.5.2.2)EA1$0.00
1004AEMHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis (PWS Section 5 paragraph 5.3.5.2 & 5.3.5.3)MO12$0.00
1004AFMHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support (PWS Section 5 paragraph 5.3.5.5.2)MO12$0.00
1005Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) (PWS Section 5 paragraph 5.3.6.1.1 ) Fixed price per chart.EA11,000$0.00
1006QSRS Data Abstraction (PWS Section 5 paragraph 5.3.6.2.1.2)EA6,000$0.00
1007Behavioral Health Facility Initial Fees Calculations (PWS Section 5 paragraph 5.4) Fixed price per application.EA55$0.00
1008Quality and Utilization Reviews (PWS Section C paragraph 5.5.2.10) Fixed price per chart.EA6,500$0.00
1009Medical Necessity Reconsideration Reviews (Second Level Appeals) (PWS Section 5 paragraph 5.5.3.1) Fixed price per review.EA150$0.00
1010Appeals & Hearings Internal and External Reviews and Hearing Support (PWS Section 5 Paragraph 5.5.4)
1010AAAppeals & Hearings Internal Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per internal review.EA2$0.00
1010ABAppeals & Hearings Routine External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per routine external review.EA75$0.00
1010ACAppeals & Hearings Urgent External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per urgent external review.EA5$0.00
1010ADPre-Hearing Preparations (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
1010AEHearing Appearance (PWS Section 5 paragraph 5.5.4.1)HR10$0.00
1010AFPost Hearing (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
1010AGTranscription (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
1011Standard of Care (SOC) Reviews (PWS Section 5 paragraph 5.5.5.1) Fixed price per review.EA700$0.00
1012Quality of Care (QOC) Reviews (PWS Section 5 paragraph 5.5.2.2.1) (Direct and Purchased Care): Fixed price per QOC review.EA5$0.00
1013Clinical Quality Improvement Studies (PWS Section 5 paragraph 5.6.1)
1013AAClinical Quality Improvement Study Methodology Development, Approval and Study Report (PWS Section 5 paragraph 5.6.1) FFPHR240$0.00
1013ABClinical Quality Improvement Administrative Study Data Collection and Analysis (PWS Section 5 paragraph 5.6.1). Fixed price per hour.HR160$0.00
1013ACClinical Quality Improvement Abstraction Study (Fewer than 2,000 Records) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA2,000$0.00
1013ADClinical Quality Improvement Chart Abstraction Study (2000 or more charts) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA4,000$0.00
1014Annual Autism Care Demonstration (ACD) Study (PWS Section 5 paragraph 5.6.2.2.8.1) Fixed price per chart.EA2,000$0.00
1015Long Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
1016Short Assessment of Evolving Practices, Devices, Medicines, Treatments, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
1017Webinar (PWS Section 5 paragraph 5.8.1.1) FFPEA12$0.00
1018Meeting Support (PWS Section 5 Paragraph 5.8.2)
1018AAMeeting Support (PWS Section 5 paragraph 5.8.2.1) FFPMO12$0.00
1018ABMeeting Support Annual MHS Clinical Quality Management conference (PWS Section 5 paragraph 5.8.2) FFPEA1$0.00
1019Quality Communications (PWS Section 5 paragraph 5.8) FFPMO12$0.00
1020Travel (PWS Section 1 paragraph 1.8.3; FAR Part 31.2) This CLIN establishes a cost-reimbursed (no fee) amount for travel. Not to exceed: $10,000EA1$10,000.00$10,000.00
1021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)NSP
1022Transition-out. (PWS Section 5 paragraph 5.2.2 and FAR 52.237-3) FFP.LO1$0.00
Option Year 1 Total$10,000.00
Option Year 2 Total2001HEDIS Audit (PWS Section 5 Paragraph 5.3.1)
2001AAAnnual NCQA HEDIS® Validation Audit (PWS Section 5 paragraph 5.3.1) FFP.EA1$0.00
2001ABHEDIS Consultation and Education (PWS Section 5 paragraph 5.3.1.3 )HR24$0.00
2002National Hospital Quality Measures (PWS Section 5 Paragraph 5.3.2)
2002AANational Hospital Quality Measures Data Collection Tools and Data Management (MTF with Essentris) (PWS Section 5 paragraph 5.3.2) FFP per Inpatient MTF per quarter.EA192$0.00
2002ABNational Hospital Quality Measures data file for submission to CMSEA1$0.00
2003Joint Comission ORYX® Hospital Quality Measures (PWS Section 5 Paragraph 5.3.3)
2003AAJoint Commission ORYX® Data Collection Tools, Data Management and Data File Submission (For MTFs with Essentris) (PWS Section 5 paragraph 5.3.3.2-5.3.3.7) FFP per MTF per quarterly submission.EA120$0.00
2003ABJoint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.EA95,000$0.00
2003ACClinical Quality Measurement Result Accuracy Validation (PWS Section 5 paragraph 5.3.4) Fixed price per chart.EA2,000$0.00
