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Section Question AnswerSection 1.A., Page 3

LIFENET: Please clarify the deadline for when you will no longer accept written questions from potential bidders and what is your internal deadline for providing the responses to those questions.

Thursday March 20, 2014 is the deadline. CCAD allowed proposers to submit additional written questions and requests for clarifications up until a deadline of 5:00PM CDT on that date.

Section 1, F, page 4

TCAD: Does CCAD currently have an ambulance service license issued by the Missouri Bureau of EMS?

Yes, and the Contractor will be expected to operate under the CCAD license.

Section I.G., page 5

LIFENET: Will contact with personnel from the multiple fire districts and communication center violate the “Official Contact Only” rule?

No.

Section II, 1, page 9

TCAD: Does the district currently have EMS mutual aid agreements with agencies and/or counties in or around its service area boundaries? If so, can the district provide us a list of those agreements?

CCAD currently has an agreement with Taney County Ambulance District and agreements with Nixa and Highlandville Fire. All other mutual aid is currently provided informally or through agreements made by the Contractor. An additional contract exists with Spokane. Copies of these agreements are provided as attachments to this document.

Section II Chart, page 10

LIFENET: The chart on page 11 shows “Total Call Volume” by year. Please clarify what is meant by “Calls”? Are these responses or transports? Additionally, are these numbers a result of the 9-1-1 system only or do they account for any discretionary (non-9-1-1 calls) call volume?

The chart represents “Calls.” Information regarding the number of patient encounters for three years and calls, transports and “patient refused care” (PRC) is provided on pages 2, 4 & 7 of Attachment One to this document.

Section II, page 10

AMR: Please confirm if the call volume you show is transports or total calls? And are these just the 9-1-1 system? If so, can you provide the volume for interfacility service?

Please see previous answer. While not currently available, the interfacility transport volume is relatively low.

Section II,E., page 13

AMR: Can you provide any records on big ticket items/repairs in the past year?

A copy of fleet maintenance records, provided by the current Contractor, is available for inspection at the CCAD headquarters.

Section II, E, page 13

TCAD: Is the district or the contractor responsible for parts and/or major components necessary for vehicle

The Contractor will be responsible for fleet maintenance, including parts and major components. The District will

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RFP #: CCAD14-CCAD01Answers to RFP Questions

Section Question Answerrepairs? Will the district accept responsibility for all repairs necessary to bring any deficient vehicle up to an agreed upon contractors standard for preventative maintenance and safety standards of operation?

facilitate an inspection of the fleet by the new contractor and cooperate in correcting any significant issues. This may be accomplished by one or more of the following methods: 1) requiring the current contractor to effect repairs, 2) at District expense, 3) through adjustment of financial terms of the contract and/or adjustment of the fleet replacement plan.

Section II.E. page 14

LIFENET: Under the “Responsibilities for Ambulance Operations” section the last bullet reads, “Based upon the successful Proposer’s offer, the Proposer may be permitted to provide interfacility ambulance services, wheelchair and other medical transportation services. Please clarify under what circumstances would the Proposer “may be” or “may not be” permitted to provide these services.

The Contractor will be required to provide emergency and non-emergency ground ambulance services within the district. The Contractor may also be permitted to use EMS system infrastructure (stations, dispatch, etc.) to engage in medical and medical transportation services, including wheelchair and other transportation and “Community Paramedic” Integrated Healthcare Services, which may complement the mission of the District. The onus is on the Contractor to demonstrate that any proposed new services provide a benefit to the District and do not unnecessarily increase the cost of providing the core ambulance services.

Section III.D., page 15

TCAD: Who will be responsible for designing and paying for the new graphics on district owned vehicles? Will there be a timeline established for changing the look of district vehicles and will this timeline include input by the contractor?

Proposers may include a proposed design, plan for rebranding and timeline to accomplish this goal in their submissions under the Section IX.A of the Mandatory Table of Contents.


COX: Will the District allow the identification of the successful proposer on the vehicles and uniforms provided that prior District approval is first received for style and content?

The District will consider proposed identification of the Contractor on vehicles and uniforms, provided that the primary identification of vehicles, facilities and uniforms indicates association with CCAD.


AMR: Can ambulance units be co-branded, identifying both CCAD and the Contractor’s name/logo?

See previous answer.

Section IV.B., page 17

LIFENET: Referring to the last sentence under “Scope of Service” does “outside obligations” include running some non 9-1-1 transports within this

“Outside Obligations” includes any services (other than normal mutual aid) rendered outside of the District or services other than ground ambulance services within the District.

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Section Question Answersystem. For example, can a bid include operational components and pricing that includes revenue from operating discretionary call volume while the contractor in this system or should the proposals reflect the 9-1-1 business only?

Revenue from all ambulance services rendered using District resources (vehicles, radios, computers, dispatch, personnel, etc) should be included in the proposed services and price.

Section IV.C., page 17

TCAD: In an effort to ensure great response times we would normally conduct a Demand Analysis. Will we be provided with all the data to conduct the Demand Analysis? The critical pieces of information we request for each call is the time of day it was received, the day of week, and the priority. We would also include in this request the task time (call received to available).

Information including calls and transports by hour of the day and day of the week, for a one-year period, is provided on page 7 of Attachment One to this document.

Section IV, C1, B, page 17

COX: The District identifies 4 response zones within its jurisdiction those being identified on a map in appendix 7. Will the District provide specific details for the boundaries of each zone using lat and long coordinates or in some other detailed way?

The response time zones are based on population density within census tracts. The consultant’s GIS expert is preparing information to precisely identify these zones, which will be sent to proposers shortly. Additionally, as discussed at the pre-proposal conference, if responses are complicated by access to certain areas of these zones requiring routing through zones with longer response time requirements, exceptions will be considered on a case-by-case basis for exemption.

