Attachment 4- Price Sheet- Amendment 4.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
Integrated Referral Management and Appointing Center (IRMAC) Services
Solicitation number
HT941026R2001
Issued by

About this file

This is a Price Sheet for the Integrated Referral Management and Appointing Center (IRMAC) Services contract (Solicitation HT941026R2001) issued by the Defense Health Agency. The price sheet outlines labor category pricing across five contract periods with separate CLINs for Patient Appointing Services (PAS), Referral Management Services (RMS), Clear Legible Reporting Services (CLR), and Contract Manpower Reporting. Each service is priced separately for two geographic regions: Pacific and Hawaii. The Transition Period runs December 2026 through February 2027 (3 months); the Base Period runs March 2027 through September 2027 (7 months); Option Year 1 covers October 2027 through September 2028 (12 months); Option Year 2 covers October 2028 through September 2029 (12 months); Option Year 3 covers October 2029 through September 2030 (12 months); and Option Period 4 (Extension IAW FAR 52.217-8) covers October 2030 through March 2031 (6 months). The total contract period spans approximately four years and six months.

The price sheet provides the framework for bidders to complete their pricing proposals with unit prices for each CLIN by period and region. Bidders must populate the "Unit Price" and "Total" columns for each labor category across all performance periods. The structure allows for regional differentiation in pricing between Hawaii and Pacific locations while maintaining consistent service categories throughout the contract term. This pricing template applies to an 8(a) set-aside solicitation with a size standard of $12.5 million (NAICS code 561110, Office Administrative Services) intended to serve Defense Health Network Indo-Pacific Military Treatment Facilities.

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Other files

File Type Posted
Combined Synopsis Solicitation - HT941026R2001 - Amendment 8.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 7.pdf PDF
HT941026R2001_Questions_Answers_22 SEP 2026.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 6.pdf PDF
Attachment 1 - IRMAC PERFORMANCE WORK STATEMENT - Amendment 6.pdf PDF
HT941026R2001_Questions _Answers_10 SEP 2026.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 5.pdf PDF
Attachment 1 - IRMAC PERFORMANCE WORK STATEMENT - Amendment 5.pdf PDF
Attachment 5- Incumbent Information and PHIRMAC Data- Amendment 5.pdf PDF
HT941026R2001_Questions _Answers_27 AUG 2026.pdf PDF
RFP HT941026R2001- Certification Form - Amendment 4.docx DOCX document
Attachment 2 - Past Performance Questionnaire- Amendment 4.docx DOCX document
Combined Synopsis Solicitation - HT941026R2001 - Amendment 4.pdf PDF
Attachment 1 - IRMAC PERFORMANCE WORK STATEMENT - Amendment 4.pdf PDF
Attachment 5- Incumbent Information and PHIRMAC Data- Amendment 4.pdf PDF
Attachment 4- Price Sheet- Amendment 3.xlsx XLSX spreadsheet
Combined Synopsis Solicitation - HT941026R2001 - Amendment 3.pdf PDF
HT941026R2001_Questions_Answers.pdf PDF
Combined Synopsis Solicitation - HT941026R2001 - Amendment 2.pdf PDF
Attachment 4- Price Sheet- Amendment 2.xlsx XLSX spreadsheet
Combined Synopsis Solicitation - HT941026R2001 - Amendment 1.pdf PDF
Combined Synopsis Solicitation - HT941026R2001.pdf PDF
Attachment 2 - Past Performance Questionnaire.docx DOCX document
Attachment 3 - Past Performance Summary Sheet.docx DOCX document
Attachment 1 - PERFORMANCE WORK STATEMENT (PWS).pdf PDF
Attachment 1 - PWS Exhibit D - Example Referral Guideline.xlsx XLSX spreadsheet
Attachment 1 - PWS Exhibit E - Example Performance Report Formats.pptx PPTX presentation
Attachment 4- Price Sheet.xlsx XLSX spreadsheet
Attachment 5- Incumbent Information and PHIRMAC Data.docx DOCX document
Attachment 1 - PWS Exhibit B - Example Primary Care Appointing Criteria.xlsx XLSX spreadsheet
Attachment 1- PWS Exhibit C - Example Specialty Care Appt Criteria.xlsx XLSX spreadsheet
RFP HT941026R2001- Certification Form.docx DOCX document
Attachment 1 - PWS Exhibit G - MTF Specialty Referral Notification Letter.pdf PDF
Show all 33

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Text version

Sheet1

PRICE SHEET TRANSITION PERIOD (POP 1 December 2026 – 28 February 2027)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
0001Patient Appointing Services (PAS)
0001AAPacific PAS3
0001ABHawaii PAS3
0002Referral Management Services (RMS)
0002AAPacific RMS3
0002ABHawaii RMS3
0003Clear Legible Reporting Services (CLR)3
0003AAPacific CLR3
0003ABHawaii CLR3

0011 Contract Manpower Reporting NSP

PRICE SHEET BASE PERIOD (POP 1 March 2027 – 30 September 2027)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
0005Patient Appointing Services (PAS)
0005AAPacific PAS7
0005ABHawaii PAS7
0006Referral Management Services (RMS)
0006AAPacific RMS7
0006ABHawaii RMS7
0007Clear Legible Reporting Services (CLR)
0007AAPacific CLR7
0007ABHawaii CLR7

0011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 1 (POP 1 October 2027 – 30 September 2028)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
1001Patient Appointing Services (PAS)
1001AAPacific PAS12
1001ABHawaii PAS12
1002Referral Management Services (RMS)
1002AAPacific RMS12
1002ABHawaii RMS12
1003Clear Legible Reporting Services (CLR)
1003AAPacific CLR12
1003ABHawaii CLR12

1011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 2 (POP 1 October 2028 – 30 September 2029)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
2001Patient Appointing Services (PAS)
2001AAPacific PAS12
2001ABHawaii PAS12
2002Referral Management Services (RMS)
2002AAPacific RMS12
2002ABHawaii RMS12
2003Clear Legible Reporting Services (CLR)
2003AAPacific CLR12
2003ABHawaii CLR12

2011 Contract Manpower Reporting NSP

PRICE SHEET OPTION YEAR 3 (POP 1 October 2029 – 30 September 2030)
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
3001Patient Appointing Services (PAS)
3001AAPacific PAS12
3001ABHawaii PAS12
3002Referral Management Services (RMS)
3002AAPacific RMS12
3002ABHawaii RMS12
3003Clear Legible Reporting Services (CLR)
3003AAPacific CLR12
3003ABHawaii CLR12

3011 Contract Manpower Reporting NSP

PRICE SHEET OPTION PERIOD 4 (POP 1 October 2030 – 31 March 2031) EXTENSION IAW FAR 52.217-8
CLINLabor CategoryUnit of Issue (Months)Unit PriceTotal
4001Patient Appointing Services (PAS)
4001AAPacific PAS6
4001ABHawaii PAS6
4002Referral Management Services (RMS)
4002AAPacific RMS6
4002ABHawaii RMS6
4003Clear Legible Reporting Services (CLR)
4003AAPacific CLR6
4003ABHawaii CLR6

4011 Contract Manpower Reporting NSP

Total Price

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