Address of Proposed site: 800 MLK Drive Lumberton, NC 28358
|
|
- Piers Miller
- 5 years ago
- Views:
Transcription
1 Southeastern Regional Medical Center Request for Proposal Architectural and Engineering Services Restoration of the A.J. Robinson Medical Clinic Phase I November 10, 2017 I. Introduction A. Project Description Southeastern Regional Medical Center s Board of Trustees has recently approved the restoration of the A.J. Robinson Medical Clinic. In October 2016, the Clinic was damaged by wind-driven rain and flooding from Hurricane Matthew. Southeastern Regional Medical Center is requesting architectural and engineering services for the recovery of the A.J. Robinson Medical Clinic. SRMC plans to enter an agreement with one firm with demonstrated expertise in design and construction management. This Respondent must demonstrate professional experience with local, state, and Federal regulations to provide design services and management services. SRMC also encourages respondents to include team members with relevant FEMA hazard mitigation expertise. The selected Respondent will provide all necessary documentation and design services including plans, bid specifications, Contract Documents, permits, approvals and construction management. These services will include site planning, design, and construction administration of the restoration project. Address of Proposed site: 800 MLK Drive Lumberton, NC B. Organization Description Vision Southeastern Regional Medical Center, in collaboration with its medical staff, will be recognized as the regional health care provider of choice. Mission Southeastern Regional Medical Center exists to provide quality regional health care in a safe, compassionate and efficient environment. Geographical Location The main campus of SRMC is located on 16 acres at 300 W. 27 th Street, Lumberton, North Carolina. This is a suburban area with SRMC s neighbors being medical office buildings, residences, an elementary school and a small shopping mall. Lumberton is located just off of Interstate 95 and is the county seat of Robeson County. Robeson County is fairly rural overall, with a 2010 population of 134,168 in an area of 951 square miles, the largest county by area in North Carolina. Within a few miles of the main campus, off of Fayetteville Road in Lumberton, are located WoodHaven Nursing and Alzheimer s Care Center, Southeastern Hospice House, and Gibson Cancer Center.
2 2 SRMC operates several primary care and specialty care clinics in Lumberton. Within Robeson County, SRMC also operates primary care clinics in Fairmont, Rowland, St. Pauls, and Red Springs, as well as an urgent care center in Pembroke. SRMC operates a mobile primary care clinic that visits numerous rural locations throughout the county. SRMC also operates five primary care clinics in three adjacent counties. These are in Maxton (Scotland County), Gray s Creek (Cumberland County), Clarkton, White Lake, and Bladenboro (Bladen County). Services Provided Inpatient Medical/Surgical ICU CVICU including Open Heart Surgery Intermediate Care Telemetry Obstetrics / LDR Intensive Care Pediatrics Newborn and Intensive Care Nursery Psychiatry Hospice Long Term Care (including 15-bed dedicated Alzheimer s unit) Inpatient/Outpatient Diagnostic and Treatment Imaging o X-ray o Nuclear Medicine o Ultrasound o Special Procedures o CT o MRI o PET Scan Laboratory Physical Therapy Occupational Therapy Cardiac Catheterization (diagnostic and PCI) Surgery Endoscopy Outpatient Facilities/Services 24/7 Emergency Department Cardiac Decision Unit Ambulance Service/Critical Care Transport Cancer Center (clinic, blood disorders, chemotherapy, radiation therapy) Sleep Lab Home Health Hospice Wound Healing Center (including 2 hyperbaric oxygen chambers) Home Medical Equipment
3 3 Occupational Health WORKS Cardiac and Pulmonary Rehabilitation Fitness Center Urgent Care Substance Abuse Treatment Primary Care Clinics Specialty Clinics (orthopedics, urology, OB/Gyn, gastroenterology, pain management, diabetes and arthritis) Community Health Education Center Community Health Services Diabetes Community Center Number of Licensed Beds SRMC has a total of 452 licensed beds broken down into the following categories. General Acute Care 292 Psychiatric 33 Long Term Care 115 Inpatient Hospice 12 Lean Principles Our mission statement makes clear our commitment to provide services in an efficient environment. We operationalize this commitment in a number of tactical ways - one of which is through the application of the fundamental principles of the Toyota Production System, also commonly referred to as Lean. In the design of new services and improvement of existing processes, we aim to continuously reduce activities that add no value to our customers (i.e., process waste). Our infrastructure to facilitate progress toward this goal is based on strategically focused Kaizen events; intensive projects to achieve a specific improvement or design goal. C. Selection Criteria and Process The selection criteria for the evaluation of this proposal include, but are not limited to: 1. Completeness of proposal. 2. Experience of the firm with similar or comparable projects. 3. Experience of the principals and individuals selected to be a part of the team to develop this project. 4. Review of similar projects done for health care facilities. 5. Cost effective approach. 6. References from similar projects done within the last sixty months. 7. Proposed Design Schedule. 8. History of Schedule Control, Budgetary Control, Change Orders, and means taken to resolve Design and Construction conflicts.
