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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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Healthcare provider specialist services
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R1 A4 as of 7/1/16 Monthly: Service coordination as specified in Task B.1.a.7) and B.1.a.8).
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Fixed Price - Lump Sum
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| Major Deliverable: R1 A4 as of 7/1/16 Monthly: Service coordination as specified in Task B.1.a.7) and B.1.a.8). |
| Deliverable Price: $84,973.84 |
| Non Price Justification: |
| Performance Metrics: Minimum of 10 service coordinator positions throughout the term of this contract to provide service coordination services. |
| Financial Consequences: Failure to maintain a minimum of 10 service coordinator positions throughout the term of this contract will result in the monthly invoice being reduced by $1,000. |
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Healthcare provider specialist services
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R1 A4 as of 7/01/16 Monthly: Administration of early intervention services and DEI program servic...
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Fixed Price - Lump Sum
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| Major Deliverable: R1 A4 as of 7/01/16 Monthly: Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation as specified in Tasks B.1.a.1); B.1.a.9); B.1.a.10); B.1.a.12); B.1.a.13); B.1.a.17) through B.1.a.22); and B.1.a.25) through B.1.a.27). |
| Deliverable Price: $28,107.50 |
| Non Price Justification: |
| Performance Metrics: Administration of early intervention and DEI program services to a minimum of 459 enrolled children each month.
Administrative Report must be submitted to the contract manager within 30 days of the end of each month as specified.
FTE Report must be submitted within 30 days of the end of each month as specified.
Claims Report must be submitted within 60 days of the end of each month as specified.
Third Party Revenue Report must be submitted within 30 days of the end of each month as specified.
Child Enrollment Report must be submitted within 30 days of the end of each month as specified.
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| Financial Consequences: Failure to administer early intervention and DEI program services to the minimum number of enrolled children will result in the monthly invoice being reduced by $91.00 for each child below the minimum.
Failure to submit the Administrative Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.
Failure to submit the FTE Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.
Failure to submit the Claims Report within 60 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.
Failure to submit the Third Party Revenue Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.
Failure to submit the Child Enrollment Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.
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Healthcare provider specialist services
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R1A2 09/01/2015 - Monthly: Early Intervention and DEI program services
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Cost Reimbursement
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| Major Deliverable: R1A2 09/01/2015 - Monthly: Early Intervention and DEI program services |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Early intervention and DEI program services must be provided to a minimum of 368 enrolled children each month |
| Financial Consequences: Failure to provide early intervention and DEI program services to the monthly minimum number of enrolled children will result in the monthly invoice being reduced by $91.00 for each child below the minimum. |
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Healthcare provider specialist services
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R1A2 09/01/2015 - Monthly: Family Involvement
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Cost Reimbursement
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| Major Deliverable: R1A2 09/01/2015 - Monthly: Family Involvement |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Monthly updates to the System of Family Involvement Plan must be submitted in writing to the contract manager within 30 days of the end each month. |
| Financial Consequences: Failure to submit updates to the System of Family Involvement Plan to the contract manager within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $1,000. |
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Healthcare provider specialist services
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R1A2 09/01/2015 - Annually: Family Involvement
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Cost Reimbursement
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| Major Deliverable: R1A2 09/01/2015 - Annually: Family Involvement |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: The System of Family Involvement Plan must be submitted in writing to the contract manager for approval by August 31st of each fiscal year |
| Financial Consequences: Failure to submit the Local Quality Assurance Plan by August 31st of each fiscal year as specified will result in the monthly invoice being reduced by $1,000 |
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Healthcare provider specialist services
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R1A2 09/01/2015 - As Required: Administration of early intervention services and DEI program service...
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Fixed Price - Lump Sum
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| Major Deliverable: R1A2 09/01/2015 - As Required: Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: CIP updates must be submitted in the time and manner specified: If the department determines that the provider meets requirements, then the updates are due July 31 of each fiscal year. If the department determines that the provider needs assistance, needs intervention or needs substantial intervention, then the updates are due March 31, June 30, and September 30 of each fiscal year |
| Financial Consequences: Failure to submit the CIP updates in the time and manner specified will result in the monthly invoice being reduced by $1,000. |
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Healthcare provider specialist services
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R1A2 09/01/2015 - Annually: Administration of early intervention services and DEI program services t...
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Fixed Price - Lump Sum
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| Major Deliverable: R1A2 09/01/2015 - Annually: Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Calendar must be submitted by July 30th of each fiscal year as specified.
Funding Plan must be submitted by August 31st of each fiscal year as specified.
A summary of the Funding Plan must be submitted by July 30th of each fiscal year as specified.
