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PRICE SCHEDULE
Contractor shall provide Nursing Home Care services for eligible Veterans at contractor’s place of business within the Fresno, CA area. All services shall be provided in accordance with the specifications, terms and conditions contained herein.
The guaranteed minimum, for the contract is one room for one veteran for one day. The maximum of the contract, inclusive of ordering periods, shall not exceed $2,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.
(NOTE: The reference to the published rate means the date the rates are published and distributed, not the effective dates. In other words, if the rates are effective August 1, but they are not published until the subsequent March, then the rates for this contract would change in March.)
PERIOD OF PERFORMANCE: January 11, 2021 through January 10, 2026
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| PER DIEM RATE |
(State Medicaid Daily Rate = VA BASE)
| DY |
| Reimbursed at Current State Medicaid without Supplement |
(State Medicaid Daily Rate = VA BASE)
| DY |
| Reimbursed at Current State Medicaid without Supplement |
| DY |
| Reimbursed at Current State Medicaid daily rate plus ___% |
| 0004 |
| REDUCED PHYSICAL FUNCTION, BEHAVIOR & COGNITIVE PERFORMANCE |
| DY |
| Reimbursed at Current State Medicaid daily rate plus ___% |
| DY |
| Reimbursed at Current State Medicaid daily rate Plus ___% |
| DY |
| Reimbursed at Current State Medicaid daily rate Plus ___% |
| DY |
| Reimbursed at Current State Medicaid daily rate Plus ___% |
| DY |
| Reimbursed at Current State Medicaid daily rate Plus ___% |
| DY |
| Reimbursed at Current State Medicaid Plus ___% |
| 0010 |
| REHABILITATION + EXTENSIVE SERVICES |
| DY |
| Reimbursed at Current State Medicaid daily rate Plus ___% |