2004Leapfrog Program Support (PWS PWS Section 5, paragraph 5.3.5)
2004AALeapfrog Value-Based Purchasing Program Data & Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)EA1$0.00
2004ABLeapfrog Communications (PWS Section 5 paragraph 5.3.5.5.3.1)EA1$0.00
2004ACLeapfrog Education Series Attendance (PWS Section 5 paragraph 5.3.5.5.2.2)EA6$0.00
2004ADLeapfrog Annual Meeting (PWS Section 5 paragraph 5.3.5.5.2.2)EA1$0.00
2004AEMHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis (PWS Section 5 paragraph 5.3.5.2 & 5.3.5.3)MO12$0.00
2004AFMHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support (PWS Section 5 paragraph 5.3.5.5.2)MO12$0.00
2005Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) (PWS Section 5 paragraph 5.3.6.1.1 ) Fixed price per chart.EA11,000$0.00
2006QSRS Data Abstraction (PWS Section 5 paragraph 5.3.6.2.1.2)EA6,000$0.00
2007Behavioral Health Facility Initial Fees Calculations (PWS Section 5 paragraph 5.4) Fixed price per application.EA55$0.00
2008Quality and Utilization Reviews (PWS Section C paragraph 5.5.2.10) Fixed price per chart.EA6,500$0.00
2009Medical Necessity Reconsideration Reviews (Second Level Appeals) (PWS Section 5 paragraph 5.5.3.1) Fixed price per review.EA150$0.00
2010Appeals & Hearings Internal and External Reviews and Hearing Support (PWS Section 5 Paragraph 5.5.4)
2010AAAppeals & Hearings Internal Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per internal review.EA2$0.00
2010ABAppeals & Hearings Routine External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per routine external review.EA75$0.00
2010ACAppeals & Hearings Urgent External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per urgent external review.EA5$0.00
2010ADPre-Hearing Preparations (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
2010AEHearing Appearance (PWS Section 5 paragraph 5.5.4.1)HR10$0.00
2010AFPost Hearing (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
2010AGTranscription (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
2011Standard of Care (SOC) Reviews (PWS Section 5 paragraph 5.5.5.1) Fixed price per review.EA700$0.00
2012Quality of Care (QOC) Reviews (PWS Section 5 paragraph 5.5.2.2.1) (Direct and Purchased Care): Fixed price per QOC review.EA5$0.00
2013Clinical Quality Improvement Studies (PWS Section 5 paragraph 5.6.1)
2013AAClinical Quality Improvement Study Methodology Development, Approval and Study Report (PWS Section 5 paragraph 5.6.1) FFPHR240$0.00
2013ABClinical Quality Improvement Administrative Study Data Collection and Analysis (PWS Section 5 paragraph 5.6.1). Fixed price per hour.HR160$0.00
2013ACClinical Quality Improvement Abstraction Study (Fewer than 2,000 Records) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA2,000$0.00
2013ADClinical Quality Improvement Chart Abstraction Study (2000 or more charts) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA4,000$0.00
2014Annual Autism Care Demonstration (ACD) Study (PWS Section 5 paragraph 5.6.2.2.8.1) Fixed price per chart.EA2,000$0.00
2015Long Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
2016Short Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
2017Webinar (PWS Section 5 paragraph 5.8.1.1) FFPEA12$0.00
2018Meeting Support (PWS Section 5 Paragraph 5.8.2)
2018AAMeeting Support (PWS Section 5 paragraph 5.8.2.1) FFPMO12$0.00
2018ABMeeting Support Annual MHS Clinical Quality Management conference (PWS Section 5 paragraph 5.8.2) FFPEA1$0.00
2019Quality Communications (PWS Section 5 paragraph 5.8) FFPMO12$0.00
2020Travel (PWS Section 1 paragraph 1.8.3; FAR Part 31.2) This CLIN establishes a cost-reimbused (no fee) amount for travel. Not to exceed: $10,000EA1$10,000.00$10,000.00
2021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)NSP
2022Transition-out. (PWS Section 5 paragraph 5.2.2 and FAR 52.237-3) FFP.LO1$0.00
Option Year 2 Total$10,000.00
Option Year 3 Total3001HEDIS Audit (PWS Section 5 Paragraph 5.3.1)
3001AAAnnual NCQA HEDIS® Validation Audit (PWS Section 5 paragraph 5.3.1) FFP.EA1$0.00
3001ABHEDIS Consultation and Education (PWS Section 5 paragraph 5.3.1.3 )HR24$0.00
3002National Hospital Quality Measures (PWS Section 5 Paragraph 5.3.2)
3002AANational Hospital Quality Measures Data Collection Tools and Data Management (MTF with Essentris) (PWS Section 5 paragraph 5.3.2) FFP per Inpatient MTF per quarter.EA192$0.00
3002ABNational Hospital Quality Measures data file for submission to CMSEA1$0.00
3003Joint Comission ORYX® Hospital Quality Measures (PWS Section 5 Paragraph 5.3.3)