4 4 9. The experience of the firm employing Lean Principles on similar projects. 10. Proposed fees. D. Selection The selection process will consist of a review of the proposals by the Administrative Management Team of SRMC and selected others. The deadline for responding to the Request for Proposals is 5:00 p.m. Monday, November 27, Proposals received after that date will not be opened or considered. After Administrative review of the responses, a firm will be selected. This successful firm may be invited to present their credentials (presentation maximum 45 minutes) to SRMC s Administrative staff and Executive Committee of Board of Trustees. E. Selection for Engagement The Agreement for design and construction services to complete this project for SRMC will begin with the awarding of the engagement by the Board of Trustees, which is expected to be no later than mid December II. Qualifications This section is designed to elicit the unique qualifications and ability to design this project for SRMC. We prefer that you follow this outline, and tailor your responses to the series of questions asked below. A. Outline of Proposed Team 1. Project Team a. Identify all firms proposed to provide design or engineering services (if your firm will subcontract with other individuals or firms), and demonstrate whether each consulting firm or individual has prior working experience with your company. Include project references. b. Identify your firm s proposed personnel for this project. Include the same information for firms to be subcontracted, and individuals who serve as independent contractors, if applicable. Include the following: i. Principal-in-Charge ii. Project Manager iii. Project Architect iv. Project Designer v. Program Specialist vi. Project Engineer c. Describe how your firm will integrate the services of a consultant engineer, as necessary and if required, and identify these consultants. d. Include resumes of your staff members and identify experience that is directly related to this type of project.
5 5 2. Location e. Describe your staff s availability for this project, i.e., 100%, 50%, etc. Compare their respective percentage of time on this project versus their other current assignment. a. Provide information as to where your project team will be based. Provide the address, name of contact person, telephone number, and fax number for each firm or individual comprising your team. 3. State why you feel your team is especially well suited to provide the professional services required for these projects. a. Qualifications of the Organization i. Provide a summary of your firm s history, ownership, and organizational structure. ii. If not otherwise covered; explain briefly the particular distinctions of your proposed team. iii. State the proposed method of providing other required specialized services (which may not be included within your firm) to complete the plan. iv. Please state your firm s experience in working with the North Carolina Division of Health Service Regulations (NC-DHSR) including the Construction and Insurance sections. v. Please indicate your firm s experience regarding use of lean principles in the design process. 4. Provide appropriate information on a minimum of three similar projects completed in the last thirty-six months, and how each is similar or relevant to this proposed project. a. The scope and cost associated with these projects should be included. b. Include a list of references, with addresses and telephone numbers, for each of these projects. c. Include in this information, the schedules of those projects that reflect the actual completion time frames for the projects compared, to the original schedules set at the beginning of the projects. d. Provide evidence of adequate staff resources and an experienced project management team available to begin the project in early December 2017, and who would be committed to the project for its duration.
6 6 5. Other Requirements a. SRMC must meet certain Federal and State regulatory requirements for this project. The selected Respondent must comply with all contract conditions, as this RFP and resulting contract will be subject to the rules and requirements arising from the use of FEMA funding. b. Respondents should review all contract conditions and be familiar with all terms and conditions set forth therein prior to submitting your proposal. Planned construction must not interfere with the daily operations of the existing campus; thus, the Contractor must develop a detailed construction sequence and receive written approval from the hospital s executive and facilities management staff before project execution. III. Approach to Project A. Describe your firm s approach to a project of this magnitude through each of the required phases, and how you would involve and seek input from our Medical Center team. B. Demonstrate your firm s knowledge of similar projects that include efficiency of staff, conservation of resources, budgetary considerations and cost-effective design. C. Summarize any additional, pertinent information which may further establish your capabilities to complete this project. IV. Schedule A. Provide a schedule showing the proposed start date and completion date of the project. B. Assuming adequate client participation, what will you estimate as a reasonable time for: 1. Space Programming factoring in lean principles 2. Schematic Design factoring in lean principles (including assistance with zoning issue) 3. Site Issue Resolution 4. Design Development factoring in lean principles 5. Construction Documents 6. Milestone Schedule for approval by Owner C. Construction Schedule Please describe your firm s approach for: 1. Developing the Construction Schedule 2. Project phasing 3. Measures to shorten the duration of construction
7 7 V. Cost Control A. Explain your firm s approach toward contingency pricing and how you help ensure the credibility of estimates provided for these projects. 1. Describe your firm s process for minimizing design errors and the firm s willingness to accept financial responsibility for obvious design errors as opposed to payment from the contingency account. (We refer here to not charging the owner for obvious errors made by members of the design team.) 2. What is your firm s history related to its ability to meet an Owner s budget? VI. Construction A. Include descriptions of your firm s construction administration services to include on-site representation, quality control and experience of assigned personnel. B. Types of construction projects. 1. In coordination with a description of similar projects your firm has completed, include in the project descriptions what methods were employed in the construction process as follows: C. Project Completion a. Construction management b. Multiple contracts c. Single contracts Provide a list of all health care projects completed by your firm in the last five years. Include in this information: 1. The construction schedules for these projects that reflect the completion time frames for the projects compared to original schedules at the beginning of the projects. 2. Final project expense compared to the original budget. VII Compensation A. Proposed fees (full services) shall be presented as a percentage of construction costs. These fees will cover site planning, medical office shell building design, ambulatory surgery center fit-up design, and possible future fit-up designs. Fees will also include complete construction administration services. The successful
8 8 A&E will also be responsible for complete Interior Design Services. They will also be responsible for all finishes and corresponding color selection, all special systems, all equipment planning and installation, and coordination of furniture selection. Percentage fee may be converted to a lump sum fee once the project costs have been established. B. Indicate your fees for the architectural and engineering services as follows: This is a full-service contract. 1. Program Development (Refinement) including lean principles 2. Schematic Design including lean principles 3. Design Development- including lean principles 4. Contract Documents 5. Bidding Coordination 6. Construction Administration (including equipment installation coordination) 7. Total Fee(s) presented as a percentage of construction costs C. Define (if applicable) any reimbursable expenses which would be invoiced in addition to your fee. All information, both written and oral, obtained in compliance with requests for financial information, is confidential. VIII. Submission Information If you wish to respond to this Request for Proposals, please submit two hard copies and one electronic copy by 5:00 p.m., Monday, November 27, 2017 to: Ms. Karen Kay Manager of Design and Construction Southeastern Regional Medical Center P. O. Box West 27 th Street Lumberton, NC Phone: (910) Kay01@srmc.org IX. Responsibilities This Request for Proposals does not commit SRMC to accept any proposals submitted, nor is SRMC responsible for any costs incurred by proposers in preparation of the responses to this RFP. SRMC reserves the right to accept or reject any or all proposals, to negotiate with the selected firm, or to cancel the RRP in part, or in its entirety. All proposals will become part of SRMC s official files, except the fee proposals which will be returned, upon request, or destroyed. All information, both written and oral, which is obtained in compliance with requests for financial information is confidential. We look forward to receiving your proposal.
Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members
Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members DEDUCTIBLE (per calendar year) Annual in-network deductible must be paid first for the following services: Imaging, hospital
More informationABOUT THE CONE HEALTH NETWORK OF SERVICES
THE MOSES H. CONE MEMORIAL HOSPITAL (536 beds) Critical Care Services All system ICU patients are monitored with the help an electronic ICU monitoring system (VISICU ). Emergency Services Medical Intensive
More informationProvider Profile GENERAL DETAILS STATE/ PROVINCE: OTHERS (PLEASE SPECIFY): CONTACT DETAILS DESIGNATION NAME PHONE MOBILE
Provider Profile Dear Valued Provider, Kindly fill up this form with the information requested below. Availability of accurate and detailed information about your facility will definitely help QLM staff
More informationMay 18, 2016 REQUEST FOR QUALIFICATIONS FOR ARCHITECTURAL AND ENGINEERING SERVICES
May 18, 2016 REQUEST FOR QUALIFICATIONS FOR ARCHITECTURAL AND ENGINEERING SERVICES I. Project Forsyth County Clemmons Branch Library II. Goal Forsyth County seeks an innovative design team to create a
More informationContents. Preface Acknowledgments About this Document Major Additions and Revisions. List of Acronyms. Part 1 General 1
Contents Preface Acknowledgments About this Document Major Additions and Revisions Glossary List of Acronyms xv xvii xxiii xxix xxxiii xxxix Part 1 General 1 1.1 Introduction 1 1.1-1 General 1 1.1-1.1
More informationMorgan Hill Unified School District
Facilities Department 15600 Concord Circle, Morgan Hill, CA 95037 Phone: (408) 201-6087 Fax (408) 776-0175 REQUEST FOR ARCHITECTURAL SERVICES PROPOSALS for a New Britton MS Campus and Site Master Plan
More informationGIC Employees/Retirees without Medicare
GIC Active Employees & Retirees without Medicare 7/1/18 GIC Employees/Retirees without Medicare HMO Summary of Benefits Chart This chart provides a summary of key services offered by your Health New England
More informationWhy Join Health First Medical Group?
Why Join Health First Medical Group? At Health First Medical Group we are dedicated to our patients. We strive to help them find answers and support their needs to manage illness and stay healthy. Our
More informationFOR CONSULTING SERVICES FOR DISASTER RESPONSE, ENGINEERING, AND GRANT MANAGEMENT SUPPORT
BRUNSWICK GLYNN COUNTY JOINT WATER & SEWER COMMISION REQUEST FOR PROPOSAL FOR CONSULTING SERVICES FOR DISASTER RESPONSE, ENGINEERING, AND GRANT MANAGEMENT SUPPORT Date Advertised Friday, November 17, 2017
More informationST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018
ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018 All benefits are subject to the calendar year deductible, except those with in-network copayments,
More informationUNIVERSITY OF THE CUMBERLANDS MEDICAL BENEFITS SCHEDULE
November 1, 2016 UNIVERSITY OF THE CUMBERLANDS MEDICAL BENEFITS SCHEDULE NETWORK NON-NETWORK Lifetime Maximum Benefit Unlimited Unlimited Annual Deductible (Single/Family) $500/$1,000 $1,000/$2,000 Maximum
More informationEssential Health Benefits Addendum. Office of the Insurance Commissioner Washington State
Essential Health Benefits Addendum Office of the Insurance Commissioner Washington State 1 Details, details Classification of Services Classification of a service may affect the scope of the available
More informationWashington Township Board of Trustees Dublin, Ohio. Branding Project. Request for Proposals
Washington Township Board of Trustees Dublin, Ohio March 7, 2018 1 I. Project Rationale Townships are a mystery to most taxpayers, familiar in name but not always in purpose or function. That s in part
More informationOMC Strategic Plan Final Draft. Dear Community, Working together to provide excellence in health care.
