MARIPOSA_COMMUNITY_HEALTH_CENTER_INCS_PRICING.pdf

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Attached to
Master Agreement AZ|CTR050597
Contract number
CTR050597
Issued by
Arizona

About this file

This document appears to be a detailed pricing schedule for a Health Start Program, listing various services and their associated unit prices. The document is structured as a line-item pricing matrix with specific service descriptions, quantities, units of measurement, and delivery dates, all set for 6/30/2021.

The Health Start Program pricing schedule includes a comprehensive range of services such as data preparation, client enrollments, prenatal visits, family follow-up visits, screenings, assessments, and optional services. The services are priced per unit, with costs ranging from $0 for consultation hours to $225 for data preparation, and include both required and optional services. Notable items include client and child visits, alcohol and drug screenings, brief interventions, home assessments, training for community health workers, pregnancy tests, and community professional health education workshops. The majority of services are priced per person or per event, with a consistent delivery date of 6/30/2021, suggesting this is part of a specific program or contract period.

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Text version

Code Field type Label Qty Order Unit Deliv. date Unit price Amount Deliv. date_1 I1_1 Required Item Health Start Program: Data Preparation 1 MO 225 225 6/30/2021 I1_2 Required Item Health Start Program: Client Enrollments 1 PERSON 125 125 6/30/2021 I1_3 Required Item Health Start Program: Prenatal Visits 1 PERSON 130 130 6/30/2021 I1_4 Required Item Health Start Program: Client Family Follow-up Visits (Mom/Caregiver) 1 PERSON 125 125 6/30/2021 I1_5 Required Item Health Start Program: Client Family Follow-up Visits (Child) 1 PERSON 125 125 6/30/2021 I1_6 Required Item Health Start Program: Multiple Child Visits 1 PERSON 65 65 6/30/2021 I1_7 Required Item Health Start Program: Alcohol, Tobacco, Other Drugs Screening Visits 1 PERSON 80 80 6/30/2021 I1_8 Required Item Health Start Program: Brief Intervention Visits 1 PERSON 40 40 6/30/2021 I1_9 Required Item Health Start Program: Healthy @ Home Assessments 1 PERSON 65 65 6/30/2021 I1_10 Required Item Health Start Program: Nurse Consultation 1 HR 0 0 6/30/2021 I1_11 Required Item Health Start Program: Social Work/LPC Consultation 1 HR 0 0 6/30/2021 I1_12 Required Item Health Start Program: Training CHW/Coordinator 1 DAY 155 155 6/30/2021 I1_13 Required Item Health Start Program: Pregnancy Test Visits (Optional Services) 1 PERSON 25 25 6/30/2021 I1_14 Required Item Health Start Program: Health Start Program: Prenatal Visits - Birth Doula Support (Optional Services) 1 PERSON I1_15 Required Item Health Start Program: Classes for Clients (Optional Services) 1 EA 200 200 6/30/2021

I1_16 Required Item Health Start Program: Community Professional Health Education and Outreach Training Classes or Workshops (Optional Services) 1 10 EA

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