Price_Sheet.pdf

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Attached to
Master Agreement AZ|CTR079118
Contract number
CTR079118
Issued by
Arizona

About this file

This document is a Pricing Document (Attachment 2.1.3.11) for Request for Proposal No. BPM007056 for Psychological, Counseling, Treatment, Training, Mental Health & Wellness services. The document appears to be associated with the Arizona Department of Public Safety (AZDPS) and involves a multi-region contract for mental health and wellness services.

The pricing document outlines comprehensive services including confidential employee counseling, crisis intervention, post-trauma counseling, behavioral health and wellness services, and mental health training programs for law enforcement. Pricing is structured across multiple service categories with rates ranging from $185 to $300 per hour/event, with some services like employee counseling stabilization included at no additional charge. Notable pricing details include $220 for annual counseling sessions, $300 for critical incident on-scene response and group debriefings, and specific rates for various training programs. The document indicates no network setup fee, notes that travel costs are removed due to Arizona mileage rules, and suggests that additional treatment services like inpatient and outpatient care will be billed separately or under personal insurance.

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Text version

BPM003345 Pricing Document

Offeror Name:

RFP Section (#) RFP Section Region 1 Region 2 Region 3

5.1 Pre-employment Psychological Evaluation N/A N/A N/A

5.2 Fitness for Duty Psychological Evaluations N/A N/A N/A

5.3 Confidential employee counseling stabilization and referral services $185.00 $185.00

5.4 Crisis intervention and post trauma counseling services $185.00 $185.00

5.5 Behavioral Health and Wellness Services

5.5.1 Confidential Annual Counseling Sessions (Check-ins) $220.00 $220.00

5.5.2 Confidential Employee Counseling Stabilization and Referral Services Included Included

5.5.3 Supervisor Referrals/Consultations $185.00 $185.00

5.5.4 Crisis Response Services

5.5.4.1 Critical Incident On-scene Response $300.00 $300.00

5.5.4.2 Critical Incident Stress Management

5.5.4.2.1 Routine Group Debriefings $300.00 $300.00

5.5.4.2.2 Post Incident - Group $300.00 $300.00

5.5.4.2.3 Post Incident - Individual $300.00 $300.00

5.5.4.2.4 Follow-Up $185.00 $185.00

5.5.5 Aditional Treatment (in/outpatient services)

5.5.5.1.1 Outpatient Services See Notes See Notes

5.5.5.1.2 Inpatient Services See Notes See Notes

5.5.6 Continuing Care

5.5.8.1 Post Treatment Support $185.00 $185.00

5.6 Mental Health & Wellness Training Program for Law Enforcement All Training with the exception of below courses $300.00 $300.00 Wellness Coordinator Course Group Crisis Intervention Course Retire Well

Request for Proposal No. BPM007056 Psychological, Counseling, Treatment, Training, Mental Health & Wellness

Pricing Document - Attachment 2.1.3.11

All-inclusive: Price/Hour do not fill in this section do not fill in this section do not fill in this section do not fill in this section do not fill in this section do not fill in this section

New Pricing

$220.00 included $185.00

$300.00

$300.00 $300.00 $300.00 $185.00

See notes See notes

$185.00

$300.00

$185.00

*sections below no specifically referenced in RFP Other 1 Fee for 'no shows ' not cancelled within twenty-four (24) hours N/A

Yes No Other 2 Offeror has attached a fee schedule for any other available related services X

NO NETWORK SET UP FEE

All travel costs removed due to AZ mileage rules

New Pricing

* Only provide pricing for RFP section for which Offeror wants to be considered.

** Offeror can provide pricing document that more accurately reflects Offeror's standard pricing structure.

*** Offeror is encouraged to submit additional information to define services provided by scope.

Region 4 Region 5 Region 6 Region 7 Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Comments (i.e., number of students per training, length of stay) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

$1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $1,000 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 $199.00 do not fill in this section

All-inclusive: Price/Hour do no do no do no do no do no do no

All-inclusive: Price/Event (i.e., training event, inpatient) do not fill in this section do not fill in this section do not fill in this section do not fill in this section do not fill in this section do not fill in this section $220 at AZDPS Office or $150.00 for virtual or at TCTI office No Charge for referral to treatment. Treatment is billed under personal insurance do not fill in this section do not fill in this section do not fill in this section $300 per trainer, per hour Per person rate Per person rate do not fill in this section Referral only, covered by personal insurance Referral only, covered by personal insurance do not fill in this section Per hour

Per person rate

New Pricing

$185.00 $185.00

$220.00 Included $185.00

$300.00

$300.00 $300.00 $300.00 $185.00

See notes See notes

$185.00

$300.00 $300.00 $300.00 $300.00

$185.00 $185.00 $185.00

See Notes See Notes

See Notes See Notes

See Notes See Notes

$300.00 $300.00 $300.00 $300.00 $300.00 $300.00 $300.00 $300.00 $300.00

$185.00 $185.00 $185.00

$300.00 $300.00 $300.00

$185.00 $185.00 $185.00 Included Included Included $220.00 $220.00 $220.00

$185.00 $185.00

$185.00 $185.00

Comments (i.e., number of students per training, length of stay) do not fill in this section $220 at AZDPS Office or $150.00 for virtual or at TCTI office No Charge for referral to treatment. Treatment is billed under personal insurance do not fill in this section do not fill in this section do not fill in this section $300 per trainer, per hour Per person rate Per person rate do not fill in this section Referral only, covered by personal insurance Referral only, covered by personal insurance do not fill in this section Per hour

Per person rate

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PDF Solicitation Attachments 2.1.3.1 thru 2.1.3.12 - Offer and Acceptance.pdf
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