VA263-17-R-1093-004.xlsx

XLSX spreadsheet 12 KB Posted Jul 10, 2018

Attached to: FY2018 CNH MEDICARE Solicitation Amendment 2 - Change Black Hills to MEDICARE Solicitation Federal contract opportunity
Solicitation number: VA26317R1093
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

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VA263-17-R-1093 S02 MEDICARE PRICING SCHEDULE - FINAL 02.xlsx

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Other files for this federal contract opportunity

Other files attached to FY2018 CNH MEDICARE Solicitation Amendment 2 - Change Black Hills to MEDICARE Solicitation, newest first.
File	Type	Posted
VA263-17-R-1093-0002001.docx	DOCX document	Aug 15, 2018
VA263-17-R-1093-0002000.docx	DOCX document	Aug 15, 2018
VA263-17-R-1093-0001000.docx	DOCX document	Jul 11, 2018
VA263-17-R-1093-002.docx	DOCX document	Jul 10, 2018
VA263-17-R-1093-003.pdf	PDF	Jul 10, 2018
VA263-17-R-1093-001.docx	DOCX document	Jul 10, 2018
VA263-17-R-1093-000.docx	DOCX document	Mar 8, 2018

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Sheet2 Medicare RUGS IV Pricing Schedule

LINE ITEM	RUGS IV CATEGORY DESCRIPTION	Medicare Base Rate	Percentage Discount	Medicare Per Diem Rate
1	RUX – Extensive Services criteria + RU Criteria – ADL 16-18
2	RUL – Extensive Services criteria + RU Criteria – ADL 7-15
3	RVX – Extensive Services criteria + RV Criteria – ADL 16-18
4	RVL - Extensive Services criteria + RV Criteria – ADL 7-15
5	RHX - Extensive Services criteria + Rehab High Criteria – ADL 13-18
6	RHL- Extensive Services criteria + Rehab High Criteria – ADL 7-12
7	RMX - Extensive Services criteria + RM Criteria – ADL 15-18
8	RML - Extensive Services criteria + RM Criteria – ADL 7-15
9	RLX - Extensive Services criteria + RL Criteria – ADL 7-18
10	RUC – Special Rehab Ultra High – ADL 16-18
11	RUB – Special Rehab Ultra High – ADL 9-15
12	RUA – Special Rehab Ultra High – ADL 1-8
13	RVC Special Rehab Very High – ADL 16-18
14	RVB – Special Rehab Very High – ADL 9-15
15	RVA – Special Rehab Very High – ADL 1-8
16	RHC – Special Rehab High – ADL 13-18
17	RHB – Special Rehab High – ADL 8-12
18	RHA – Special Rehab High – ADL 1-7
19	RMC – Special Rehab Medium – ADL 15-18
20	RMB – Special Rehab Medium – ADL 8-14
21	RMA – Special Rehab Medium – ADL 4-7
22	RLB Special Rehab Low – ADL 14-18
23	RLA – Special Rehab Low – ADL 1-13
24	ES3 – Extensive Services – ADL 2-16
25	ES2 – Extensive Services – ADL 2-16
26	ES1 – Extensive Services – ADL 2-16
27	HE2 – Special Care High – ADL 15-16
28	HE1 – Special Care High – ADL 15-16
29	HD2 – Special Care High – ADL 11-14
30	HD1 – Special Care High – ADL 11-14
31	HC2 – Special Care High – ADL 6-10
32	HC1 – Special Care High – ADL 6-10
33	HB2 – Special Care High – ADL 2-5
34	HB1 – Special Care High – ADL 2-5
35	LE2 – Special Care Low - ADL 15-16
36	LE1 – Special Care Low – ADL 15-16
37	LD2 – Special Care Low – ADL 11-14
38	LD1 – Special Care Low – ADL 11-14
39	LC2 – Special Care Low – ADL 6-10
40	LC1 – Special Care Low – ADL 6-10
41	LB2 – Special Care Low – ADL 2-5
42	LB1 – Special Care Low – ADL 2-5
43	CE2 – Clinically Complex – ADL 15-16
44	CE1 – Clinically Complex – ADL 15-16
45	CD2 – Clinically Complex – ADL 11-14
46	CD1 – Clinically Complex – ADL 11-14
47	CC2 – Clinically Complex – ADL 6-10
48	CC1 – Clinically Complex – ADL 6-10
49	CB2 – Clinically Complex – ADL 2-5
50	CB1 – Clinically Complex – ADL 2-5
51	CA2 – Clinically Complex – ADL 0-1
52	CA1 – Clinically Complex – ADL 0-1
53	BB2 – Behavior Symptoms – ADL 2-5
54	BB1 – Behavior Symptoms – ADL 2-5
55	BA2 – Behavior Symptoms – ADL 0-1
56	BA1 – Behavior Symptoms – ADL 0-1
57	PE2 – Physical Function Reduced – ADL 15-16
58	PE1 – Physical Function Reduced – ADL 15-16
59	PD2 – Physical Function Reduced – ADL 11-14
60	PD1 – Physical Function Reduced – ADL 11-14
61	PC2 – Physical Function Reduced – ADL 6-10
62	PC1 – Physical Function Reduced – ADL 6-10
63	PB2 – Physical Function Reduced – ADL 2-5
64	PB1 – Physical Function Reduced – ADL 2-5
65	PA2 – Physical Function Reduced – ADL 0-1
66	PA1 – Physical Function Reduced – ADL 0-1

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