3003AAJoint Commission ORYX® Data Collection Tools, Data Management and Data File Submission (For MTFs with Essentris) (PWS Section 5 paragraph 5.3.3.2-5.3.3.7) FFP per MTF per quarterly submission.EA120$0.00
3003ABJoint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.EA95,000$0.00
3003ACClinical Quality Measurement Result Accuracy Validation (PWS Section 5 paragraph 5.3.4) Fixed price per chart.EA2,000$0.00
3004Leapfrog Program Support (PWS PWS Section 5, paragraph 5.3.5)
3004AALeapfrog Value-Based Purchasing Program Data & Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)EA1$0.00
3004ABLeapfrog Communications (PWS Section 5 paragraph 5.3.5.5.3.1)EA1$0.00
3004ACLeapfrog Education Series Attendance (PWS Section 5 paragraph 5.3.5.5.2.2)EA6$0.00
3004ADLeapfrog Annual Meeting (PWS Section 5 paragraph 5.3.5.5.2.2)EA1$0.00
3004AEMHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis (PWS Section 5 paragraph 5.3.5.2 & 5.3.5.3)MO12$0.00
3004AFMHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support (PWS Section 5 paragraph 5.3.5.5.2)MO12$0.00
3005Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) (PWS Section 5 paragraph 5.3.6.1.1 ) Fixed price per chart.EA11,000$0.00
3006QSRS Data Abstraction (PWS Section 5 paragraph 5.3.6.2.1.2)EA6,000$0.00
3007Behavioral Health Facility Initial Fees Calculations (PWS Section 5 paragraph 5.4) Fixed price per application.EA55$0.00
3008Quality and Utilization Reviews (PWS Section C paragraph 5.5.2.10) Fixed price per chart.EA6,500$0.00
3009Medical Necessity Reconsideration Reviews (Second Level Appeals) (PWS Section 5 paragraph 5.5.3.1) Fixed price per review.EA150$0.00
3010Appeals & Hearings Internal and External Reviews and Hearing Support (PWS Section 5 Paragraph 5.5.4)
3010AAAppeals & Hearings Internal Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per internal review.EA2$0.00
3010ABAppeals & Hearings Routine External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per routine external review.EA75$0.00
3010ACAppeals & Hearings Urgent External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per urgent external review.EA5$0.00
3010ADPre-Hearing Preparations (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
3010AEHearing Appearance (PWS Section 5 paragraph 5.5.4.1)HR10$0.00
3010AFPost Hearing (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
3010AGTranscription (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
3011Standard of Care (SOC) Reviews (PWS Section 5 paragraph 5.5.5.1) Fixed price per review.EA700$0.00
3012Quality of Care (QOC) Reviews (PWS Section 5 paragraph 5.5.2.2.1) (Direct and Purchased Care): Fixed price per QOC review.EA5$0.00
3013Clinical Quality Improvement Studies (PWS Section 5 paragraph 5.6.1)
3013AAClinical Quality Improvement Study Methodology Development, Approval and Study Report (PWS Section 5 paragraph 5.6.1) FFPHR240$0.00
3013ABClinical Quality Improvement Administrative Study Data Collection and Analysis (PWS Section 5 paragraph 5.6.1). Fixed price per hour.HR160$0.00
3013ACClinical Quality Improvement Abstraction Study (Fewer than 2,000 Records) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA2,000$0.00
3013ADClinical Quality Improvement Chart Abstraction Study (2000 or more charts) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA4,000$0.00
3014Annual Autism Care Demonstration (ACD) Study (PWS Section 5 paragraph 5.6.2.2.8.1) Fixed price per chart.EA2,000$0.00
3015Long Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
3016Short Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
3017Webinar (PWS Section 5 paragraph 5.8.1.1) FFPEA12$0.00
3018Meeting Support (PWS Section 5 Paragraph 5.8.2)
3018AAMeeting Support (PWS Section 5 paragraph 5.8.2.1) FFPMO12$0.00
3018ABMeeting Support Annual MHS Clinical Quality Management conference (PWS Section 5 paragraph 5.8.2) FFPEA1$0.00
3019Quality Communications (PWS Section 5 paragraph 5.8) FFPMO12$0.00
3020Travel (PWS Section 1 paragraph 1.8.3; FAR Part 31.2) This CLIN establishes a cost-reimbused (no fee) amount for travel. Not to exceed: $10,000EA1$10,000.00$10,000.00
3021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)NSP
3022Transition-out. (PWS Section 5 paragraph 5.2.2 and FAR 52.237-3) FFP.LO1$0.00
Option Year 3 Total$10,000.00
Option Year 4 Total4001HEDIS Audit (PWS Section 5 Paragraph 5.3.1)
4001AAAnnual NCQA HEDIS® Validation Audit (PWS Section 5 paragraph 5.3.1) FFP.EA1$0.00
4001ABHEDIS Consultation and Education (PWS Section 5 paragraph 5.3.1.3 )HR24$0.00
4002National Hospital Quality Measures (PWS Section 5 Paragraph 5.3.2)
4002AANational Hospital Quality Measures Data Collection Tools and Data Management (MTF with Essentris) (PWS Section 5 paragraph 5.3.2) FFP per Inpatient MTF per quarter.EA192$0.00