Dear Community, Working together to provide excellence in health care. This mission statement, established nearly two decades ago, continues to be fulfilled by our employees and medical staff. This mission
More informationREQUEST FOR QUALIFICATIONS/PROPOSAL (RFQ/P) FOR ARCHITECT/ENGINEER (A/E)
REQUEST FOR QUALIFICATIONS/PROPOSAL (RFQ/P) FOR ARCHITECT/ENGINEER (A/E) Hinsdale County School District RE-1 PO Box 39 614 N. Silver St. Lake City, CO 81235 (970) 944-2314 PROPOSAL DUE DATE/DELIVERY REQUIREMENTS-
More informationCareCore National & Alliance Provider Training Material
EVIDENCE-BASED HEALTHCARE SOLUTIONS CareCore National & Alliance Provider Training Material Prepared for: March 6, 2014 Contents CareCore National... 3 Alliance and CareCore National Partnership... 4 Radiology
More informationST. TAMMANY PARISH SCHOOL BOARD SCHEDULE OF BENEFITS
PLAN NAME ST. TAMMANY PARISH SCHOOL BOARD SCHEDULE OF BENEFITS St. Tammany Parish School Board Active Employee Plan PLAN'S ORIGINAL BENEFIT PLAN DATE PLAN'S AMENDED BENEFIT PLAN DATE GROUP NUMBER 78B03ERC
More informationRequest for Proposal (RFP) For. Architectural Services. Lauderdale County, MS. Board of Supervisors
Request for Proposal (RFP) For Architectural Services Lauderdale County, MS Board of Supervisors 1 REQUEST FOR PROPOSAL (RFP) FOR ARCHITECTURAL SERVICES TABLE OF CONTENTS I. PURPOSE OF RFP... II. SITES
More informationSECTION V. HMO Reimbursement Methodology
SECTION V. HMO Reimbursement Methodology Overview V-2 SFHN s Financial Responsibility Provider Payment Methodology Chart Primary Care Physicians V-4 Overview Capitated Primary Care Services Services Reimbursed
More informationRequest for Proposal FirstHealth of the Carolinas, Pinehurst, North Carolina FCC Healthcare Connect Fund. Table of Contents
Request for Proposal FirstHealth of the Carolinas, Pinehurst, North Carolina FCC Healthcare Connect Fund Table of Contents Background and Goals... 2 General Provisions... 4 Notice of Intent to Bid and
More informationDIRECTORY CARE (2273) N. 7th Street P. O. Box 1628 Grand Junction, CO An Affiliate of SCL Health
90-9-CARE () www.stmarygj.org N. th Street P. O. Box Grand Junction, CO 0- An Affiliate of SCL Health Table of Contents Directory...- Main Floor Map... First Floor Map... Second Floor Map... Third Floor
More informationJanuary 2, 2018 REQUEST FOR QUALIFICATIONS FOR ARCHITECTURAL AND ENGINEERING SERVICES
January 2, 2018 REQUEST FOR QUALIFICATIONS FOR ARCHITECTURAL AND ENGINEERING SERVICES I. Project Forsyth County Courthouse & Administrative Building II. Goal Forsyth County requests responses from licensed
More informationDakota County Technical College. Pod 6 AHU Replacement
MINNESOTA STATE COLLEGES AND UNIVERSITIES Dakota County Technical College Pod 6 AHU Replacement REQUEST FOR PROPOSAL (RFP) FOR MECHANICAL ENGINEERING SERVICES JULY 16, 2018 SPECIAL NOTE: This Request for
More informationSchedule of Benefits
Schedule of Benefits ANTHEM Small Business Health Options Program (SHOP) This is a brief schedule of benefits. Refer to your Anthem Certificate of Coverage (Booklet) for complete details on benefits, conditions,
More informationBenefits. Benefits Covered by UnitedHealthcare Community Plan
Benefits Covered by UnitedHealthcare Community Plan As a member of UnitedHealthcare Community Plan, you are covered for the following MO HealthNet Managed Care services. (Remember to always show your current
More informationVICE PRESIDENT NURSING SERVICES
VICE PRESIDENT NURSING SERVICES Van Wert County Hospital Van Wert, Ohio Prepared by WK Advisors December 5, 2012 2 OVERVIEW OF THE ORGANIZATION Van Wert County Hospital (VWCH) is an independent, non-profit
More informationMedical Center of the South
Page 1 of 6 Medical Center For more than a decade, Webster s position as the Medical Center has been fueled by impressive, new, state of the art facilities, powered by more than 2,200 physicians who perform
More informationNEIGHBORHOOD HEALTH PARTNERSHIP POS SUMMARY OF BENEFITS
XV-2 $30/$60/$200/$1,000/80% R NEIGHBORHOOD HEALTH PARTNERSHIP POS SUMMARY OF BENEFITS A quick glance at this Summary of Benefits will introduce you to the Point of Service (POS) Plan you have with Neighborhood
More informationContents. Preface Acknowledgments About the Guidelines Major Additions and Revisions Glossary List of Acronyms. Part 1 General 1.
