The file's text, extracted by GovTribe without its formatting.
HCPF Solicitation #:
DQ UHAA 2026000469
Local Contact Agency – In-Reach Counseling Mod: 1 (Updated 6/10/2026)
Appendix D Pricing Worksheet Region 5 - Northeastern Colorado
| DELIVERABLES Per Fiscal Year |
| DATE DUE TO THE DEPARTMENT |
| MAXIMUM AMOUNT |
| Regional Transition Coordination Meeting Minutes |
| Quarterly, through deliverable submission, by August 15th, November 15th, February 15th, and May 15th. |
| $500.00 per quarter, $2,000.00 total |
| Regional Resource Document |
| Annually, through deliverable submission by September 15th |
| _____ up to $1,500.00 |
| Updated Regional Resource Document |
| Deliverable submission Due by December 15th, March 15th, and June 15th |
| _____ per deliverable, up to $1,500.00 total for all three deliverables. Offeror total: $____. |
| Group In-Reach Plan |
| Deliverable submission Annually, by August 15th |
| $1,000.00 |
| Group In-Reach Presentation |
| Deliverable submission Annually, by September 1st |
| $300.00 |
| Group In-Reach (up to two per Nursing Facility, per year.) |
| Entered monthly through system entry and invoice submission, by the 15th of each month following the month when the visit was completed |
| $ _____ per visit, not to exceed $1,950.00 per visit, $7,800.00 total for two visits per NF. Offeror total: $_____ |
| Individual In-Reach Plan |
| Deliverable submission Annually, by August 15th |
| $1,000.00 |
| Individual In-Reach |
| Entered monthly through system entry and invoice submission, by the 15th of each month following the month when the visit was completed |
| $80.00 per opt-in not to exceed $10,800.00 total. |
| Skilled Nursing Facility (SNF) Education Attendee List (one educational event per facility, per year.) |
| Deliverable and invoice submission by the 15th of each month following the month in which the education was provided |
| $1,000.00 per SNF, not to exceed $2,000.00. |
| *Total |
| $______, Not to exceed $27,900.00 per year. |
Nursing Facilities Cheyenne Manor Care Center Grace Manor Care Center
Region 8 - Northeastern Colorado
| DELIVERABLES |
| DATE DUE TO THE DEPARTMENT |
| MAXIMUM AMOUNT |
| Regional Transition Coordination Meeting Minutes |
| Quarterly, through deliverable submission, by August 15th, November 15th, February 15th, and May 15th. |
| $500.00 per quarter, $2,000.00 total. |
| Regional Resource Document |
| Annually, through deliverable submission by September 15th |
| _____ up to $1,500.00. |
| Updated Regional Resource Document |
| Deliverable submission Due by December 15th, March 15th, and June 15th |
| _____ per deliverable, up to $1,500.00 total for all three deliverables. Offeror total: $___. |
| Group In-Reach Plan |
| Deliverable submission Annually, by August 15th |
| $1,000.00 |
| Group In-Reach Presentation |
| Deliverable submission Annually, by September 1st |
| $300.00 |
| Group In-Reach (up to two per Nursing Facility, per year.) |
| Reported Monthly through system entry and invoice submission, by the 15th of each month following the month when the visit was completed. |
| $ _____ per visit, not to exceed $1,950.00 per visit, $23,400.00 total for 12 visits. Offeror total: $_____ |
| Individual In-Reach Plan |
| Deliverable submission Annually, by August 15th |
| $1,000.00 |
| Individual In-Reach Activities Report |
| Reported Monthly through system entry and invoice submission, by the 15th of each month following the month for which the report covers. |
| $80 per opt-in, not to exceed $21,600.00 total. |
| Skilled Nursing Facility Education Attendee List (one educational event per facility, per year.) |
| Deliverable and invoice submission by the 15th of each month following the month in which the education was provided |
| $1000.00 per SNF, not to exceed $6,000.00. |
| *Total |
| $______, Not to exceed $58,300.00 |
Colorado Veterans Community Living Center at Homelake Evergreen Nursing Home Rio Grande Rehabilitation and Healthcare Center River Valley Rehabilitation and Healthcare Center Rock Creek Rehabilitation and Healthcare Center San Luis Care Center
Region 12 - Northeastern Colorado
| DELIVERABLES |
| DATE DUE TO THE DEPARTMENT |
| MAXIMUM AMOUNT |
| Regional Transition Coordination Meeting Minutes |
| Quarterly, through deliverable submission, by August 15th, November 15th, February 15th, and May 15th. |
| $500.00 per quarter, $2,000.00 total. |
| Regional Resource Document |
| Annually, through deliverable submission by September 15th |
| _____ up to $1,500.00 |
| Updated Regional Resource Document |
| Deliverable submission Due by December 15th, March 15th, and June 15th |
| _____ per deliverable, up to $1,500.00 total for all three deliverables. Offeror total: $___. |
| Group In-Reach Plan |
| Deliverable submission Annually, by August 15th |
| $1,000.00 |
| Group In-Reach Presentation |
| Deliverable submission Annually, by September 1st |
| $300.00 |
| Group In-Reach (up to two per Nursing Facility, per year.) |
| Reported Monthly through system entry and invoice submission, by the 15th of each month following the month when the visit was completed. |
| $ _____ per visit, not to exceed $1,950.00 per visit. $3,900.00 for two visits total. Offeror total: $_____ |
| Individual In-Reach Plan |
| Deliverable submission Annually, by August 15th |
| $1,000.00 |
| Individual In-Reach Activities Report |
| Reported Monthly through system entry and invoice submission, by the 15th of each month following the month for which the report covers. |
| $80 per opt-in, not to exceed $10,800.00 total. |
| Skilled Nursing Facility Education Attendee List (one educational event per facility, per year.) |
| Deliverable and invoice submission by the 15th of each month following the month in which the education was provided |
| $1,000.00 per SNF, not to exceed $1,000.00. |
| *Total |
| $______,Not to exceed $23,000.00 |
Castle Peak Senior Life and Rehabilitation image1.png