S372 Official Bid Price Sheet Final.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- S000000372
- Issued by
- Arkansas
About this file
This is an Official Bid Price Sheet (Form S000000372) for Occupational Physical, Speech, & Therapy Services. The document outlines the pricing structure for three groups of therapy services: Group A (Occupational Therapy), Group B (Physical Therapy), and Group C (Speech Therapy). Prospective contractors must provide their company name, National Provider Identifier Number, and Medicaid Provider Number on the form. The estimated service hours are specified for each therapy type, with Occupational Therapy requiring 1,395 hours, Physical Therapy requiring 953.5 hours, and Speech Therapy requiring 257.25 hours annually.
The pricing sheet requires contractors to enter hourly rates for each service category, with automatic calculation of annual totals. Group A includes Occupational Therapy, Occupational Therapy Assistant (139.25 hours), and Occupational Therapist Evaluation (188 hours). Group B encompasses Physical Therapy, Physical Therapy Assistant (139.25 hours), and Physical Therapist Evaluation (31.5 hours). Group C covers Speech Therapy and Speech Therapist Evaluation (134.5 hours). The form is designed to determine the low-cost provider based on the total annual cost of all services combined.
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Other files
| File | Type | Posted |
|---|---|---|
| Services Contract SRV-1 Sample~10.pdf | ||
| S000000372 Questions and Answers.pdf | ||
| S372 IFB Occupational Physical Speech and Therapy Services Final.pdf | ||
| Contract and Grant Disclosure~86.pdf | ||
| S372 Bid Response Packet Final.docx | DOCX document | |
| AMENDED S372 Bid Response Packet 030625.docx | DOCX document |
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Text version
Instructions
| Official Bid Price Sheet |
| S000000372 Occupational Physical, Speech, & Therapy Services |
| Table A |
| 1. Prospective Contractors shall enter their names in the blue shaded area identified. |
2. Prosprective Contractors shall enter their National Provider Identifier Number in the blue shaded area identified. 3. Prospective Contractors shall enter their Medicad Provider Number in the blue shaded area identified. 4. Prospective Contractors shall enter the Rate Per Hour costs for each of the Services listed in the Groups of Services in the yellow shaded cells. The annual total will automatically calculate.
5. Submitted costs must include all costs associated with the activities and tasks required by the IFB and the submitted Bid.
Table A
| S000000372 Official Bid Price Sheet |
| Occupational Physical, Speech, & Therapy Services |
Prospective Contractor Name:
| National Provider Identifier Number: |
| Medicaid Provider Number: |
| TABLE A: (to be used in low-cost determination) | |||
| Service Description | Estimated Hours per Year/Per Estimated Units Shown | Rate per Hour | Extended Total per Year |
| Therapy Services by Groups | |||
| Group A: | |||
| Occupational Therapy | 1395.00 | $0.00 | $0.00 |
| Occupational Therapy Assistant | 139.25 | $0.00 | $0.00 |
| Occupational Therapist Evaluation | 188.00 | $0.00 | $0.00 |
| Group "A" Total Cost for Services | $0.00 | ||
| Group B: | |||
| Physical Therapy | 953.50 | $0.00 | $0.00 |
| Physical Therapy Assistant | 139.25 | $0.00 | $0.00 |
| Physical Therapist Evaluation | 31.50 | $0.00 | $0.00 |
| Group "B" Total Cost for Services | $0.00 | ||
| Group C: | |||
| Speech Therapy | 257.25 | $0.00 | $0.00 |
| Speech Therapist Evaluation | 134.50 | $0.00 | $0.00 |
| Group "C" Total Cost for Services | $0.00 | ||
| * Total Cost per Year includes the estimated hours multipled by the rate per hour indicated. | $0.00 |
File details come from the government source that posted it. Updated .