4002ABNational Hospital Quality Measures data file for submission to CMSEA1$0.00
4003Joint Comission ORYX® Hospital Quality Measures (PWS Section 5 Paragraph 5.3.3)
4003AAJoint Commission ORYX® Data Collection Tools, Data Management and Data File Submission (For MTFs with Essentris) (PWS Section 5 paragraph 5.3.3.2-5.3.3.7) FFP per MTF per quarterly submission.EA120$0.00
4003ABJoint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.EA95,000$0.00
4003ACClinical Quality Measurement Result Accuracy Validation (PWS Section 5 paragraph 5.3.4) Fixed price per chart.EA2,000$0.00
4004Leapfrog Program Support (PWS PWS Section 5, paragraph 5.3.5)
4004AALeapfrog Value-Based Purchasing Program Data & Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)EA1$0.00
4004ABLeapfrog Communications (PWS Section 5 paragraph 5.3.5.5.3.1)EA1$0.00
4004ACLeapfrog Education Series Attendance (PWS Section 5 paragraph 5.3.5.5.2.2)EA6$0.00
4004ADLeapfrog Annual Meeting (PWS Section 5 paragraph 5.3.5.5.2.2)EA1$0.00
4004AEMHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis (PWS Section 5 paragraph 5.3.5.2 & 5.3.5.3)MO12$0.00
4004AFMHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support (PWS Section 5 paragraph 5.3.5.5.2)MO12$0.00
4005Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) (PWS Section 5 paragraph 5.3.6.1.1 ) Fixed price per chart.EA11,000$0.00
4006QSRS Data Abstraction (PWS Section 5 paragraph 5.3.6.2.1.2)EA6,000$0.00
4007Behavioral Health Facility Initial Fees Calculations (PWS Section 5 paragraph 5.4) Fixed price per application.EA55$0.00
4008Quality and Utilization Reviews (PWS Section C paragraph 5.5.2.10) Fixed price per chart.EA6,500$0.00
4009Medical Necessity Reconsideration Reviews (Second Level Appeals) (PWS Section 5 paragraph 5.5.3.1) Fixed price per review.EA150$0.00
4010Appeals & Hearings Internal and External Reviews and Hearing Support (PWS Section 5 Paragraph 5.5.4)
4010AAAppeals & Hearings Internal Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per internal review.EA2$0.00
4010ABAppeals & Hearings Routine External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per routine external review.EA75$0.00
4010ACAppeals & Hearings Urgent External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per urgent external review.EA5$0.00
4010ADPre-Hearing Preparations (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
4010AEHearing Appearance (PWS Section 5 paragraph 5.5.4.1)HR10$0.00
4010AFPost Hearing (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
4010AGTranscription (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
4011Standard of Care (SOC) Reviews (PWS Section 5 paragraph 5.5.5.1) Fixed price per review.EA700$0.00
4012Quality of Care (QOC) Reviews (PWS Section 5 paragraph 5.5.2.2.1) (Direct and Purchased Care): Fixed price per QOC review.EA5$0.00
4013Clinical Quality Improvement Studies (PWS Section 5 paragraph 5.6.1)
4013AAClinical Quality Improvement Study Methodology Development, Approval and Study Report (PWS Section 5 paragraph 5.6.1) FFPHR240$0.00
4013ABClinical Quality Improvement Administrative Study Data Collection and Analysis (PWS Section 5 paragraph 5.6.1). Fixed price per hour.HR160$0.00
4013ACClinical Quality Improvement Abstraction Study (Fewer than 2,000 Records) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA2,000$0.00
4013ADClinical Quality Improvement Chart Abstraction Study (2000 or more charts) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA4,000$0.00
4014Annual Autism Care Demonstration (ACD) Study (PWS Section 5 paragraph 5.6.2.2.8.1) Fixed price per chart.EA2,000$0.00
4015Long Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
4016Short Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
4017Webinar (PWS Section 5 paragraph 5.8.1.1) FFPEA12$0.00
4018Meeting Support (PWS Section 5 Paragraph 5.8.2)
4018AAMeeting Support (PWS Section 5 paragraph 5.8.2.1) FFPMO12$0.00
4018ABMeeting Support Annual MHS Clinical Quality Management conference (PWS Section 5 paragraph 5.8.2) FFPEA1$0.00
4019Quality Communications (PWS Section 5 paragraph 5.8) FFPMO12$0.00
4020Travel (PWS Section 1 paragraph 1.8.3; FAR Part 31.2) This CLIN establishes a cost-reimbused (no fee) amount for travel. Not to exceed: $10,000EA1$10,000.00$10,000.00
4021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)NSP
4022Transition-out. (PWS Section 5 paragraph 5.2.2 and FAR 52.237-3) FFP.LO1$0.00
Option Year 4 Total$10,000.00
Option Year 5 Total5001HEDIS Audit (PWS Section 5 Paragraph 5.3.1)
