APPENDIX_B_-_Price_Matrix.xlsx

XLSX spreadsheet 37 KB Posted Nov 28, 2017

Attached to: Behavioral Health and Traumatic Brain Injury Healthcare Providers locations in Europe for the Regional Health Command Europe and the United States Air Forces in Europe
Solicitation number: W9114F-18-R-0002
Issued by: Department of the Army Medical Command

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Appendix B: Price Matrix

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File	Type	Posted
W9114F-18-R-0002-0001.docx	DOCX document	Dec 19, 2017
APPENDIX_A_-_Compensation_Plan.xlsx	XLSX spreadsheet	Nov 28, 2017
W9114F-18-R-0002.docx	DOCX document	Nov 28, 2017

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Base Year

Name of company:

Date:

Solicitation Number: W9114F-18-R-0002

BH - TBI

Base Year Ordering Period: 15May2018-14May2019

	ITEM NO	SERVICE	ESTIMATED
QUANTITY	UNIT	UNIT
PRICE	ESTIMATED

AMOUNT

0001	LRMC
0001AA	Registered Nurse Case Manager	1920	Hours
0001AB	Registered Nurse Educator ( Italy)	1920	Hours
0001AC	Occupational Therapist	1920	Hours
0001AD	Physical Therapist	1920	Hours
0001AE	Neuropsychologist	1920	Hours
0001AF	Child Psychiatrist - Board Certified	1920	Hours
0001AG	Stand By	1000	Hours
0001AH	Call Back	100	Hours
0001AJ	Psychiatric Nurse Practitioner	1920	Hours
0001AK	Stand By	500	Hours
0001AL	Call Back	150	Hours
0001AM	Psychiatric Nurse-Clinical	3840	Hours
0001AN	Stand By	300	Hours
0001AP	Call Back	100	Hours
0001AQ	Psychiatrist-Board Certified	3840	Hours
0001AR	Stand By	3000	Hours
0001AS	Call Back	400	Hours
0001AT	Psychologist	3840	Hours
0001AU	Stand By	1000	Hours
0001AV	Call Back	200	Hours
0001AW	Child Psychologist	1920	Hours
0001AX	Stand By	500	Hours
0001AY	Call Back	50	Hours
0001AZ	LCSW (Germany)	5760	Hours
0001BA	LCSW (Vicenza, Italy)	1920	Hours
0001BB	Occupational Therapist ( Italy)	1920	Hours
0001BC	Physical Therapist ( Italy)	1920	Hours

0005	BMEDDAC
0005AA	Psychiatrist	3840	Hours
0005AB	Psychologist	5760	Hours
0005AC	Licensed Clinical Social Workers	11520	Hours

0009	GEILENKIRCHEN
0009AA	Licensed Clinical Social Worker	1920	Hours

0013	LAKENHEATH
0013AA	Psychologist - Behavioral Health	3840	Hours
0013AB	LCSW - Mental Health	1920	Hours
0013AC	Speech/Language Pathologist	3840	Hours
0013AD	Clinical Child Psychologist	3840	Hours
0013AE	Early Childhood Special Educator	3840	Hours
0013AF	Pediatric Occupational Therapist	5760	Hours
0013AG	Pediatric Physical Therapist	1920	Hours
0013AH	Clinical Psychologist-Alconbury	1920	Hours
0013AJ	Early Childhood Special Educator -Alconbury	1920	Hours
0013AK	Pediatric Occupational Therapist - Alconbury	1920	Hours
0013AL	Speech/Language Pathologist - Alconbury	1920	Hours
0013AM	Mental Health Technician	1920	Hours
0013AN	Physical Therapist	1920	Hours

0017	RAMSTEIN
0017AA	Early Intervention Specialist (EIS)	1920	Hours
0017AB	ASACS Counselors - United Kingdom	5760	Hours
0017AC	ASACS Counselors - Germany	5760	Hours
0017AD	ASACS Counselors - Italy	5760	Hours
0017AE	ASACS Supervisor - Germany	1920	Hours
0017AF	Licensed Clinical Social Worker	1920	Hours
0017AG	Psychologist	1920	Hours
0017AH	RN -Behavioral Health Care Facilitator	1920	Hours

0021	SPANGDAHLEM
0021AA	Early Childhood Special Educator	1920	Hours
0021AB	LCSW - Special Needs	1920	Hours
0021AC	Pediatric Occupational Therapist	1920	Hours
0021AD	Pediatric Physical Therapist	1920	Hours
0021AE	Psychologist Behavioral Health	1920	Hours
0021AF	Speech/Language Pathologist	1920	Hours