Final Financial Report must be submitted within 60 days of the end of each fiscal year as specified.
Local Quality Assurance Plan must be submitted by August 31st of each fiscal year as specified.
Summary of Local QA activities must be submitted to the contract manager by June 30th of each fiscal year as specified.
Annual CIP must be submitted in the time and manner specified.
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| Financial Consequences: Failure to submit the Calendar by July 30th of each fiscal year as specified will result in the monthly invoice being reduced by $1,000.
Failure to submit the Funding Plan by August 31st of each fiscal year as specified will result in the monthly invoice being reduced by $1,000.
Failure to submit a summary of the Funding Plan by July 30th of each fiscal year as specified will result in the monthly invoice being reduced by $1,000.
Failure to submit the Final Financial Report within 60 days of the end of each fiscal year as specified will result in the monthly invoice being reduced by $1,000.
Failure to submit the Local Quality Assurance Plan by August 31st of each fiscal year as specified will result in the monthly invoice being reduced by $1,000.
6. Failure to submit the Summary of Local QA activities to the contract manager by June 30th of each fiscal year as specified will result in the monthly invoice being reduced by $1,000.
7. Failure to submit the Annual CIP in the time and manner specified will result in the monthly invoice being reduced by $1,000.
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Healthcare provider specialist services
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R1A2 09/01/2015 - Quarterly: Administration of early intervention services and DEI program services ...
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Fixed Price - Lump Sum
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| Major Deliverable: R1A2 09/01/2015 - Quarterly: Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: LES Training Coordinator Report must be submitted within 30 days of the end of each quarter a specified.
Personnel development and training activities must be performed quarterly as specified.Program Expenditure Report must be submitted within 60 days after the end of each quarter as specified.
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| Financial Consequences: Failure to perform personnel development and training activities quarterly as specified will result in the monthly invoice being reduced by $1,000.
Failure to submit the LES Training Coordinator Report within 30 days of the end of each quarter as specified will result in the monthly invoice being reduced by $2,500.
Failure to submit the Program Expenditure Report within 60 days after the end of each quarter as specified will result in the monthly invoice being reduced by $2,500.
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Healthcare provider specialist services
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R1A2 09/01/2015 - Monthly (June): Service coordination
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Fixed Price - Lump Sum
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| Major Deliverable: R1A2 09/01/2015 - Monthly (June): Service coordination |
| Deliverable Price: $53,446.00 |
| Non Price Justification: |
| Performance Metrics: minimum of 8 service coordinator positions throughout the term of this contract to provide service coordination services. |
| Financial Consequences: Failure to maintain a minimum of 8 service coordinator positions throughout the term of this contract will result in the monthly invoice being reduced by $1,000. |
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Healthcare provider specialist services
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R1A2 09/01/2015 - Monthly (July - May): Service coordination
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Fixed Price - Lump Sum
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| Major Deliverable: R1A2 09/01/2015 - Monthly (July - May): Service coordination |
| Deliverable Price: $53,454.00 |
| Non Price Justification: |
| Performance Metrics: minimum of 8 service coordinator positions throughout the term of this contract to provide service coordination services. |
| Financial Consequences: Failure to maintain a minimum of 8 service coordinator positions throughout the term of this contract will result in the monthly invoice being reduced by $1,000. |
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Healthcare provider specialist services
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R1A2 09/01/2015 - Monthly(June): Administration of early intervention services and DEI program servi...
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Fixed Price - Lump Sum
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| Major Deliverable: R1A2 09/01/2015 - Monthly(June): Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation |
| Deliverable Price: $22,831.00 |
| Non Price Justification: |
| Performance Metrics: Administration of early intervention and DEI program services to a minimum of 368 enrolled children each month.
Administrative Report must be submitted to the contract manager within 30 days of the end of each month as specified.
FTE Report must be submitted within 30 days of the end of each month as specified. Claims Report must be submitted within 60 days of the end of each month as specified. Third Party Revenue Report must be submitted within 30 days of the end of each month as specified.
Child Enrollment Report must be submitted within 30 days of the end of each month as specified.
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| Financial Consequences: Failure to administer early intervention and DEI program services to the minimum number of enrolled children will result in the monthly invoice being reduced by $91.00 for each child below the minimum. Failure to submit the Administrative Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500. Failure to submit the FTE Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.Failure to submit the Claims Report within 60 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.Failure to submit the Third Party Revenue Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.Failure to submit the Child Enrollment Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500. |
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Healthcare provider specialist services
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R1A2 09/01/2015 - Monthly(July - May): Administration of early intervention services and DEI program...