5001AAAnnual NCQA HEDIS® Validation Audit (PWS Section 5 paragraph 5.3.1) FFP.EA1$0.00
5001ABHEDIS Consultation and Education (PWS Section 5 paragraph 5.3.1.3 )HR24$0.00
5002National Hospital Quality Measures (PWS Section 5 Paragraph 5.3.2)
5002AANational Hospital Quality Measures Data Collection Tools and Data Management (MTF with Essentris) (PWS Section 5 paragraph 5.3.2) FFP per Inpatient MTF per quarter.EA192$0.00
5002ABNational Hospital Quality Measures data file for submission to CMSEA1$0.00
5003Joint Comission ORYX® Hospital Quality Measures (PWS Section 5 Paragraph 5.3.3)
5003AAJoint Commission ORYX® Data Collection Tools, Data Management and Data File Submission (For MTFs with Essentris) (PWS Section 5 paragraph 5.3.3.2-5.3.3.7) FFP per MTF per quarterly submission.EA120$0.00
5003ABJoint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.EA95,000$0.00
5003ACClinical Quality Measurement Result Accuracy Validation (PWS Section 5 paragraph 5.3.4) Fixed price per chart.EA2,000$0.00
5004Leapfrog Program Support (PWS PWS Section 5, paragraph 5.3.5)
5004AALeapfrog Value-Based Purchasing Program Data & Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)EA1$0.00
5004ABLeapfrog Communications (PWS Section 5 paragraph 5.3.5.5.3.1)EA1$0.00
5004ACLeapfrog Education Series Attendance (PWS Section 5 paragraph 5.3.5.5.2.2)EA6$0.00
5004ADLeapfrog Annual Meeting (PWS Section 5 paragraph 5.3.5.5.2.2)EA1$0.00
5004AEMHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis (PWS Section 5 paragraph 5.3.5.2 & 5.3.5.3)MO12$0.00
5004AFMHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support (PWS Section 5 paragraph 5.3.5.5.2)MO12$0.00
5005Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) (PWS Section 5 paragraph 5.3.6.1.1 ) Fixed price per chart.EA11,000$0.00
5006QSRS Data Abstraction (PWS Section 5 paragraph 5.3.6.2.1.2)EA6,000$0.00
5007Behavioral Health Facility Initial Fees Calculations (PWS Section 5 paragraph 5.4) Fixed price per application.EA55$0.00
5008Quality and Utilization Reviews (PWS Section C paragraph 5.5.2.10) Fixed price per chart.EA6,500$0.00
5009Medical Necessity Reconsideration Reviews (Second Level Appeals) (PWS Section 5 paragraph 5.5.3.1) Fixed price per review.EA150$0.00
5010Appeals & Hearings Internal and External Reviews and Hearing Support (PWS Section 5 Paragraph 5.5.4)
5010AAAppeals & Hearings Internal Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per internal review.EA2$0.00
5010ABAppeals & Hearings Routine External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per routine external review.EA75$0.00
5010ACAppeals & Hearings Urgent External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per urgent external review.EA5$0.00
5010ADPre-Hearing Preparations (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
5010AEHearing Appearance (PWS Section 5 paragraph 5.5.4.1)HR10$0.00
5010AFPost Hearing (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
5010AGTranscription (PWS Section 5 paragraph 5.5.4.2)HR10$0.00
5011Standard of Care (SOC) Reviews (PWS Section 5 paragraph 5.5.5.1) Fixed price per review.EA700$0.00
5012Quality of Care (QOC) Reviews (PWS Section 5 paragraph 5.5.2.2.1) (Direct and Purchased Care): Fixed price per QOC review.EA5$0.00
5013Clinical Quality Improvement Studies (PWS Section 5 paragraph 5.6.1)
5013AAClinical Quality Improvement Study Methodology Development, Approval and Study Report (PWS Section 5 paragraph 5.6.1) FFPHR240$0.00
5013ABClinical Quality Improvement Administrative Study Data Collection and Analysis (PWS Section 5 paragraph 5.6.1). Fixed price per hour.HR160$0.00
5013ACClinical Quality Improvement Abstraction Study (Fewer than 2,000 Records) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA2,000$0.00
5013ADClinical Quality Improvement Chart Abstraction Study (2000 or more charts) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA4,000$0.00
5014Annual Autism Care Demonstration (ACD) Study (PWS Section 5 paragraph 5.6.2.2.8.1) Fixed price per chart.EA2,000$0.00
5015Long Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
5016Short Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA4$0.00
5017Webinar (PWS Section 5 paragraph 5.8.1.1) FFPEA12$0.00
5018Meeting Support (PWS Section 5 Paragraph 5.8.2)
5018AAMeeting Support (PWS Section 5 paragraph 5.8.2.1) FFPMO12$0.00
5018ABMeeting Support Annual MHS Clinical Quality Management conference (PWS Section 5 paragraph 5.8.2) FFPEA1$0.00
5019Quality Communications (PWS Section 5 paragraph 5.8) FFPMO12$0.00
5020Travel (PWS Section 1 paragraph 1.8.3; FAR Part 31.2) This CLIN establishes a cost-reimbused (no fee) amount for travel. Not to exceed: $10,000EA1$10,000.00$10,000.00