Contents Preface Acknowledgments About the Guidelines Major Additions and Revisions Glossary List of Acronyms xi xiii xxi xxv xxix xxxv Part 1 General 1 1.1 Introduction 3 1.1-1 General 3 1.1-1.1 Application
More informationWILLIS KNIGHTON MEDICAL CENTER S2763 NON GRANDFATHERED PLAN BENEFIT SHEET
BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Customized COB Dependents Children birth to 26 Filing Limit 12 months For employees that work in a WKHS location within the primary HealthPlus
More informationHPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE
ID: MD0000003250 X Schedule of s HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE This Schedule of s summarizes your benefits under the The HPHC Insurance
More informationNEVADA HEALTH CO-OP SOUTHERN STAR/ESTRELLA GOLD 100% 34996NV
NEVADA HEALTH CO-OP SOUTHERN STAR/ESTRELLA GOLD 100% 34996NV003 0002 Attachment A Benefit Schedule Lifetime Maximum: Unlimited. Benefits apply when you obtain or arrange for Covered through a Nevada Health
More informationMust meet specific criteria. Prior authorization required. Must meet specific criteria
MIDWEST HEALTH Acupuncture NOT A BENEFIT NOT A BENEFIT NOT A BENEFIT Acute Care Observation Post Operative Emergency Room Allergy Testing/Allergy Injections Ambulance-Emergency Land Plan Notification Not
More informationBasic Covered Benefits and Services
Basic Covered Benefits and A prior authorization is when UnitedHealthcare Community Plan gives the doctor permission to perform certain services. Bed Liners Coverage Covered for members age 4 and up; Prior
More informationREQUEST FOR PROPOSALS Long-Term Community Recovery Strategy Town of Union, NY
REQUEST FOR PROPOSALS Long-Term Community Recovery Strategy Town of Union, NY The Town of Union is seeking the assistance of a consultant to prepare a Long-Term Community Recovery Strategy. The deadline
More informationTERREBONNE PARISH REQUEST FOR QUALIFICATIONS FOR ENGINEERING SERVICES. Generator Sizing and Installation
TERREBONNE PARISH REQUEST FOR QUALIFICATIONS FOR ENGINEERING SERVICES Generator Sizing and Installation Proposal Due Date: June 26, 2017 Proposal Due Time: 2:00 P.M. Released May 23, 2017 Table of Contents
More informationTrinity Health Physician Opportunity
Trinity Health Physician Opportunity Mercy Health System (MHS) Posting #THMPH 1526 SPECIALTY HOSPITAL LOCATION GROUP PRACTICE PRACTICE MODEL STATUS Psychiatry Department Chair Mercy Health System Mercy
More informationREQUEST FOR PROPOSALS (RFP) FIRE STATION FEASIBILITY STUDY. Borough of Phoenixville. July 15, 2016
REQUEST FOR PROPOSALS (RFP) FIRE STATION FEASIBILITY STUDY Borough of Phoenixville 351 Bridge Street Second Floor Phoenixville, PA 19460 Chester County, Pennsylvania July 15, 2016 Borough of Phoenixville
More informationANCILLARY/FACILITY APPLICATION CREDENTIALING / RE-CREDENTIALING
ANCILLARY/FACILITY APPLICATION CREDENTIALING / RE-CREDENTIALING Please attach copies of all applicable documents to the application: Copy of all Federal, State and/or local licenses required to operate
More informationRequest for Qualifications. Professional Design and Construction Services as a Design-Builder. For. Delhi Township Fire Station
Request for Qualifications Professional Design and Construction Services as a Design-Builder For Submittal Due Date: August 4, 2015 Notice is hereby given that Delhi Township is seeking Statements of Qualification
More informationCITY OF SLIDELL S2630 NON-GRANDFATHERED BENEFIT SHEET
CITY OF SLIDELL S2630 BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to 26 No later than 365 days after the Filing Limit date expenses are incurred
More informationHealth Alliance. Utilization Management Changes Overview. Maxine Wallner Director Provider Services. February 2017
Health Alliance Utilization Management Changes Overview February 2017 Maxine Wallner Director Provider Services Agenda Decision Overview Utilization Management Program Changes Expansions and modifications
More information1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS
1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS I HOSPITAL CARE This benefit is for the hospital s charge for the use of its facility only. Coverage for services rendered by doctors, labs,
More informationKennebec Valley Chamber of Commerce August 21, 2013
Kennebec Valley Chamber of Commerce August 21, 2013 Keep high-quality health care services in the Kennebec Valley region; reducing the need to travel to Portland or Bangor Over the last year, we have added
More informationFACILITY BASED SERVICES
FACILITY BASED SERVICES Inpatient Hospital Care Elective Inpatient Admission or Elective Inpatient Surgery Inpatient Rehabilitation Care Skilled Nursing Facility Admission Non-Custodial Nursing Home Care
More informationRequest for Proposals and Qualifications for. Owner s Representative Services (RFP) August Farmington Public Schools. Farmington Town Hall
Request for Proposals and Qualifications for Owner s Representative Services (RFP) August 2016 Farmington Public Schools Farmington Town Hall 1 Monteith Drive Farmington, CT 06032 RFP Issued: 8/6/2016
More informationSchedule of Benefits-EPO
Schedule of Benefits-EPO [Plan Information] [Health Plan:] [Ambetter Balanced Care 3 (2018)-Standard Silver On Exchange Plan] [Primary Member:] [John Doe] [Member ID:] [01213456] [Date of Birth:] [08/12/62]
More informationREQUEST FOR PROPOSALS For Design Services for New Fire Station
REQUEST FOR PROPOSALS For Design Services for PROPOSAL SUBMISSION DEADLINE: March 18, 2015 Page 1 Table of Contents A. Introduction B. Project Description C. Scope of Services D. Qualifications E. Selection