0025	AVIANO
0025AA	Clinical Child Psychologist	1920	Hours
0025AB	Early Childhood Special Educator	3840	Hours
0025AC	Pediatric Occupational Therapist	3840	Hours
0025AD	Pediatric Physical Therapist	1920	Hours
0025AE	Speech/Language Pathologist	1920	Hours

0029 Contract Manpower Reporting 10 Each

FOR OFFICIAL USE ONLY

Source Selection Information (See FAR 2.101 and 3.104-4)

Option Year (1)

Name of company:

Date:

Solicitation Number: W9114F-18-R-0002

BH - TBI

Option Year (1) Ordering Period: 15May2019-14May2020

	ITEM NO	SERVICE	ESTIMATED
QUANTITY	UNIT	UNIT
PRICE	ESTIMATED

AMOUNT

1001	LRMC
1001AA	Registered Nurse Case Manager	1920	Hours
1001AB	Registered Nurse Educator ( Italy)	1920	Hours
1001AC	Occupational Therapist	1920	Hours
1001AD	Physical Therapist	1920	Hours
1001AE	Neuropsychologist	1920	Hours
1001AF	Child Psychiatrist - Board Certified	1920	Hours
1001AG	Stand By	1000	Hours
1001AH	Call Back	100	Hours
1001AJ	Psychiatric Nurse Practitioner	1920	Hours
1001AK	Stand By	500	Hours
1001AL	Call Back	150	Hours
1001AM	Psychiatric Nurse-Clinical	3840	Hours
1001AN	Stand By	300	Hours
1001AP	Call Back	100	Hours
1001AQ	Psychiatrist-Board Certified	3840	Hours
1001AR	Stand By	3000	Hours
1001AS	Call Back	400	Hours
1001AT	Psychologist	3840	Hours
1001AU	Stand By	1000	Hours
1001AV	Call Back	200	Hours
1001AW	Child Psychologist	1920	Hours
1001AX	Stand By	500	Hours
1001AY	Call Back	50	Hours
1001AZ	LCSW (Germany)	5760	Hours
1001BA	LCSW (Vicenza, Italy)	1920	Hours
1001BB	Occupational Therapist ( Italy)	1920	Hours
1001BC	Physical Therapist ( Italy)	1920	Hours

1005	BMEDDAC
1005AA	Psychiatrist	3840	Hours
1005AB	Psychologist	5760	Hours
1005AC	Licensed Clinical Social Workers	11520	Hours

1009	GEILENKIRCHEN
1009AA	Licensed Clinical Social Worker	1920	Hours

1013	LAKENHEATH
1013AA	Psychologist - Behavioral Health	3840	Hours
1013AB	LCSW - Mental Health	1920	Hours
1013AC	Speech/Language Pathologist	3840	Hours
1013AD	Clinical Child Psychologist	3840	Hours
1013AE	Early Childhood Special Educator	3840	Hours
1013AF	Pediatric Occupational Therapist	5760	Hours
1013AG	Pediatric Physical Therapist	1920	Hours
1013AH	Clinical Psychologist-Alconbury	1920	Hours
1013AJ	Early Childhood Special Educator -Alconbury	1920	Hours
1013AK	Pediatric Occupational Therapist - Alconbury	1920	Hours
1013AL	Speech/Language Pathologist - Alconbury	1920	Hours
1013AM	Mental Health Technician	1920	Hours
1013AN	Physical Therapist	1920	Hours

1017	RAMSTEIN
1017AA	Early Intervention Specialist (EIS)	1920	Hours
1017AB	ASACS Counselors - United Kingdom	5760	Hours
1017AC	ASACS Counselors - Germany	5760	Hours
1017AD	ASACS Counselors - Italy	5760	Hours
1017AE	ASACS Supervisor - Germany	1920	Hours
1017AF	Licensed Clinical Social Worker	1920	Hours
1017AG	Psychologist	1920	Hours
1017AH	RN -Behavioral Health Care Facilitator	1920	Hours

1021	SPANGDAHLEM
1021AA	Early Childhood Special Educator	1920	Hours
1021AB	LCSW - Special Needs	1920	Hours
1021AC	Pediatric Occupational Therapist	1920	Hours
1021AD	Pediatric Physical Therapist	1920	Hours
1021AE	Psychologist Behavioral Health	1920	Hours
1021AF	Speech/Language Pathologist	1920	Hours

