VA257-17-R-0092-00004002.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Community Nursing Home Services
- Solicitation number
- VA25717R0092
About this file
This document provides details for a federal contract opportunity to provide community nursing home services. The Department of Veterans Affairs Veterans Health Administration Network Contracting Office 17 intends to issue an open and continuous solicitation on or about May 4, 2017 to establish multiple indefinite delivery contracts for nursing home services in counties located in North Texas and South Texas. Interested contractors must register in the System for Award Management and VetBiz databases if applicable, with a NAICS code of 623110 and a small business size standard of $27.5 million. The solicitation will remain open for one year from issuance and allow for full and open competition with the potential for multiple awards made on an as-needed basis. Placements will be determined based on facility availability and veteran preferences.
VA257-17-R-0092 00004 CTX Fee Schedule.xlsx
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Sheet 1
| CLIN #s | Category | RUG LEVEL | State Medicaid RUG Rate | BASE PERCENTAGE RATE | Professional Liability Insurance ($1.53 per day of service) | General Liability Insurance ($0.14 per day of service) | RUG + BASE RATE + INSURANCE | Est QTY/year* | Estimated Total/year |
| 001 | Rehabilitation | RAD | $193.36 | 18.0% | $1.53 | $0.14 | $229.83 | 100 | $22,983.48 |
| RAC | $170.79 | 18.0% | $1.53 | $0.14 | $203.20 | 100 | $20,320.22 | ||
| RAB | $160.40 | 18.0% | $1.53 | $0.14 | $190.94 | 150 | $28,641.30 | ||
| RAA | $141.07 | 18.0% | $1.53 | $0.14 | $168.13 | 50 | $8,406.63 | ||
| 002 | Extensive Services | SE3 | $230.93 | 18.0% | $1.53 | $0.14 | $274.17 | 100 | $27,416.74 |
| SE2 | $196.07 | 18.0% | $1.53 | $0.14 | $233.03 | 150 | $34,954.89 | ||
| SE1 | $170.75 | 18.0% | $1.53 | $0.14 | $203.16 | 150 | $30,473.25 | ||
| 003 | Special Care | SSC | $166.27 | 18.0% | $1.53 | $0.14 | $197.87 | 50 | $9,893.43 |
| SSB | $157.19 | 18.0% | $1.53 | $0.14 | $187.15 | 100 | $18,715.42 | ||
| SSA | $156.83 | 18.0% | $1.53 | $0.14 | $186.73 | 50 | $9,336.47 | ||
| 004 | Clinically Complex | CC2 | $135.82 | 18.0% | $1.53 | $0.14 | $161.94 | 50 | $8,096.88 |
| CC1 | $128.65 | 18.0% | $1.53 | $0.14 | $153.48 | 50 | $7,673.85 | ||
| CB2 | $124.59 | 18.0% | $1.53 | $0.14 | $148.69 | 50 | $7,434.31 | ||
| CB1 | $118.96 | 18.0% | $1.53 | $0.14 | $142.04 | 100 | $14,204.28 | ||
| CA2 | $112.94 | 18.0% | $1.53 | $0.14 | $134.94 | 50 | $6,746.96 | ||
| CA1 | $106.16 | 18.0% | $1.53 | $0.14 | $126.94 | 20 | $2,538.78 | ||
| 005 | Reduced Physical, Behavior & Cognitive Performance | 1B2 | $113.11 | 18.0% | $1.53 | $0.14 | $135.14 | 150 | $20,270.97 |
| 1B1 | $105.45 | 18.0% | $1.53 | $0.14 | $126.10 | 50 | $6,305.05 | ||
| 1A2 | $96.30 | 18.0% | $1.53 | $0.14 | $115.30 | 50 | $5,765.20 | ||
| 1A1 | $91.32 | 18.0% | $1.53 | $0.14 | $109.43 | 100 | $10,942.76 | ||
| BB2 | $111.06 | 18.0% | $1.53 | $0.14 | $132.72 | 50 | $6,636.04 | ||
| BB1 | $100.51 | 18.0% | $1.53 | $0.14 | $120.27 | 50 | $6,013.59 | ||
| BA2 | $94.50 | 18.0% | $1.53 | $0.14 | $113.18 | 50 | $5,659.00 | ||
| BA1 | $85.51 | 18.0% | $1.53 | $0.14 | $102.57 | 100 | $10,257.18 | ||
| PE2 | $119.61 | 18.0% | $1.53 | $0.14 | $142.81 | 100 | $14,280.98 | ||
| PE1 | $113.06 | 18.0% | $1.53 | $0.14 | $135.08 | 100 | $13,508.08 | ||
| PD2 | $114.65 | 18.0% | $1.53 | $0.14 | $136.96 | 100 | $13,695.70 | ||
| PD1 | $107.90 | 18.0% | $1.53 | $0.14 | $128.99 | 100 | $12,899.20 | ||
| PC2 | $105.03 | 18.0% | $1.53 | $0.14 | $125.61 | 150 | $18,840.81 | ||
| PC1 | $100.72 | 18.0% | $1.53 | $0.14 | $120.52 | 150 | $18,077.94 | ||
| PB2 | $98.06 | 18.0% | $1.53 | $0.14 | $117.38 | 50 | $5,869.04 | ||
| PB1 | $93.31 | 18.0% | $1.53 | $0.14 | $111.78 | 150 | $16,766.37 | ||
| PA2 | $87.50 | 18.0% | $1.53 | $0.14 | $104.92 | 100 | $10,492.00 | ||
| PA1 | $82.56 | 18.0% | $1.53 | $0.14 | $99.09 | 200 | $19,818.16 | ||
| BC1 | $82.56 | 18.0% | $1.53 | $0.14 | $99.09 | 50 | $4,954.54 | ||
| PCE | $82.56 | 18.0% | $1.53 | $0.14 | $99.09 | 50 | $4,954.54 | ||
| Est. Base Year Total*: | $483,844.04 | ||||||||
| Est. Base Year + Four Option Years Grand Total*: | $2,419,220.18 | ||||||||
| Additional Services: | |||||||||
| INPATIENT RESPITE SERVICES | $150.00/day | ||||||||
| ESCORT SERVICES | $12.00/hour |
Escort Services
| STATE MEDICAID CONTRACT # | |||
| VENDOR NAME: | |||
| *Estimated QTY and Grand Total is for proposal comparison only. The Government | |||
| will only pay for actual days used under a Veteran's authorization. | |||
| FACILITY ADDRESS: | |||
| Yellow will be filled by vendor. | |||
| COUNTY: |
| ADMINISTRATOR: |
| SIGNATURE:__________________________________ |
File details come from the government source that posted it. Updated .