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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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MEDICAL SERVICES, ADMINISTRATION
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Monthly Claim Reimbursement, FY13/14 (amount varies)
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Cost Reimbursement
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| Major Deliverable: Monthly Claim Reimbursement, FY13/14 (amount varies)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: No performance Metrics for this deliverable
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| Financial Consequences: No financial Consequences for this deliverable
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| Source Documentation Page Reference: Page 22-30 |
| Deliverable Number: |
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MEDICAL SERVICES, ADMINISTRATION
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Monthly Bank Fee Reimbursement, FY13/14 (amount varies)
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Cost Reimbursement
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| Major Deliverable: Monthly Bank Fee Reimbursement, FY13/14 (amount varies)
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| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: No performance Metrics for this deliverable
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| Financial Consequences: No financial Consequences for this deliverable
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| Source Documentation Page Reference: Page 22-30 |
| Deliverable Number: |
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MEDICAL SERVICES, ADMINISTRATION
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Monthly Medical Case Mgt Fee, FY13/14 (6,750,000 annually)
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Fixed Fee / Unit Rate
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| Major Deliverable: Monthly Medical Case Mgt Fee, FY13/14 (6,750,000 annually)
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| Deliverable Price: $562,500.00 |
| Non Price Justification: |
| Performance Metrics: Intake: 12 sec resp, Triage: 90% standard, Clinical: CM 90% standard, Clinician Mgmt: 90% standard, MBR: 20 day process, Utilization: Rept Submission, Communication: No delay, Check writing: 1099 compliant, Reports: Interval
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| Financial Consequences: Liquidated damages applied
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| Source Documentation Page Reference: Page 22-30 |
| Deliverable Number: |
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MEDICAL SERVICES, ADMINISTRATION
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Monthly Claim Reimbursement, FY12/13 (amount varies)
|
Cost Reimbursement
|
| Major Deliverable: Monthly Claim Reimbursement, FY12/13 (amount varies)
|
| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: No performance Metrics for this deliverable
|
| Financial Consequences: No financial Consequences for this deliverable
|
| Source Documentation Page Reference: Page 22-30 |
| Deliverable Number: |
|
|
|
|
MEDICAL SERVICES, ADMINISTRATION
|
Monthly Bank Fee Reimbursement, FY12/13 (amount varies)
|
Cost Reimbursement
|
| Major Deliverable: Monthly Bank Fee Reimbursement, FY12/13 (amount varies)
|
| Deliverable Price: $0.00 |
| Non Price Justification: Rate Agreement |
| Performance Metrics: No performance Metrics for this deliverable |
| Financial Consequences: No financial Consequences for this deliverable |
| Source Documentation Page Reference: Page 22-30 |
| Deliverable Number: |
|
|
|
|
MEDICAL SERVICES, ADMINISTRATION
|
Monthly Medical Case Mgt Fee, FY12/13 (6,750,000 annually)
|
Fixed Fee / Unit Rate
|
| Major Deliverable: Monthly Medical Case Mgt Fee, FY12/13 (6,750,000 annually)
|
| Deliverable Price: $562,500.00 |
| Non Price Justification: |
| Performance Metrics: Intake: 12 sec resp, Triage: 90% standard, Clinical: CM 90% standard, Clinician Mgmt: 90% standard, MBR: 20 day process, Utilization: Rept Submission, Communication: No delay, Check writing: 1099 compliant, Reports: Interval
|
| Financial Consequences: Liquidated damages applied
|
| Source Documentation Page Reference: Page 22-30 |
| Deliverable Number: |
|