1025	AVIANO
1025AA	Clinical Child Psychologist	1920	Hours
1025AB	Early Childhood Special Educator	3840	Hours
1025AC	Pediatric Occupational Therapist	3840	Hours
1025AD	Pediatric Physical Therapist	1920	Hours
1025AE	Speech/Language Pathologist	1920	Hours

1029 Contract Manpower Reporting 10 Each

Option Year (2)

Name of company:

Date:

Solicitation Number: W9114F-18-R-0002

BH - TBI

Option Year (2) Ordering Period: 15May2020-14May2021

	ITEM NO	SERVICE	ESTIMATED
QUANTITY	UNIT	UNIT
PRICE	ESTIMATED

AMOUNT

2001	LRMC
2001AA	Registered Nurse Case Manager	1920	Hours
2001AB	Registered Nurse Educator ( Italy)	1920	Hours
2001AC	Occupational Therapist	1920	Hours
2001AD	Physical Therapist	1920	Hours
2001AE	Neuropsychologist	1920	Hours
2001AF	Child Psychiatrist - Board Certified	1920	Hours
2001AG	Stand By	1000	Hours
2001AH	Call Back	100	Hours
2001AJ	Psychiatric Nurse Practitioner	1920	Hours
2001AK	Stand By	500	Hours
2001AL	Call Back	150	Hours
2001AM	Psychiatric Nurse-Clinical	3840	Hours
2001AN	Stand By	300	Hours
2001AP	Call Back	100	Hours
2001AQ	Psychiatrist-Board Certified	3840	Hours
2001AR	Stand By	3000	Hours
2001AS	Call Back	400	Hours
2001AT	Psychologist	3840	Hours
2001AU	Stand By	1000	Hours
2001AV	Call Back	200	Hours
2001AW	Child Psychologist	1920	Hours
2001AX	Stand By	500	Hours
2001AY	Call Back	50	Hours
2001AZ	LCSW (Germany)	5760	Hours
2001BA	LCSW (Vicenza, Italy)	1920	Hours
2001BB	Occupational Therapist ( Italy)	1920	Hours
2001BC	Physical Therapist ( Italy)	1920	Hours

2005	BMEDDAC
2005AA	Psychiatrist	3840	Hours
2005AB	Psychologist	5760	Hours
2005AC	Licensed Clinical Social Workers	11520	Hours

2009	GEILENKIRCHEN
2009AA	Licensed Clinical Social Worker	1920	Hours

2013	LAKENHEATH
2013AA	Psychologist - Behavioral Health	3840	Hours
2013AB	LCSW - Mental Health	1920	Hours
2013AC	Speech/Language Pathologist	3840	Hours
2013AD	Clinical Child Psychologist	3840	Hours
2013AE	Early Childhood Special Educator	3840	Hours
2013AF	Pediatric Occupational Therapist	5760	Hours
2013AG	Pediatric Physical Therapist	1920	Hours
2013AH	Clinical Psychologist-Alconbury	1920	Hours
2013AJ	Early Childhood Special Educator -Alconbury	1920	Hours
2013AK	Pediatric Occupational Therapist - Alconbury	1920	Hours
2013AL	Speech/Language Pathologist - Alconbury	1920	Hours
2013AM	Mental Health Technician	1920	Hours
2013AN	Physical Therapist	1920	Hours

2017	RAMSTEIN
2017AA	Early Intervention Specialist (EIS)	1920	Hours
2017AB	ASACS Counselors - United Kingdom	5760	Hours
2017AC	ASACS Counselors - Germany	5760	Hours
2017AD	ASACS Counselors - Italy	5760	Hours
2017AE	ASACS Supervisor - Germany	1920	Hours
2017AF	Licensed Clinical Social Worker	1920	Hours
2017AG	Psychologist	1920	Hours
2017AH	RN -Behavioral Health Care Facilitator	1920	Hours

2021	SPANGDAHLEM
2021AA	Early Childhood Special Educator	1920	Hours
2021AB	LCSW - Special Needs	1920	Hours
2021AC	Pediatric Occupational Therapist	1920	Hours
2021AD	Pediatric Physical Therapist	1920	Hours
2021AE	Psychologist Behavioral Health	1920	Hours
2021AF	Speech/Language Pathologist	1920	Hours

2025	AVIANO
2025AA	Clinical Child Psychologist	1920	Hours
2025AB	Early Childhood Special Educator	3840	Hours
2025AC	Pediatric Occupational Therapist	3840	Hours
2025AD	Pediatric Physical Therapist	1920	Hours
2025AE	Speech/Language Pathologist	1920	Hours

