VA Pacific Island Health Care System DME Line Item Price List .pdf

PDF 170 KB Posted Aug 26, 2021

Attached to: 6515 DURABLE MEDICAL EQUIPMENT GUAM AND AMERICAN SAMOA
Solicitation number: 36C26121Q0899
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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File	Type	Posted
36C261-21-Q-0899 VA Pacific Islands Health Care System DME RFQ.pdf	PDF	Aug 26, 2021
VA Pacific Island Health Care System DME Performance Work Statement.pdf	PDF	Aug 26, 2021

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Line Item Price List

Ordering Period One

CLIN Description Unit Price UOM

0001 Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address.

This fee shall include set-up, and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UNOM) is each job.

0002 Fee for delivery - drop off ONLY. No set up and training.

The unit of measure (UNOM) is each job.

0003 Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job.

0004 Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians.

The unit of measure (UOM) is each job.

0005 Pickup of durable medical equipment (DME) within 50 miles of Distribution Center and VAPHICS Clinics. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians.

The unit of measure (UOM) is per each job.

0006 The contractor shall be reimbursed for mileage that exceeds 50 miles from the Distribution Center and VAPHICS Clinics for deliveries and pickups made. The mileage shall be calculated using the distances provided by MapQuest or equivalent software that the following website: www.mapquest.com . The one-way reimbursement rate will be the GSA contract rate for Privately Owned Vehicle Mileage-- www.gsa.gov. When multiple Jobs routes are consolidated Mapquest routes sheets with waypoints must be submitted for mileage reimbursements.

MILE

0007 Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

0008 Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

0009 Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

0010 Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units.

0011 Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines

0012 Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines

0013 Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines

0014 Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines JB

0015 Set up and delivery of Power Wheelchair Group 4 as defined by Medicare guidelines JB

0016 Set up and delivery of Power Wheelchair Group 5 as

Ordering Period Two

1001 Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address.

1002 Fee for delivery - drop off ONLY. No set up and training.

The unit of measure (UNOM) is each job.

1003 Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job.

1004 Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians.

The unit of measure (UOM) is each job.

1005 Pickup of durable medical equipment (DME) within 50 miles of Distribution Center and VAPHICS Clinics. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians.

1006 The contractor shall be reimbursed for mileage that

VAPHICS Clinics for deliveries and pickups made. The mileage shall be calculated using the distances provided by MapQuest or equivalent software that the following website: www.mapquest.com . The one-way reimbursement rate will be the GSA contract rate for Privately Owned Vehicle Mileage-- www.gsa.gov. When multiple Jobs routes are consolidated Mapquest routes

1007 Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

1008 Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

1009 Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

1010 Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units.

1011 Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines

1012 Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines

1013 Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines

1014 Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines JB

1015 Set up and delivery of Power Wheelchair Group 4 as

1016 Set up and delivery of Power Wheelchair Group 5 as

Ordering Period Three

2001 Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address.

2002 Fee for delivery - drop off ONLY. No set up and training.

The unit of measure (UNOM) is each job.

2003 Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job.

2004 Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians.

The unit of measure (UOM) is each job.

2005 Pickup of durable medical equipment (DME) within 50 miles of Distribution Center and VAPHICS Clinics. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians.

2006 The contractor shall be reimbursed for mileage that

2007 Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

2008 Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

2009 Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

2010 Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units.

2011 Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines

2012 Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines

2013 Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines

2014 Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines JB

2015 Set up and delivery of Power Wheelchair Group 4 as

2016 Set up and delivery of Power Wheelchair Group 5 as

Ordering Period Four

3001 Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address.

3002 Fee for delivery - drop off ONLY. No set up and training.

The unit of measure (UNOM) is each job.

3003 Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job.

3004 Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians.

The unit of measure (UOM) is each job.

3005 Pickup of durable medical equipment (DME) within 50 miles of Distribution Center and VAPHICS Clinics. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians.

3006 The contractor shall be reimbursed for mileage that

3007 Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

3008 Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

3009 Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

3010 Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units.

3011 Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines

3012 Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines

3013 Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines

3014 Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines JB

3015 Set up and delivery of Power Wheelchair Group 4 as

3016 Set up and delivery of Power Wheelchair Group 5 as

Ordering Period Five

4001 Fee for delivery of durable medical equipment (DME) from VA/contractor warehouse to the Veteran's address.

4002 Fee for delivery - drop off ONLY. No set up and training.

The unit of measure (UNOM) is each job.

4003 Fee for emergency delivery and set up of durable medical equipment needed within four (4) hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians. The unit of measure (UOM) is each job.

4004 Fee for expedited delivery and set up needed within 24 hours from VA/contractor warehouse to the Veteran's address. This fee shall include set-up and training on the care and usage of the equipment and any time needed to prepare the equipment for delivery. Fee is inclusive of jobs that include stairs or require multiple technicians.

The unit of measure (UOM) is each job.

4005 Pickup of durable medical equipment (DME) within 50 miles of Distribution Center and VAPHICS Clinics. This fee includes inspection, and cleaning prior to repair or storage at contractor's facility or in the appropriate VA facility as instructed by VA authorized personnel. Fee is inclusive of jobs that include stairs or require multiple technicians.

4006 The contractor shall be reimbursed for mileage that

4007 Fee for routine repair assessment. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

4008 Fee for emergency repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

4009 Fee for expedited repair assessment of DME, including emergency calls after hours. This is a flat fee and includes the travel to the Veteran's residence within 50 miles (one-way). Fee will include preparation of repair quote. The unit of measure (UOM) is each job. Billing for actual repair time is included in CLIN 0010.

4010 Labor costs required to complete repairs. Routine, expedited and emergency labor costs are to be billed at the same rate and shall be billed in 15 min units.

4011 Set up and delivery of Scooter/Power Operated Vehicle (POV) as defined by Medicare guidelines

4012 Set up and delivery of Power Wheelchair Group 2 with Captains Seat as defined by Medicare guidelines

4013 Set up and delivery of Power Wheelchair Group 2 with Rehab Seat as defined by Medicare guidelines

4014 Set up and delivery of Power Wheelchair Group 3 as defined by Medicare guidelines JB

4015 Set up and delivery of Power Wheelchair Group 4 as

4016 Set up and delivery of Power Wheelchair Group 5 as

File details come from the government source that posted it. Updated Aug 26, 2021.