More informationBlueOptions - Healthy Rewards HRA Plan
BlueOptions - Healthy Rewards HRA Plan Schedule of Benefits Plan 03359 Important things to keep in mind as you review this Schedule of Benefits: This Schedule of Benefits is part of your Benefit Booklet,
More informationAsante Rogue Regional Medical Center Campus and Floor Maps 17RRMC038
Rogue Regional Medical Center Campus and Floor Maps Campus Human Resources Medical Center Drive Siskiyou Blvd. First floor Family Medicine Urgent Care Lab Outreach Imaging Second floor Family Medicine
More informationBONITA COMMUNITY HEALTH CENTER. Estero Committee of Community Leaders South Lee County Hospital Committee April 14, 2011
BONITA COMMUNITY HEALTH CENTER Estero Committee of Community Leaders South Lee County Hospital Committee April 14, 2011 Today s discussion Summary and status of the work done by the Freestanding Emergency
More informationKing Fahd Medical City, Riyadh. Healthcare:
Healthcare: SAK Consultants has provided Design and Supervision Services for the healthcare sector since decades and has successfully delivered projects throughout the Kingdom. We provide solutions to
More informationMartin s Point US Family Health Plan Pre-Authorization Requirements
Martin s Point US Family Health Plan Requirements Requirements described below are for covered benefits only and this information is provided for summary purposes only. Please call 1-888-732-7364 for complete
More informationREQUEST FOR PROPOSAL FOR ARCHITECTURAL SERVICES PACIFICA LIBRARY PROJECT
REQUEST FOR PROPOSAL FOR ARCHITECTURAL SERVICES PACIFICA LIBRARY PROJECT PROPOSAL SUBMITTAL DEADLINE: DATE: April 15, 2016 TIME: 12:00 PM CITY OF PACIFICA 170 SANTA MARIA AVE. PACIFICA, CA 94044 (650)
More informationMagellan Healthcare 1 Frequently Asked Questions (FAQ s) For Magellan Complete Care of Florida Providers
Magellan Healthcare 1 Frequently Asked Questions (FAQ s) For Magellan Complete Care of Florida Providers Question GENERAL Why did Magellan Complete Care implement a Medical Specialty Solutions Program?
More informationA. All inpatient facility services - Medical, Substance Abuse, and Behavioral Health admissions require authorization.
Medicare Authorization Grid FIDELIS CARE AUTHORIZATION REQUIREMENTS Benefit/Service Detail SERVICES AND PROCEDURES WHICH REQUIRE AUTHORIZATION EFFECTIVE 1/1/2017 I. Inpatient Admissions: All inpatient
More informationThe District is looking for the architectural firm to provide the following (not listed in order of preference):
Weber Mosquito Abatement District Ryan J. Arkoudas, Director 505 West 12 th Street, Ogden, Utah 84404 Office (801) 392-1630 Fax (801)393-9399 www.webermosquito.com REQUEST FOR PROPOSAL FOR ARCHITECTURAL
More informationSUMMARY OF BENEFITS. Hamilton County Department of Education Network Copay Plan. Connecticut General Life Insurance Co.
SUMMARY OF BENEFITS Connecticut General Life Insurance Co. Hamilton County Department of Education Annual deductibles and maximums Lifetime maximum Pre-Existing Condition Limitation (PCL) Coinsurance All
More informationService Rendered EBCBS GHI Health Plan Notes Alcohol Detox/Rehab (IP or OP) Submit to GHI. Submit to GHI
New York City Account Claim Submission Guide The purpose of this guide is to help determine which insurance carrier to send a claim to for certain hospital versus medical services. For instructions on
More informationRSNA EMPLOYEE BENEFIT TRUST PLAN II S2502 NON GRANDFATHERED PLAN BENEFIT SHEET
BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to age 26 Filing Limit 1 year from date of service Mailing Address & PPO Company. Remit claims to:
More informationRequest for Qualifications
Request for Qualifications Architectural & Engineering Services for HUTTON ELEMENTARY SCHOOL Modernization and Additions Project Submittal Deadline: August 24, 2012, 4:00 P.M. Spokane Public Schools 2815
More informationAnthem Blue Cross Your Plan: Core PPO Your Network: National PPO (BlueCard PPO)
Anthem Blue Cross Your Plan: Core PPO Your Network: National PPO (BlueCard PPO) This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does
More informationSchedule of Benefits HDHP WITH HSA MASSACHUSETTS
Schedule of Benefits HDHP WITH HSA MASSACHUSETTS ID: MD0000017710_A9 X This Schedule of Benefits states any Benefit Limits and amounts you must pay for Covered Benefits. However, it is only a summary of
More informationCUSTODIAL NURSING HOME CARE
CUSTODIAL NURSING HOME CARE Chiropratic Services Custodial Nursing Home Care DME Equipment and Supplies Incontinence Supplies: Diapers, briefs, wipes, gloves, pads Infusion (IV, Enteral) Services Outpatient
More informationBAY PARK HOSPITAL. CLIENT: ProMedica
ProMedica Master Planning and Functional Programming 240,000 SF BAY PARK HOSPITAL The ProMedica System is a major integrated healthcare delivery system located in Northern Ohio and Southern Michigan. The
More informationA. All inpatient facility services - Medical, Substance Abuse, and Behavioral Health admissions require authorization.
Medicare Authorization Grid FIDELIS CARE AUTHORIZATION REQUIREMENTS Benefit/Service Detail SERVICES AND PROCEDURES WHICH REQUIRE AUTHORIZATION REVISED 2/1/16 I. Inpatient Admissions-All inpatient admissions
More informationBlue Cross Premier Bronze
An individual PPO health plan from Blue Cross Blue Shield of Michigan. You will have a broad choice of doctors and hospitals within BCBSM s unsurpassed statewide PPO network including nationwide coverage.