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Fixed Price - Lump Sum
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| Major Deliverable: R1A2 09/01/2015 - Monthly(July - May): Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation |
| Deliverable Price: $22,835.00 |
| Non Price Justification: |
| Performance Metrics: Administration of early intervention and DEI program services to a minimum of 368 enrolled children each month.
Administrative Report must be submitted to the contract manager within 30 days of the end of each month as specified.
FTE Report must be submitted within 30 days of the end of each month as specified. Claims Report must be submitted within 60 days of the end of each month as specified. Third Party Revenue Report must be submitted within 30 days of the end of each month as specified.
Child Enrollment Report must be submitted within 30 days of the end of each month as specified.
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| Financial Consequences: Failure to administer early intervention and DEI program services to the minimum number of enrolled children will result in the monthly invoice being reduced by $91.00 for each child below the minimum. Failure to submit the Administrative Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500. Failure to submit the FTE Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.Failure to submit the Claims Report within 60 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.Failure to submit the Third Party Revenue Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500.Failure to submit the Child Enrollment Report within 30 days of the end of each month as specified will result in the monthly invoice being reduced by $2,500. |
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Healthcare provider specialist services
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The primary contract deliverable is the provision of early intervention services to eligible infants...
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Fixed Price - Lump Sum
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| Major Deliverable: The primary contract deliverable is the provision of early intervention services to eligible infants and toddlers and their families in accordance with the provisions of IDEA Part C, the current version of the Early Steps policy handbook and operations guide, and superseding policy documents. For the implementation of the Early Steps system of Care in the Local Early Steps designated geographic area, the provider will bill $106,189.00 for 11 months. |
| Deliverable Price: $106,189.00 |
| Non Price Justification: |
| Performance Metrics: The invoice will be paid in full in the month for which payment is billed if the provider has a minimum of 371 children enrolled at the end of the month, has a minimum of 8 service coordinator positions filled, and has a minimum of 160 FRS hours documented. |
| Financial Consequences: (1) Child Count: For any month the average Children Enrolled at the End of the Period (shown on the invoice) is less than 371, an amount of $91.00 per child below the minimum will be deducted from the monthly fixed price.
(2) Monthly Report of Service Coordinator Positions Status: Failure to fulfill a minimum of 8 FTE positions for more than 8 weeks will result a deduction in the amount of $382.00 per week of vacancy in excess of 8 weeks from the monthly fixed price.
(3) Monthly Certification of FRS Hours and Days Worked accompanied by the FRS’s Hours Tracking Sheet: If the hours worked per month exceed the 160 minimum,
the excess hours will be available for invoicing from prior months for hours documented as paid less than the required 160 hours. For any month where less than 160 hours are documented and there are not enough hours available from prior months to meet the 160 hours required, $12.00 per hour under the 160 required hours will be deducted from the monthly fixed price. If the amount invoiced is less than the prorated amount, the dollar amount on the invoice will be paid.
(4) Failure to provide the deliverables specified in sections B.4.a. and B.4.e. through j. on or prior to the date dues pursuant to this contract shall result in a 3% reduction for that billing period. |
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Healthcare provider specialist services
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R1A1 03/02/2015 - Monthly: Early intervention care and program services to all eligible infants and ...
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Fixed Price - Lump Sum
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| Major Deliverable: R1A1 03/02/2015 - Monthly: Early intervention care and program services to all eligible infants and toddlers, and their families, and submission of all required documentation as specified in Tasks B.1.a.1) through B.1.a.6); B.1.a.10) through B.1.a.16); and B.1.a.20).
The Provider will be paid $83,779.11 per month for April, May, and June. |
| Deliverable Price: $83,779.11 |
| Non Price Justification: |
| Performance Metrics: LES Staff must serve a minimum of 369 enrolled children each month.
Service Delivery/Charge Analysis Report must be submitted within 30 days of the end of each month as specified.
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| Financial Consequences: Failure of the LES staff to serve the monthly minimum number of enrolled children will result in the monthly invoice being reduced by $90.00 for each child below the minimum.
Failure to provide the Service Delivery/Charge Analysis Report as specified will result in a 3% reduction for that month’s invoice
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| Source Documentation Page Reference: 14 |
| Deliverable Number: |
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Healthcare provider specialist services
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R1A1 03/02/2015 - Monthly: Early intervention care and program services to all eligible infants and ...
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Fixed Price - Lump Sum
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| Major Deliverable: R1A1 03/02/2015 - Monthly: Early intervention care and program services to all eligible infants and toddlers, and their families, and submission of all required documentation as specified in Tasks B.1.a.1) through B.1.a.6); B.1.a.10) through B.1.a.16); and B.1.a.20).