5021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)NSP
5022Transition-out. (PWS Section 5 paragraph 5.2.2 and FAR 52.237-3) FFP.LO1$0.00
Option Year 5 Total$10,000.00
52.217-86001HEDIS Audit (PWS Section 5 Paragraph 5.3.1)
6001AAAnnual NCQA HEDIS® Validation Audit (PWS Section 5 paragraph 5.3.1) FFP.EA0.5$0.00$0.00
6001ABHEDIS Consultation and Education (PWS Section 5 paragraph 5.3.1.3 )HR12.0$0.00$0.00
6002National Hospital Quality Measures (PWS Section 5 Paragraph 5.3.2)
6002AANational Hospital Quality Measures Data Collection Tools and Data Management (MTF with Essentris) (PWS Section 5 paragraph 5.3.2) FFP per Inpatient MTF per quarter.EA96.0$0.00$0.00
6002ABNational Hospital Quality Measures data file for submission to CMSEA0.5$0.00$0.00
6003Joint Comission ORYX® Hospital Quality Measures (PWS Section 5 Paragraph 5.3.3)
6003AAJoint Commission ORYX® Data Collection Tools, Data Management and Data File Submission (For MTFs with Essentris) (PWS Section 5 paragraph 5.3.3.2-5.3.3.7) FFP per MTF per quarterly submission.EA60.0$0.00$0.00
6003ABJoint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.EA47,500.0$0.00$0.00
6003ACClinical Quality Measurement Result Accuracy Validation (PWS Section 5 paragraph 5.3.4) Fixed price per chart.EA1,000.0$0.00$0.00
6004Leapfrog Program Support (PWS PWS Section 5, paragraph 5.3.5)
6004AALeapfrog Value-Based Purchasing Program Data & Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)EA0.5$0.00$0.00
6004ABLeapfrog Communications (PWS Section 5 paragraph 5.3.5.5.3.1)EA0.5$0.00$0.00
6004ACLeapfrog Education Series Attendance (PWS Section 5 paragraph 5.3.5.5.2.2)EA3.0$0.00$0.00
6004ADLeapfrog Annual Meeting (PWS Section 5 paragraph 5.3.5.5.2.2)EA0.5$0.00$0.00
6004AEMHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis (PWS Section 5 paragraph 5.3.5.2 & 5.3.5.3)MO6.0$0.00$0.00
6004AFMHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support (PWS Section 5 paragraph 5.3.5.5.2)MO6.0$0.00$0.00
6005Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) (PWS Section 5 paragraph 5.3.6.1.1 ) Fixed price per chart.EA5,500.0$0.00$0.00
6006QSRS Data Abstraction (PWS Section 5 paragraph 5.3.6.2.1.2)EA3,000.0$0.00$0.00
6007Behavioral Health Facility Initial Fees Calculations (PWS Section 5 paragraph 5.4) Fixed price per application.EA27.5$0.00$0.00
6008Quality and Utilization Reviews (PWS Section C paragraph 5.5.2.10) Fixed price per chart.EA3,250.0$0.00$0.00
6009Medical Necessity Reconsideration Reviews (Second Level Appeals) (PWS Section 5 paragraph 5.5.3.1) Fixed price per review.EA75.0$0.00$0.00
6010Appeals & Hearings Internal and External Reviews and Hearing Support (PWS Section 5 Paragraph 5.5.4)
6010AAAppeals & Hearings Internal Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per internal review.EA1.0$0.00$0.00
6010ABAppeals & Hearings Routine External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per routine external review.EA37.5$0.00$0.00
6010ACAppeals & Hearings Urgent External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per urgent external review.EA2.5$0.00$0.00
6010ADPre-Hearing Preparations (PWS Section 5 paragraph 5.5.4.2)HR5.0$0.00$0.00
6010AEHearing Appearance (PWS Section 5 paragraph 5.5.4.1)HR5.0$0.00$0.00
6010AFPost Hearing (PWS Section 5 paragraph 5.5.4.2)HR5.0$0.00$0.00
6010AGTranscription (PWS Section 5 paragraph 5.5.4.2)HR5.0$0.00$0.00
6011Standard of Care (SOC) Reviews (PWS Section 5 paragraph 5.5.5.1) Fixed price per review.EA350.0$0.00$0.00
6012Quality of Care (QOC) Reviews (PWS Section 5 paragraph 5.5.2.2.1) (Direct and Purchased Care): Fixed price per QOC review.EA2.5$0.00$0.00
6013Clinical Quality Improvement Studies (PWS Section 5 paragraph 5.6.1)
6013AAClinical Quality Improvement Study Methodology Development, Approval and Study Report (PWS Section 5 paragraph 5.6.1) FFPHR120.0$0.00$0.00
6013ABClinical Quality Improvement Administrative Study Data Collection and Analysis (PWS Section 5 paragraph 5.6.1). Fixed price per hour.HR80.0$0.00$0.00
6013ACClinical Quality Improvement Abstraction Study (Fewer than 2,000 Records) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA1,000.0$0.00$0.00
6013ADClinical Quality Improvement Chart Abstraction Study (2000 or more charts) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.EA2,000.0$0.00$0.00
6014Annual Autism Care Demonstration (ACD) Study (PWS Section 5 paragraph 5.6.2.2.8.1) Fixed price per chart.EA1,000.0$0.00$0.00
6015Long Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA2.0$0.00$0.00