More informationMyHPN Solutions HMO Gold 7
MyHPN Solutions HMO Gold 7 HIOS ID: 95865NV0030074 Attachment A Benefit Schedule Calendar Year Deductible (CYD): $3,000 of EME per Member and $6,000 of EME per family. The Calendar Year Out of Pocket Maximum
More informationUB-82 AND UB-92 CONVERSION TABLE - TO BE USED FOR REPORTING NON-INSTITUTIONAL HCSRS
6010.50-M, MAY 1999 DATA REQUIREMENTS CHAPTER 2 ADDENDUM H UB-82 AND UB-92 CONVERSION TABLE - TO BE USED FOR REPORTING NON-INSTITUTIONAL HCSRS The revenue codes listed below are authorized by the National
More informationOVERVIEW OF YOUR BENEFITS
OVERVIEW OF YOUR BENEFITS IMPORTANT PHONE NUMBERS Member Services Department (646) 473-9200 For answers to questions about your benefits or to be referred to another Benefit Fund department. Program for
More informationTRAFFIC DATA COLLECTION REQUEST FOR PROPOSALS
PIMA ASSOCIATION OF GOVERNMENTS 2014-2016 TRAFFIC DATA COLLECTION REQUEST FOR PROPOSALS Proposals may be obtained by contacting: Pima Association of Governments 1 E. Broadway Blvd, Ste.401 Tucson, AZ 85701
More informationFACILITY BASED SERVICES
CUSTODIAL NURSING HOME CARE Chiropratic Services Custodial Nursing Home Care DME Equipment and Supplies Incontinence Supplies: Diapers, briefs, wipes, gloves, pads Infusion (IV, Enteral) Services Outpatient
More informationKERN HEALTH SYSTEMS PARTICIPATING HOSPITAL/FACILITY APPLICATION
KERN HEALTH SYSTEMS PARTICIPATING HOSPITAL/FACILITY APPLICATION Facility Name: Chief Administrative Officer: Chief Financial Officer: Chief Medical Officer: Corporate Tax Status: If Facility Medi-cal Certified?
More informationSummary of Benefits CCPOA (Basic) Custom Access+ HMO
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits CCPOA (Basic) Custom Access+ HMO CCPOA Effective January 1, 2019 HMO Benefit Plan This Summary of Benefits
More informationCLASSIC BLUE SECURE/BLUE CROSS BLUE SHIELD COMPLEMENTARY Monroe County Benefit Summary/Comparison (Over 65 Retirees)
WHO IS COVERED Enrollment Requirement Members must be enrolled in both Medicare Parts A and B Members must be enrolled in both Medicare Parts A and B Type of Tier Single only Single only Dependent/Student
More informationREQUEST FOR QUALIFICATIONS FOR ARCHITECTURAL / ENGINEERING SERVICES JPS HEALTH NETWORK RESPONSES DUE: Wednesday, September 30, :00 P.M.
REQUEST FOR QUALIFICATIONS FOR ARCHITECTURAL / ENGINEERING SERVICES JPS HEALTH NETWORK RESPONSES DUE: Wednesday, September 30, 2015 2:00 P.M. (CST) Specifications Prepared by: Design and Construction Department
More informationCO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV
CO-PAYMENT BOOK 1901 Las Vegas Blvd. South Suite 107 Las Vegas, NV 89104 702-733-9938 www.culinaryhealthfund.org Revised January 2018 (Replaces Co-Payment Book dated June 2017) TABLE OF CONTENTS 4 5 6
More informationCaldwell Medical Center Departments
Caldwell Medical Center Departments Surgery Medical / Surgery Same Day Surgery Lab Education Administration Special Care Unit Women s Center Admission Emergency Services Radiology Cardiac Rehab Admission
More informationCovered Services List
CAREPLUS Covered Services List For CeltiCare Health with MassHealth CarePlus Coverage This is a list of all covered services and benefits for MassHealth CarePlus enrolled in CeltiCare Health. The list
More informationCigna Summary of Benefits Open Access Plus Copay Plan (OAP10)
Cigna Care Network (CCN) Cigna Summary of Benefits Open Access Plus Copay Plan (OAP10) Cigna Care Network (CCN) Your employer has selected a Cigna Care Network (CCN) plan. When you need specialty care,
More informationATTACHMENT II EXHIBIT II-C Effective Date: February 1, 2018 SERIOUS MENTAL ILLNESS SPECIALTY PLAN
ATTACHMENT II EXHIBIT II-C Effective Date: February 1, 2018 SERIOUS MENTAL ILLNESS SPECIALTY PLAN The provisions in Attachment II and the MMA Exhibit apply to this Specialty Plan, unless otherwise specified
More informationREQUEST FOR QUALIFICATIONS. Architectural/Engineering Design Services
REQUEST FOR QUALIFICATIONS Architectural/Engineering Design Services Logistics DISTRICT CONTACTS FOR QUESTIONS Jeff Collum Superintendent Phone: 903-668-5990 Email: jcollum@hisd.com REQUEST FOR STATEMENT
More informationSOMERSET COUNTY, MARYLAND
SOMERSET COUNTY, MARYLAND REQUEST FOR PROPOSAL ***** ARMORY FEASIBILITY STUDY TO EVALUATE THE CURRENT CONDITIONS OF THE CRISFIELD ARMORY, LOCATED AT 8 EAST MAIN STREET IN THE CITY OF CRISFIELD, MD., INCLUDING
More informationBCBSM provides administrative claims services only. Your employer or plan sponsor is financially responsible for claims.