2029 Contract Manpower Reporting 10 Each

Option Year (3)

Name of company:

Date:

Solicitation Number: W9114F-18-R-0002

BH - TBI

Option Year (3) Ordering Period: 15May2021-14May2022

	ITEM NO	SERVICE	ESTIMATED
QUANTITY	UNIT	UNIT
PRICE	ESTIMATED

AMOUNT

3001	LRMC
3001AA	Registered Nurse Case Manager	1920	Hours
3001AB	Registered Nurse Educator ( Italy)	1920	Hours
3001AC	Occupational Therapist	1920	Hours
3001AD	Physical Therapist	1920	Hours
3001AE	Neuropsychologist	1920	Hours
3001AF	Child Psychiatrist - Board Certified	1920	Hours
3001AG	Stand By	1000	Hours
3001AH	Call Back	100	Hours
3001AJ	Psychiatric Nurse Practitioner	1920	Hours
3001AK	Stand By	500	Hours
3001AL	Call Back	150	Hours
3001AM	Psychiatric Nurse-Clinical	3840	Hours
3001AN	Stand By	300	Hours
3001AP	Call Back	100	Hours
3001AQ	Psychiatrist-Board Certified	3840	Hours
3001AR	Stand By	3000	Hours
3001AS	Call Back	400	Hours
3001AT	Psychologist	3840	Hours
3001AU	Stand By	1000	Hours
3001AV	Call Back	200	Hours
3001AW	Child Psychologist	1920	Hours
3001AX	Stand By	500	Hours
3001AY	Call Back	50	Hours
3001AZ	LCSW (Germany)	5760	Hours
3001BA	LCSW (Vicenza, Italy)	1920	Hours
3001BB	Occupational Therapist ( Italy)	1920	Hours
3001BC	Physical Therapist ( Italy)	1920	Hours

3005	BMEDDAC
3005AA	Psychiatrist	3840	Hours
3005AB	Psychologist	5760	Hours
3005AC	Licensed Clinical Social Workers	11520	Hours

3009	GEILENKIRCHEN
3009AA	Licensed Clinical Social Worker	1920	Hours

3013	LAKENHEATH
3013AA	Psychologist - Behavioral Health	3840	Hours
3013AB	LCSW - Mental Health	1920	Hours
3013AC	Speech/Language Pathologist	3840	Hours
3013AD	Clinical Child Psychologist	3840	Hours
3013AE	Early Childhood Special Educator	3840	Hours
3013AF	Pediatric Occupational Therapist	5760	Hours
3013AG	Pediatric Physical Therapist	1920	Hours
3013AH	Clinical Psychologist-Alconbury	1920	Hours
3013AJ	Early Childhood Special Educator -Alconbury	1920	Hours
3013AK	Pediatric Occupational Therapist - Alconbury	1920	Hours
3013AL	Speech/Language Pathologist - Alconbury	1920	Hours
3013AM	Mental Health Technician	1920	Hours
3013AN	Physical Therapist	1920	Hours

3017	RAMSTEIN
3017AA	Early Intervention Specialist (EIS)	1920	Hours
3017AB	ASACS Counselors - United Kingdom	5760	Hours
3017AC	ASACS Counselors - Germany	5760	Hours
3017AD	ASACS Counselors - Italy	5760	Hours
3017AE	ASACS Supervisor - Germany	1920	Hours
3017AF	Licensed Clinical Social Worker	1920	Hours
3017AG	Psychologist	1920	Hours
3017AH	RN -Behavioral Health Care Facilitator	1920	Hours

3021	SPANGDAHLEM
3021AA	Early Childhood Special Educator	1920	Hours
3021AB	LCSW - Special Needs	1920	Hours
3021AC	Pediatric Occupational Therapist	1920	Hours
3021AD	Pediatric Physical Therapist	1920	Hours
3021AE	Psychologist Behavioral Health	1920	Hours
3021AF	Speech/Language Pathologist	1920	Hours

3025	AVIANO
3025AA	Clinical Child Psychologist	1920	Hours
3025AB	Early Childhood Special Educator	3840	Hours
3025AC	Pediatric Occupational Therapist	3840	Hours
3025AD	Pediatric Physical Therapist	1920	Hours
3025AE	Speech/Language Pathologist	1920	Hours

3029 Contract Manpower Reporting 10 Each

Option Year (4)

Name of company:

Date:

