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Minimum Medical Professional/Medical Administrative List
| DESCRIPTION |
| Quantity |
| Cost |
Dental
| 4 |
| Registered Dental Assistant (RDA) |
| 1 |
| 5 |
| Dental Assistant (DA) |
| 1 |
| 6 |
| Radiograph Technician |
| 1 |
Medical
| 7 |
| Medical Event Manager |
| 1 |
| 12 |
| Hearing Conservationist (HC) |
| 1 |
| 14 |
| Audiologist Technician |
| 1 |
| 15 |
| Physician Assistant (PA) |
| 1 |
| 16 |
| Nurse Practitioner (NP) |
| 1 |
| 17 |
| Registered Nurse (RN) |
| 1 |
| 18 |
| Certified Nursing Assitant |
| 1 |
| 19 |
| Licensed Practical Nurse |
| 1 |
| 20 |
| Behavioral Health Specialist (BHS) |
| 1 |
| 22 |
| Emergency Medical Technician (EMT) |
| 1 |
| 24 |
| Medical Event Manager |
| 1 |
Admin
| 26 |
| MEDPROS & Electronic PHA Data Entry Specialist |
| 1 |
| 27 |
| Medical Technician (MT) |
| 1 |
| 28 |
| IT Support Technician (IT) |
| 1 |
| DESCRIPTION |
| Quantity |
| Cost |
Dental
| 29 |
| Dental Exam Supplies |
| 50 |
| 30 |
| Dental Exam Supplies |
| 75 |
| 31 |
| Dental Exam Supplies |
| 100 |
| 32 |
| Dental Treatment Supplies |
| 20 |
| 33 |
| Dental Treatment Supplies |
| 30 |
Medical
| 34 |
| Periodic Health Assessment Supplies |
| 75 |
| 35 |
| Periodic Health Assessment Supplies |
| 100 |
| 36 |
| Periodic Health Assessment Supplies |
| 200 |
| 37 |
| Hearing Exam Supplies |
| 150 |
| 38 |
| Expanded Medical Exam Supplies |
| 100 |
| 38 |
| Blood Colleciton supplies to perform HIV, DNA, G6PD, RPR |
| 39 |
| Immunization Supplies to include PPD screening |
| DESCRIPTION |
| Quantity |
| Cost |
Den/Med
| 40 |
| 5-Operatory Mobile Health Practice (dental or medical) |
| 1 |
| 41 |
| 4-Operatory Mobile Health Practice (dental or medical) |
| 1 |
| 42 |
| 3-Operatory Mobile Health Practice (dental or medical) |
| 1 |
| 43 |
| 2-Operatory Mobile Health Practice (dental or medical) |
| 1 |
| 44 |
| 1-Operatory Mobile Health Practice (dental or medical) |
| 1 |
| 45 |
| 8-Person Mobile Hearing Practice (must include additional ISO-Booth for Individual Audiologist Exams) |
| 1 |
Dental
| 46 |
| Portable Digital Panoramic X-ray Machine |
| 1 |
| 47 |
| Portable Digital Dental Exam Equipment (Intra-Oral Bitewing & PANO X-Ray Capability) (i.e. PLANMECA) |
| 1 |
| 48 |
| Portable Dental Treatment Equipment |
| 1 |
Medical
| 49 |
| 12+ Station Mobile Data Processing Practice |
| 1 |
| 62 |
| Portable PHA Equipment |
| 1 |
| 63 |
| DOEHRA Compatible Portable Hearing Equipment |
| 1 |
| 53 |
| TITMUS Visual Acuity Screener |
| 1 |
| 54 |
| CLEA-Waived Rapid Laboratory Screenings (Lipid Profile, Hemoglobin, Blood Glucose, Total Cholesterol, Urinalysis & Urine HCG) |
| 1 |
| 55 |
| Blood Pressure, Pulse Oximetry, Height/Weight/Temperature Equipment |
| 1 |
| 57 |
| EKG & Pulmonary Function Testing Equipment |
| 1 |
| 58 |
| Optometry with Visual Refraction |
| 1 |
| 59 |
| Equipment to perform blood collectio |
| 1 |
Admin
| 60 |
| Mobile Office Trailer - Per Event (up to 30 consecutive days of service) |
| 1 |
| 61 |
| Electronic PHA Sets (minimum 13 laptops,3 printers w/internet connectivity) |
| 1 |
| 62 |
| Live Event-Soldier Tracking System |
| 1 |
DATA ENTRY ONLY - POST EVENT (WITHIN 5 BUSINESS DAYS AFTER EVENT) - Per ServiceMember (unless otherwsie noted)
| DESCRIPTION |
| Quantity |
| Cost |
Dental IT
| 63 |
| Point of Service Live Denclass Data Entry |
| 1 |
| 64 |
| Point of Service Live Electronic PHA Data Entry |
| 1 |
| 65 |
| Point of Service e-Profile Data Entry |
| 1 |
Medical IT
| 66 |
| Live Electronic Point of Service MEDPROS Web Data Entry (MWDE) access/entry |
| 1 |
| 67 |
| Live Electronic Point of Service DOEHRS, Audio Evaluation, & SPRINT Data Entry |
| 1 |
| 68 |
| Health Records Repository (HRR) Scan & Data Entry |
| 1 |
NON-EVENT STAFFING
| 70 |
| Health Readiness Branch Manager - Per Day Rate (medical or dental) |
| 1 |
| 71 |
| Health Readiness Branch Manager - Per Month Rate (medical or dental) |
| 1 |
| 72 |
| Health Case Manager - Per Day Rate (medical or dental) |
| 1 |
| 73 |
| Health Case Manager - Per Month Rate (medical or dental) |
| 1 |
| 74 |
| Health Records Clerk- Per Day Rate (medical or dental) |
| 1 |
| 75 |
| Health Records Clerk - Per Month Rate (medical or dental) |
SUPPORT SERVICE COSTS
| 76 |
| Prescription Medication Case Management |
| 1 |
| 77 |
| Post Event Dental & Health Case Management |
| PER PROCEDURE |
| 78 |
| Post Event DENCLASS entry |
| 1 |
| 79 |
| Mobile Practice Mileage Rate (Applicable when site is over 250 miles roundtrip from Austin, TX) |
| 1 |
| 80 |
| Portable Health Equipment Shipping Rate (Applicable when site is over 250 miles roundtrip from Austin, TX) |
| 1 |
| 81 |
| Portable Panoramic X-ray Machine Shipping Rate (Applicable when site is over 250 miles roundtrip from Austin, TX) |
| 1 |
| IMMUNIZATIONS & SERUMS |
| Quantity |
DESCRIPTION
DESCRIPTION
