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LINE ITEM NUMBER
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COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Medical doctor specialist services
|
|
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5000.0000
|
$1.0000
|
$5,000.00
|
| This is a blanket purchase order for general hospital procedures, surgeries, and other medical services on an as needed basis for the treatment of forensic residents of the Agency for Persons with Dis... |
| Line Item Description: This is a blanket purchase order for general hospital procedures, surgeries, and other medical services on an as needed basis for the treatment of forensic residents of the Agency for Persons with Disabilities housed on the Florida State Hospital campus. Invoices must 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). DDDP/PW residents are not eligible for Medicare or Medicaid. The medical blanket PO's may or may not include a discount rate. The Medical invoices (1500 Forms) are reviewed by DDDP 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: 67106137061 - |
| Object Code and Description: 251000 - |
| Account Code: 67-10-1-000328-67100500-00-100779-00 |
| Split Amount: $5,000.00 |
|
|
|
2
|
Medical doctor specialist services
|
|
|
20000.0000
|
$1.0000
|
$20,000.00
|
| This is a blanket purchase order for general hospital procedures, surgeries, and other medical services on an as needed basis for the treatment of forensic residents of the Agency for Persons with Dis... |
| Line Item Description: This is a blanket purchase order for general hospital procedures, surgeries, and other medical services on an as needed basis for the treatment of forensic residents of the Agency for Persons with Disabilities housed on the Florida State Hospital campus. Invoices must 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). DDDP/PW residents are not eligible for Medicare or Medicaid. The medical blanket PO's may or may not include a discount rate. The Medical invoices (1500 Forms) are reviewed by DDDP 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: 67206163030 - |
| Object Code and Description: 251000 - |
| Account Code: 67-10-1-000328-67100500-00-100779-00 |
| Split Amount: $20,000.00 |
|