Solicitation Number: W9114F-18-R-0002

BH - TBI

Option Year (4) Ordering Period: 15May2022-14May2023

	ITEM NO	SERVICE	ESTIMATED
QUANTITY	UNIT	UNIT
PRICE	ESTIMATED

AMOUNT

4001	LRMC
4001AA	Registered Nurse Case Manager	1920	Hours
4001AB	Registered Nurse Educator ( Italy)	1920	Hours
4001AC	Occupational Therapist	1920	Hours
4001AD	Physical Therapist	1920	Hours
4001AE	Neuropsychologist	1920	Hours
4001AF	Child Psychiatrist - Board Certified	1920	Hours
4001AG	Stand By	1000	Hours
4001AH	Call Back	100	Hours
4001AJ	Psychiatric Nurse Practitioner	1920	Hours
4001AK	Stand By	500	Hours
4001AL	Call Back	150	Hours
4001AM	Psychiatric Nurse-Clinical	3840	Hours
4001AN	Stand By	300	Hours
4001AP	Call Back	100	Hours
4001AQ	Psychiatrist-Board Certified	3840	Hours
4001AR	Stand By	3000	Hours
4001AS	Call Back	400	Hours
4001AT	Psychologist	3840	Hours
4001AU	Stand By	1000	Hours
4001AV	Call Back	200	Hours
4001AW	Child Psychologist	1920	Hours
4001AX	Stand By	500	Hours
4001AY	Call Back	50	Hours
4001AZ	LCSW (Germany)	5760	Hours
4001BA	LCSW (Vicenza, Italy)	1920	Hours
4001BB	Occupational Therapist ( Italy)	1920	Hours
4001BC	Physical Therapist ( Italy)	1920	Hours

4005	BMEDDAC
4005AA	Psychiatrist	3840	Hours
4005AB	Psychologist	5760	Hours
4005AC	Licensed Clinical Social Workers	11520	Hours

4009	GEILENKIRCHEN
4009AA	Licensed Clinical Social Worker	1920	Hours

4013	LAKENHEATH
4013AA	Psychologist - Behavioral Health	3840	Hours
4013AB	LCSW - Mental Health	1920	Hours
4013AC	Speech/Language Pathologist	3840	Hours
4013AD	Clinical Child Psychologist	3840	Hours
4013AE	Early Childhood Special Educator	3840	Hours
4013AF	Pediatric Occupational Therapist	5760	Hours
4013AG	Pediatric Physical Therapist	1920	Hours
4013AH	Clinical Psychologist-Alconbury	1920	Hours
4013AJ	Early Childhood Special Educator -Alconbury	1920	Hours
4013AK	Pediatric Occupational Therapist - Alconbury	1920	Hours
4013AL	Speech/Language Pathologist - Alconbury	1920	Hours
4013AM	Mental Health Technician	1920	Hours
4013AN	Physical Therapist	1920	Hours

4017	RAMSTEIN
4017AA	Early Intervention Specialist (EIS)	1920	Hours
4017AB	ASACS Counselors - United Kingdom	5760	Hours
4017AC	ASACS Counselors - Germany	5760	Hours
4017AD	ASACS Counselors - Italy	5760	Hours
4017AE	ASACS Supervisor - Germany	1920	Hours
4017AF	Licensed Clinical Social Worker	1920	Hours
4017AG	Psychologist	1920	Hours
4017AH	RN -Behavioral Health Care Facilitator	1920	Hours

4021	SPANGDAHLEM
4021AA	Early Childhood Special Educator	1920	Hours
4021AB	LCSW - Special Needs	1920	Hours
4021AC	Pediatric Occupational Therapist	1920	Hours
4021AD	Pediatric Physical Therapist	1920	Hours
4021AE	Psychologist Behavioral Health	1920	Hours
4021AF	Speech/Language Pathologist	1920	Hours

4025	AVIANO
4025AA	Clinical Child Psychologist	1920	Hours
4025AB	Early Childhood Special Educator	3840	Hours
4025AC	Pediatric Occupational Therapist	3840	Hours
4025AD	Pediatric Physical Therapist	1920	Hours
4025AE	Speech/Language Pathologist	1920	Hours

4029 Contract Manpower Reporting 10 Each

Grand Total

Name of company:

Date:

Solicitation Number: W9114F-18-R-0002

BH - TBI

Ordering Period: 15May2018 through 14May2023

PRICE SUMMARY
Total Base Year	$
Total Opt Yr (1)	$
Total Opt Yr (2)	$
Total Opt Yr (3)	$
Total Opt Yr 4)	$

Grand Total $

Sheet1

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