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LINE ITEM NUMBER
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COMMODITY TYPE
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STATE TERM CONTRACT ID
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AGENCY SOLICITATION NUMBER
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Quantity |
Unit Price |
Total Unit Price |
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1
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Medical doctor specialist services
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500.0000
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$1.0000
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$500.00
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| Blanket Purchase order for general hospital procedures, exams, illness, strokes, and medical services for treatment of residents of Agency for Persons with Disabilities (APD)/Sunland Center in Mariann... |
| Line Item Description: Blanket Purchase order for general hospital procedures, exams, illness, strokes, and medical services for treatment of residents of Agency for Persons with Disabilities (APD)/Sunland Center in Marianna, Florida. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 67106514000 - |
| Object Code and Description: 132000 - |
| Account Code: 67-10-1-000328-67100400-00-100777-00 |
| Split Amount: $500.00 |
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2
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Respiratory humidity and aerosol therapy products
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11000.0000
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$1.0000
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$11,000.00
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| Blanket Purchase order for medical products associated with the general hospital procedures, exams, illness, strokes, and medical services for treatment of Residents of the Agency for Persons with Dis... |
| Line Item Description: Blanket Purchase order for medical products associated with the general hospital procedures, exams, illness, strokes, and medical services for treatment of Residents of the Agency for Persons with Disabilities(APD)/Sunland Center. The Provider will provide these services at their facility in a manner consistent with statutes, rules, and guiding principles of the profession. Residents will be served in accordance with normal treatment practices and APD/Sunland Center staff will be available during examinations to assist in management of the Resident with developmental disabilities. The Provider will file a claim for services/supplies with Medicare and Medicaid if resident is eligible for these services. APD/Sunland Center will be responsible for 80% of the Rural Medicare rate of costs incurred if the Resident is not Medicare/Medicaid eligible. Purchase Order Effective:7/1/266/30/27. Replaces PO C5A2CF. RATE: A fee schedule/cost sheet does not exist for this type of service due to the unforeseen nature of the medical visits. Invoices will be submitted to Sunland Center Financial Services, 3700 Williams Drive, Marianna, FL 32446 for processing, and include at minimum, patient name, date of service, and appropriate billing/procedure code(s). Form 1500 must include signature/initials of the Physician or Supplier in box 31. Sunland Center is billed by procedure code for the service provided and will pay Medicare rate based on the procedure code listed. Charges only applied when a Resident is not fully covered by Medicare or Medicaid. The Medical invoices (1500 Forms) are reviewed by APD/Sunland Division or Nursing Director or designee to ensure the billing has correct procedure codes and the charges are reasonable. He/she reviews and signs a CSA to approve service(s) and charges. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 67106514000 - |
| Object Code and Description: 344000 - |
| Account Code: 67-10-1-000328-67100400-00-040000-00 |
| Split Amount: $11,000.00 |
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