LCA DQ Appendix D Pricing Worksheet Final.docx

This is a pricing worksheet for a Local Contact Agency In-Reach Counseling solicitation (HCPF Solicitation #DQ UHAA 2026000469) issued by Colorado's Department of Health Care Policy and Financing. The document outlines deliverables and compensation across three regions in northeastern Colorado: Region 5 (serving Cheyenne Manor Care Center and Grace Manor Care Center), Region 8 (serving Colorado Veterans Community Living Center, Evergreen Nursing Home, Rio Grande Rehabilitation and Healthcare Center, River Valley Rehabilitation and Healthcare Center, Rock Creek Rehabilitation and Healthcare Center, and San Luis Care Center), and Region 12 (serving Castle Peak Senior Life and Rehabilitation). The services encompass quarterly regional transition coordination meetings, annual regional resource documents with updates due three times per year, annual group in-reach plans and presentations, group in-reach visits (up to two per nursing facility annually), individual in-reach plans, monthly individual in-reach reports, and monthly skilled nursing facility education. All deliverables have specific due dates throughout the fiscal year, with monthly reporting requirements for individual in-reach reports and facility education.

The pricing structure varies by region, with Region 5 not to exceed $37,160.00 annually, Region 8 not to exceed $58,300.00 annually, and Region 12 not to exceed $23,000.00 annually. Individual line-item compensation ranges from $300.00 for annual group in-reach presentations to $2,000.00 per month for skilled nursing facility education in Region 5. Group in-reach visits are compensated at a variable rate not to exceed $1,600.00 per visit. The document indicates that certain pricing fields remain incomplete, with a notation that pricing has not been fully finalized, particularly for group in-reach visit rates and regional resource document amounts. Monthly individual in-reach reports and skilled nursing facility education constitute the largest ongoing costs, with annual amounts of $10,800.00 and $2,000.00 respectively in Region 5, and significantly higher amounts in Regions 8 and 12.