Michigan Catholic Conference Group Number: 71755 Package Code(s): 010 Section Code(s): 1000, 2000 PPO - PPO1, Hearing, Vision ( Exam only) Effective Date: 01/01/2018 Benefits-at-a-glance This is intended
More informationHEALTH PLAN BENEFITS AND COVERAGE MATRIX
HEALTH PLAN BENEFITS AND COVERAGE MATRIX THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A SUMMARY ONLY. THE EVIDENCE OF COVERAGE AND PLAN CONTRACT SHOULD BE CONSULTED FOR
More informationCITY OF FAIRFIELD, OHIO REQUEST FOR PROPOSAL COMPREHENSIVE PLAN UPDATE
CITY OF FAIRFIELD, OHIO REQUEST FOR PROPOSAL COMPREHENSIVE PLAN UPDATE ISSUED: February 2, 2018 PROPOSAL DEADLINE DATE: March 2, 2018 Proposals must be received no later than 4:00 PM on Friday, March 2,
More informationREQUEST FOR PROPOSAL
1 REQUEST FOR PROPOSAL FOR 3 rd Party Ambulance Billing Services PROPOSAL NO. FY2013/004 BY SPOKANE TRIBE OF INDIANS PURCHASING/PROPERTY DEPARTMENT 6195 FORD/WELLPINIT RD PO BOX 100 WELLPINIT WA 99040
More informationRequest for Proposal. to provide. A Comprehensive Campus Renewable Energy Feasibility Study. for. The University of Vermont s Clean Energy Fund
Capital Planning and Management Request for Proposal to provide for The University of Vermont s Clean Energy Fund Requested By: The University of Vermont and State Agricultural College Burlington, VT 05405
More informationTrinity Health Physician Opportunity
Trinity Health Physician Opportunity Mercy Physician Network (MPN) Posting #THMHS 909 SPECIALTY HOSPITAL LOCATION GROUP PRACTICE PRACTICE MODEL STATUS Nurse Practitioner Family Medicine or Internal Medicine
More informationHMO West Pennsylvania Employees Benefit Trust Fund Benefit Highlights Active Eligible Members. Providers None $6,850 single / $13,700 family
Benefit Provision HMO Network Providers None $6,850 single / $13,700 family DEDUCTIBLE (Per Calendar Year) OUT-OF-POCKET MAXIMUM (includes costs for medical, mental health and substance abuse benefits
More informationIntroduction to Tift Regional Health System
Introduction to Tift Regional Health System Introduction Welcome to Tift Regional Health System! Each year Tift Regional hosts over 1000 students from all disciplines who find our hospital and other service
More informationREQUEST FOR PROPOSALS CITY OF PORT LAVACA
REQUEST FOR PROPOSALS CITY OF PORT LAVACA Consulting Services for DISASTER RECOVERY AND FEMA PUBLIC ASSISTANCE Associated with Damage Sustained by HURRICANE HARVEY RFP 2017-9.28 The City of Port Lavaca
More informationDOD SPACE PLANNING CRITERIA CHAPTER 110: GENERAL JUNE 1, 2016
DOD SPACE PLANNING CRITERIA CHAPTER 110: GENERAL JUNE 1, 2016 Originating Component: Defense Health Agency Facilities Division Effective: Releasability: No Restrictions Purpose: This issuance: To provide
More informationYour Out-of-Pocket Type of Service
Calendar Year Deductible (CYD) 1 $0 single/ 3x family Out-of-Pocket Maximum - Deductibles, coinsurance and copays all accrue toward the outof-pocket maximum. With respect to family plans, an individual
More informationCity of Sacramento 01/01/2019 Renewal. $100 Per Admission
City of Sacramento 01/01/2019 Renewal Kaiser Permanente 2019 Senior Advantage (HMO) Group Plan with Part D Benefits Summary Your employer joins with Kaiser Permanente to offer you the select benefits listed
More informationAnalysis of State CON Requirements Chart I Does CON apply to acquisition
Alabama Alaska Arkansas To whom does CON apply? No person may acquire, conduct, or operate a new institutional facility ( NIF ) without first obtaining a CON. NIF means: (1) establishment of a new HCF;
More informationStrategic Plan Our Path to Providing Excellence in Health Care
Strategic Plan 2014-2016 Our Path to Providing Excellence in Health Care Dear Community Members, As your publicly elected commissioners of Clallam County Public Hospital District No. 2, we are dedicated
More informationPROVIDER PARTICIPATION REQUEST FORM
PROVIDER PARTICIPATION REQUEST FORM Thank you for your interest in becoming a participating provider with Quartz. Your request will be evaluated for participation in all Quartz affiliate networks. In order
More informationKnights Ferry Elementary School District
Knights Ferry Elementary School District REQUEST FOR PROPOSAL FOR THE IMPLEMENTATION OF ENERGY EFFICIENCY MEASURES FUNDED BY THE CLEAN ENERGY JOBS ACT - PROPOSITION 39 REQUEST FOR PROPOSAL SUBMITTAL DEADLINE
More informationCity of Georgetown, SC REQUEST FOR PROPOSAL
City of Georgetown, SC REQUEST FOR PROPOSAL Engineering Services For North Side Water Storage Tank with 250,000 Gallon Capacity Project # 1508 Due: August 15, 2016 at 3:00 PM EST Release Date: July 18,
More information