6016Short Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.EA2.0$0.00$0.00
6017Webinar (PWS Section 5 paragraph 5.8.1.1) FFPEA6.0$0.00$0.00
6018Meeting Support (PWS Section 5 Paragraph 5.8.2)
6018AAMeeting Support (PWS Section 5 paragraph 5.8.2.1) FFPMO6.0$0.00$0.00
6018ABMeeting Support Annual MHS Clinical Quality Management conference (PWS Section 5 paragraph 5.8.2) FFPEA0.5$0.00$0.00
6019Quality Communications (PWS Section 5 paragraph 5.8) FFPMO6.0$0.00$0.00
6020Travel (PWS Section 1 paragraph 1.8.3; FAR Part 31.2) This CLIN establishes a cost-reimbused (no fee) amount for travel. Not to exceed: $10,000EA0.5$10,000.00$5,000.00
6021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)NSP
6022Transition-out. (PWS Section 5 paragraph 5.2.2 and FAR 52.237-3) FFP.LO1$0.00$0.00
Total Base and Option Years 1-5 (excluding transition out)$50,000.00
6 month extension of services$5,000.00
Highest Transition Out Price$0.00
Total Evaluated Price$55,000.00

&"Times New Roman,Regular"Exhibit L-11 Price Proposal Template

&"Times New Roman,Regular"Exhibit L-11 Price Proposal Template

&"Times New Roman,Regular"Exhibit L-11 Price Proposal Template

&"Times New Roman,Regular"Exhibit L-11 Price Proposal Template

TQMC HT9402-15-R-0005,Section L Exhibit L-10 Page &P of &N

TQMC HT9402-15-R-0005,Section L Exhibit L-10 Page &P of &N

TQMC HT9402-15-R-0005,Section L Exhibit L-10 Page &P of &N

TQMC HT9402-15-R-0005,Section L Exhibit L-10 Page &P of &N

Summary by CLIN, Option Yr

TQMC HT940222R0002
Section L Exhibit L-11 Price Proposal Template
OFFEROR:
Totals by Option YearTotal by
Price Proposal by CLIN by Option PeriodBaseOY 1OY 2OY 3OY 4OY 552.217-8CLIN
0001Transition-in (Section C paragraph 1.6.1.1 Transition-in). Firm-fixed-price (FFP).$0.00$0.00
0002Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)
X001HEDIS Audit (PWS Section 5 Paragraph 5.3.1)
X001AAAnnual NCQA HEDIS® Validation Audit (PWS Section 5 paragraph 5.3.1) FFP.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X001ABHEDIS Consultation and Education (PWS Section 5 paragraph 5.3.1.3 )$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X002National Hospital Quality Measures (PWS Section 5 Paragraph 5.3.2)
X002AANational Hospital Quality Measures Data Collection Tools and Data Management (MTF with Essentris) (PWS Section 5 paragraph 5.3.2) FFP per Inpatient MTF per quarter.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X002ABNational Hospital Quality Measures data file for submission to CMS$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X003Joint Comission ORYX® Hospital Quality Measures (PWS Section 5 Paragraph 5.3.3)
X003AAJoint Commission ORYX® Data Collection Tools, Data Management and Data File Submission (For MTFs with Essentris) (PWS Section 5 paragraph 5.3.3.2-5.3.3.7) FFP per MTF per quarterly submission.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X003ABHospital Quality Measures Chart Abstraction (Joint Commission ORYX, CMS Hospital Care) Compare Rename Joint Commission ORYX® Hospital Quality Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X003ACJoint Commission ORYX® Hospital Quality Measures (Direct Care) Chart Abstraction (PWS Section 5 paragraph 5.3.3.1) Fixed price per chart.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X004Leapfrog Program Support (PWS PWS Section 5, paragraph 5.3.5)
X004AALeapfrog Value-Based Purchasing Program Data & Reports package for Health Plans (PWS Section 5 paragraph 5.3.5.1)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X004ABLeapfrog Communications (PWS Section 5 paragraph 5.3.5.5.3.1)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X004ACLeapfrog Education Series Attendance (PWS Section 5 paragraph 5.3.5.5.2.2)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X004ADLeapfrog Annual Meeting (PWS Section 5 paragraph 5.3.5.5.2.2)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X004AEMHS Leapfrog Survey and Safety Grade Participation Value-Based Purchasing Program Data & Reports package for Health Plans analysis (PWS Section 5 paragraph 5.3.5.2 & 5.3.5.3)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X004AFMHS Leapfrog Survey and Safety Grade Participation Training, Email Box and Frequently Asked Question Support (PWS Section 5 paragraph 5.3.5.5.2)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X005Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) (PWS Section 5 paragraph 5.3.6.1.1 ) Fixed price per chart.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X006QSRS Data Abstraction (PWS Section 5 paragraph 5.3.6.2.1.2)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X007Behavioral Health Facility Initial Fees Calculations (PWS Section 5 paragraph 5.4) Fixed price per application.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X008Quality and Utilization Reviews (PWS Section C paragraph 5.5.2.10) Fixed price per chart.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X009Medical Necessity Reconsideration Reviews (Second Level Appeals) (PWS Section 5 paragraph 5.5.3.1) Fixed price per review.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X010Appeals & Hearings Internal and External Reviews and Hearing Support (PWS Section 5 Paragraph 5.5.4)
