DOCUMENT
G -- Customer Care Network Region 4 - Attachment
- Notice Date
- 9/14/2018
- Notice Type
- Attachment
- NAICS
- 524114
— Direct Health and Medical Insurance Carriers
- Contracting Office
- U.S. Department of Veterans Affairs;OPAL | Strategic Acquisition Center;10300 Spotsylvania Ave | STE 400;Fredericksburg VA 22408-2697
- ZIP Code
- 22408-2697
- Solicitation Number
- 36C10G18R02081
- Response Due
- 10/15/2018
- Archive Date
- 12/14/2018
- Point of Contact
- Joy Garrett-Bey
- E-Mail Address
-
9-8450<br
- Small Business Set-Aside
- N/A
- Description
- Veterans Health Administration Request Form for CCN DME, Medical Devices, Orthotic, and Prosthetic Items All Durable Medical Equipment (DME), medical devices, orthotic and prosthetic item prescriptions must be faxed (or mailed) to the VA Medical Center (VAMC) of jurisdiction or submitted through the VA Community Care Provider Portal. Please address all correspondence to: Attention Chief of Prosthetics or Prosthetics CCN POC. SEE Solicitation and Attachments
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/notices/d01b38d01a5abf8500740cd472f9b438)
- Document(s)
- Attachment
- File Name: 36C10G18R0208-1 36C10G18R0208-1_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593904&FileName=36C10G18R0208-1-039.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593904&FileName=36C10G18R0208-1-039.docx
- File Name: 36C10G18R0208-1 Attachment TA - Incentives Disincentives Factor Summary 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593905&FileName=36C10G18R0208-1-040.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593905&FileName=36C10G18R0208-1-040.xlsx
- File Name: 36C10G18R0208-1 Attachment M - Urgent and Emergent Drug Formulary 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593906&FileName=36C10G18R0208-1-041.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593906&FileName=36C10G18R0208-1-041.xlsx
- File Name: 36C10G18R0208-1 Attachment U - Data Specification v3.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593907&FileName=36C10G18R0208-1-042.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593907&FileName=36C10G18R0208-1-042.xlsx
- File Name: 36C10G18R0208-1 Attachment E - Summary Demand Data v3.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593908&FileName=36C10G18R0208-1-043.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593908&FileName=36C10G18R0208-1-043.xlsx
- File Name: 36C10G18R0208-1 Attachment AN - Region 4 Walk In Volumes v3.1.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593909&FileName=36C10G18R0208-1-044.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593909&FileName=36C10G18R0208-1-044.xlsx
- File Name: 36C10G18R0208-1 Attachment AH - Appointment Scheduling and Comprehensive 080318 Care v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593910&FileName=36C10G18R0208-1-045.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593910&FileName=36C10G18R0208-1-045.xlsx
- File Name: 36C10G18R0208-1 Attachment AF - Home Infusion by Station v3.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593911&FileName=36C10G18R0208-1-046.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593911&FileName=36C10G18R0208-1-046.xlsx
- File Name: 36C10G18R0208-1 Attachment AC - No Show Choice 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593912&FileName=36C10G18R0208-1-047.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593912&FileName=36C10G18R0208-1-047.xlsx
- File Name: 36C10G18R0208-1 Attachment AB - Pharmacy 14 Day Fills 080318 v2 02.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593913&FileName=36C10G18R0208-1-048.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593913&FileName=36C10G18R0208-1-048.xlsx
- File Name: 36C10G18R0208-1 Attachment AA - Uniques by Rurality by Station 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593914&FileName=36C10G18R0208-1-049.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593914&FileName=36C10G18R0208-1-049.xlsx
- File Name: 36C10G18R0208-1 Attachment AE - VA National Formulary 080318 v2.xls (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593915&FileName=36C10G18R0208-1-050.xls)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593915&FileName=36C10G18R0208-1-050.xls
- File Name: 36C10G18R0208-1 Attachment IA - Dental Service Prior Authorization Exception List 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593916&FileName=36C10G18R0208-1-051.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593916&FileName=36C10G18R0208-1-051.xlsx
- File Name: 36C10G18R0208-1 Attachment BA - QASP Peformance Requirement Summary v3.1 (003).xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593917&FileName=36C10G18R0208-1-052.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593917&FileName=36C10G18R0208-1-052.xlsx
- File Name: 36C10G18R0208-1 Attachment AJ - ART-IVF Volumes 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593918&FileName=36C10G18R0208-1-053.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593918&FileName=36C10G18R0208-1-053.xlsx
- File Name: 36C10G18R0208-1 Attachment AG - Urgent vs Emergent Care 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593919&FileName=36C10G18R0208-1-054.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593919&FileName=36C10G18R0208-1-054.xlsx
- File Name: 36C10G18R0208-1 Attachment AD - Dialysis Rurality Unique Visits BDOC by Zip 080318 v2.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593920&FileName=36C10G18R0208-1-055.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593920&FileName=36C10G18R0208-1-055.xlsx
- File Name: 36C10G18R0208-1 Attachment A - VA Medical Center Catchment Area by CCN Region 080318 v2 - Copy.xlsx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593921&FileName=36C10G18R0208-1-056.xlsx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593921&FileName=36C10G18R0208-1-056.xlsx
- Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
- File Name: 36C10G18R0208-1 36C10G18R0208-1_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4593904&FileName=36C10G18R0208-1-039.docx)
- Record
- SN05091198-W 20180916/180914231426-d01b38d01a5abf8500740cd472f9b438 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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