The Provider will be paid $106,189.00 per month for July, August, September, October, November, December, January, February, and March. |
| Deliverable Price: $106,189.00 |
| Non Price Justification: |
| Performance Metrics: LES Staff must serve a minimum of 369 enrolled children each month.
Service Delivery/Charge Analysis Report must be submitted within 30 days of the end of each month as specified. |
| Financial Consequences: Failure of the LES staff to serve the monthly minimum number of enrolled children will result in the monthly invoice being reduced by $90.00 for each child below the minimum.
Failure to provide the Service Delivery/Charge Analysis Report as specified will result in a 3% reduction for that month’s invoice. |
| Source Documentation Page Reference: 14 |
| Deliverable Number: |
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Healthcare provider specialist services
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R1 A7 as of 1/1/18 Monthly: Service coordination as specified in Task B.1.a.7) and B.1.a.8).
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Fixed Price - Lump Sum
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| Major Deliverable: R1 A7 as of 1/1/18 Monthly: Service coordination as specified in Task B.1.a.7) and B.1.a.8). |
| Deliverable Price: $84,970.92 |
| Non Price Justification: |
| Performance Metrics: Minimum of 10 service coordinator positions throughout the term of this contract to provide service coordination services. |
| Financial Consequences: Failure to maintain a minimum of 10 service coordinator positions throughout the term of this contract will result in the monthly invoice being reduced by $1,000. |
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Healthcare provider specialist services
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R1 A7 as of 1/01/18 Monthly: Administration of early intervention services and DEI program servic...
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Fixed Price - Lump Sum
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| Major Deliverable: R1 A7 as of 1/01/18 Monthly: Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation as specified in Tasks B.1.a.1); B.1.a.9); B.1.a.10); B.1.a.12); B.1.a.13); B.1.a.17) through B.1.a.22); and B.1.a.25) through B.1.a.27). |
| Deliverable Price: $28,109.75 |
| Non Price Justification: |
| Performance Metrics: Administration of early intervention and DEI program services to a minimum of 459 enrolled children each month.
Administrative Report must be submitted to the contract manager within 30 days of the end of each month as specified.
FTE Report must be submitted within 30 days of the end of each month as specified.
Claims Report must be submitted within 60 days of the end of each month as specified.
Third Party Revenue Report must be submitted within 30 days of the end of each month as specified.
Child Enrollment Report must be submitted within 30 days of the end of each month as specified. |
| Financial Consequences: Failure to administer early intervention and DEI program services to the minimum number of enrolled children will result in the monthly invoice being reduced by $91.00 for each child below the minimum.
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Healthcare provider specialist services
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R1 A6 as of 7/01/17 Monthly: Administration of early intervention services and DEI program servic...
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Fixed Price - Lump Sum
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| Major Deliverable: R1 A6 as of 7/01/17 Monthly: Administration of early intervention services and DEI program services to all eligible infants and toddlers, and their families, and submission of all required documentation as specified in Tasks B.1.a.1); B.1.a.9); B.1.a.10); B.1.a.12); B.1.a.13); B.1.a.17) through B.1.a.22); and B.1.a.25) through B.1.a.27). |
| Deliverable Price: $28,139.75 |
| Non Price Justification: |
| Performance Metrics: Administration of early intervention and DEI program services to a minimum of 459 enrolled children each month.
Administrative Report must be submitted to the contract manager within 30 days of the end of each month as specified.
FTE Report must be submitted within 30 days of the end of each month as specified.
Claims Report must be submitted within 60 days of the end of each month as specified.
Third Party Revenue Report must be submitted within 30 days of the end of each month as specified.
Child Enrollment Report must be submitted within 30 days of the end of each month as specified. |
| Financial Consequences: Failure to administer early intervention and DEI program services to the minimum number of enrolled children will result in the monthly invoice being reduced by $91.00 for each child below the minimum.
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Healthcare provider specialist services
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R1 A6 as of 7/1/17 Monthly: Service coordination as specified in Task B.1.a.7) and B.1.a.8).
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Fixed Price - Lump Sum
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| Major Deliverable: R1 A6 as of 7/1/17 Monthly: Service coordination as specified in Task B.1.a.7) and B.1.a.8). |
| Deliverable Price: $84,970.92 |
| Non Price Justification: |
| Performance Metrics: Minimum of 10 service coordinator positions throughout the term of this contract to provide service coordination services. |
| Financial Consequences: Failure to maintain a minimum of 10 service coordinator positions throughout the term of this contract will result in the monthly invoice being reduced by $1,000. |
| Source Documentation Page Reference: |
| Deliverable Number: |
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