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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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Blood analysis laboratory services
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1000.0000
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$1.0000
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$1,000.00
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| BPO DDDP on an as needed basis to provide Medical LAB Services for forensic residents housed on Florida State Hospital campus. Services Provided @ at Vendors Facility. Invoices will be submitted to D... |
| Line Item Description: BPO DDDP on an as needed basis to provide Medical LAB Services for forensic residents housed on Florida State Hospital campus. Services Provided @ at Vendors Facility. Invoices will be submitted to DDDP Financial Services, PO Box 1000, Chattahoochee, Florida 32324 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. DDDP/PATHWAYS operates under F.S. 916.107, Rights of Forensic Clients and 945.6041, Forensic Medical Services. It is necessary to use Blanket PO's to provide Medical care for residents housed in State operated forensic residential commitment facilities. These blanket PO's have no rate available due to the unforeseen nature of the medical visits. DDDP/Pathways residents are not eligible for Medicare or Medicaid, while in State care. The medical blanket PO's may or may not include a discount rate. Residents are referred to outside providers for services, by Medical Staff, when it is deemed medically necessary. The Medical invoices (1500 Forms) are reviewed by DDDP/Pathways 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, transaction with Governmental Entity or Governmental Agency [s. 287.057(3)(e)12, F.S.; defined in s. 287.012(14) and s. 163.3164(21), F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 67106137061 - |
| Object Code and Description: 251000 - |
| Account Code: 67-10-1-000328-67100500-00-100779-00 |
| Split Amount: $1,000.00 |
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2
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Blood analysis laboratory services
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|
|
1000.0000
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$1.0000
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$1,000.00
|
| BPO PATHWAYS on an as needed basis to provide Medical LAB Services for forensic residents housed on Sunland campus. Services Provided @ at Vendors Facility. Invoices will be submitted to DDDP Financi... |
| Line Item Description: BPO PATHWAYS on an as needed basis to provide Medical LAB Services for forensic residents housed on Sunland campus. Services Provided @ at Vendors Facility. Invoices will be submitted to DDDP Financial Services, PO Box 1000, Chattahoochee, Florida 32324 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. DDDP/PATHWAYS operates under F.S. 916.107 ,Rights of Forensic Clients and 945.6041, Forensic Medical Services. It is necessary to use Blanket PO's to provide Medical care for residents housed in State operated residential commitment facilities. These blanket PO's have no rate available due to the unforeseen nature of the medical visits. DDDP/Pathways residents are not eligible for Medicare or Medicaid, while in State care. The medical blanket PO's may or may not include a discount rate. Residents are referred to outside providers for services, by Medical Staff, when it is deemed medically necessary. The Medical invoices (1500 Forms) are reviewed by DDDP/Pathways 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, transaction with Governmental Entity or Governmental Agency [s. 287.057(3)(e)12, F.S.; defined in s. 287.012(14) and s. 163.3164(21), F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 67106163030 - |
| Object Code and Description: 251000 - |
| Account Code: 67-10-1-000328-67100500-00-100779-00 |
| Split Amount: $1,000.00 |
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