X010AAAppeals & Hearings Internal Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per internal review.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X010ABAppeals & Hearings Routine External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per routine external review.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X010ACAppeals & Hearings Urgent External Reviews (PWS Section 5 paragraph 5.5.4.1 and PWS Section J, Attachment J-6) Fixed price per urgent external review.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X010ADPre-Hearing Preparations (PWS Section 5 paragraph 5.5.4.2)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X010AEHearing Appearance (PWS Section 5 paragraph 5.5.4.1)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X010AFPost Hearing (PWS Section 5 paragraph 5.5.4.2)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X0X0AGTranscription (PWS Section 5 paragraph 5.5.4.2)$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X011Standard of Care (SOC) Reviews (PWS Section 5 paragraph 5.5.5.1) Fixed price per review.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X012Quality of Care (QOC) Reviews (PWS Section 5 paragraph 5.5.2.2.1) (Direct and Purchased Care): Fixed price per QOC review.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X013Clinical Quality Improvement Studies (PWS Section 5 paragraph 5.6.1)
X013AAClinical Quality Improvement Study Methodology Development, Approval and Study Report (PWS Section 5 paragraph 5.6.1) FFP$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X013ABClinical Quality Improvement Administrative Study Data Collection and Analysis (PWS Section 5 paragraph 5.6.1). Fixed price per hour.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X013ACClinical Quality Improvement Abstraction Study (Fewer than 2,000 Records) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X013ADClinical Quality Improvement Chart Abstraction Study (2000 or more charts) (PWS Section 5 paragraph 5.6.1) Fixed price per chart.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X014Annual Autism Care Demonstration (ACD) Study (PWS Section 5 paragraph 5.6.2.2.8.1) Fixed price per chart.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X015Long Assessment of Evolving Practices, Devices, Medicines, Treatements, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X016Short Assessment of Evolving Practices, Devices, Medicines, Treatments, and Procedures (PWS Section 5 paragraph 5.7.3) Fixed price per assessment.$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X017Webinar (PWS Section 5 paragraph 5.8.1.1) FFP$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X018Meeting Support (PWS Section 5 Paragraph 5.8.2)
X018AAMeeting Support (PWS Section 5 paragraph 5.8.2.1) FFP$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X018ABMeeting Support Annual MHS Clinical Quality Management conference (PWS Section 5 paragraph 5.8.2) FFP$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X019Website Management Quality Communications (PWS Section 5 paragraph 5.8.2.1) FFP 1 AA FTE$0.00$0.00$0.00$0.00$0.00$0.00$0.00
X020Travel (PWS Section 1 paragraph 1.8.3; FAR Part 31.2) This CLIN establishes a cost-reimbursed (no fee) amount for travel. Not to exceed: $10,000$10,000.00$10,000.00$10,000.00$10,000.00$10,000.00$5,000.00$55,000.00
X021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)
X022Transition-out. (PWS Section 5 paragraph 5.2.2 and FAR 52.237-3) FFP.$0.00$0.00$0.00$0.00$0.00$0.00$0.00

CDRL Cost Estimate

TQMC HT940222R0002
Section L Exhibit L-11 Price Proposal Template
OFFEROR:
Estimated Cost for CDRLsBaseOY 1OY 2OY 3OY 4OY 5
0002Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)
X021Deliverables (DD Forms 1423-1, Contract Data Requirements List (CDRLS)) Not separately priced (NSP)
Total Estimated Cost for CDRLs$0.00$0.00$0.00$0.00$0.00$0.00
Not included in the total evaluated price

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