Section IV.C.1.B., page 18

TCAD: If a station is unmanned (as a planned occurrence) does that area now become “remote”? For example, if the Spokane station is scheduled to have a unit from 0700-1900, but outside of that there is no planned coverage due to low call volume.

The District will consider proposals that include part time staffing of stations. Proposers should clearly articulate the rationale for changing response times in an area as well as the financial implications of such a plan.

Section IV.C., page 19

LIFENET: Are there current response time performance criteria in place? And if so would you provide month-by-month compliance reports for the last 12 full months?

The current contract does not contain any meaningful response time requirements. The Contractor currently reports a District-wide average response time.

Section TCAD: Because of the nature of the EMS business and The District is an Ambulance District and is contracting

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Section Question AnswerIV.C.2.A., page 19

placement of ambulance stations, is it possible to consider stopping the response time clock when an ALS Fly Car arrives on scene? For example, during periods of high demand or when ambulances are transporting out of the county, it is possible an ALS Fly Car will arrive at the scene of an emergency and begin medical care before an ambulance arrives.

primarily for ambulance services. “Stopping the Clock” with something other than an ALS, transport capable ambulance removes transparency in ambulance response time performance. As an alternative, since an “ALS Fly Car,” ALS supervisor or ALS First Responder would be able to provide immediate BLS and ALS interventions, the District would consider proposals that would “change” rather than “stop” the clock. For instance and hypothetically, the District might be willing to consider a proposal that provided that in an urban area, if an alternative responder were to arrive at a priority 1 call within the urban response time standard, the ambulance would not be considered late so long as it arrived within the response time standard of the next priority (priority 2). Proposers may offer such proposals for consideration.

Section II.B.VI., page 21

TCAD: We would like to know if the District will be open to negotiation on the relaxing of response times for certain calls or certain unusual events. As an example, should we receive a call from PD on an assault where the scene is unsecure we would typically respond non-emergency to the staging area and wait for clearance to enter the scene. The call could be coded as a priority one, but our actual response will be priority 2 (for crew safety).

Proposers may provide proposed protocols for these types of unusual events.

Section IV.H., page 25

AMR: Who is responsible for station utilities? If it is the Contractor, can you provide the average monthly bills per station?

The Contractor is responsible for all station utilities. Information provided by the current Contractor regarding costs is provided on pages 8 through 10 of Attachment One.

Section IV.M., page 28

AMR: Regarding radio channels, will Contractor be able to utilize the current radio system?

Some of the current radio channels or talk groups are licensed to the current Contractor. CCAD has reason to believe that the Christian County 911 District may be able to make talk groups available to the Contractor. Please contact the 911 Director directly for information about availability and cost, if any of

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Section Question Answerradio and dispatch resources.

Section M. 5., page 28

AMR: Can you provide the current patient refusal rate? Please see pages 4 & 7 of Attachment One to this document.

Section IV.N2, J., page 30

COX: Will the District define “Problem Hour Assessment?”

Problem Hour Assessment is a System Status Management term first defined by Jack Stout. It essentially describes a process of identifying specific hours of the week during which response time performance is difficult or substandard. It then serves as a tool to identify opportunities for improvement through various methods, including changes in unit hour staffing.

Section IV.N1, G., page 30

COX: Will the District provide examples of the “continuous printed logs of deployment”?

The ability to generate a log of unit status and location to serve as a reference in the event of CAD failure. Proposers may offer alternative methods of achieving this safeguard through other methods of redundancy.

Section IV.J., page 26

LIFENET: Please provide the minimum equipment lists cited in “Supplies for Basic and Advanced life Support Services”

Currently, the equipment list are generated by the Contractor to meet the needs of its supply-resupply methods and protocols. Proposer should provide a proposed minimum equipment and supply list as part of their proposals.

Section IV.T., page 35

AMR: Can you provide the addresses and latitude/longitude data for all posting locations, indicating which ones are fixed facilities versus flexible posting sites?

Ozark South - 1750 S 15th Avenue Ozark, Mo 65721

Nixa - 301 North Main Street Nixa, Mo 65714

Sparta - 341 North Avenue Sparta, Mo 65753

Spokane - 11542 State Hwy 160 Spokane, Mo 65754

Ozark North Property for future development - 2 side by side lots located at the northeast corner of 25th street & Walk-On drive Ozark, Mo 65721

Section V, A, page 36

COX: Will the members of the medical advisory board be identified? If so, please state their name, employer,

No Medical Advisory Board (MAB) has yet been established. The District Board of Directors has the option to form a MAB

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Section Question Answeroccupation, and whether the member or any person related to him/her within the 4th degree may gain a special monetary benefit from any bidder. Please also disclose any relationship to any bidder whether or not the Member believes that relationship to be a conflict or potential conflict

in the future if the Board feels that it needs clinical or medical advice regarding future issues. In the event that a MAB is formed, issues of potential conflicts will be considered at that time.

Section V.A.1., page 36

LIFENET: Are the current medical protocols available to the proposers?

The current Contractor has identified its current protocols as proprietary. Please submit a proposed set of protocols as an attachment to your proposal.

Section V, E, page 38

COX: The bid places special emphasis on “treating incumbent employees fairly” but then states that “The District emphasizes that the Contractor is responsible for conducting the affairs with its employees, including managing personnel and resources fairly and effectively in a manner that ensures compliance with the contract that will be ultimately executed by the Contractor. The District will not otherwise involve itself in Contractor/management/employee relationships. Does the District truly need access to the information in previous question under this standard? If so, please elaborate on what areas/matrix the District will be evaluating/using when determining fairness?

The scoring committee will consider the commitment and effort proposed to treat incumbent employees well. Additionally, the scoring committee will compare compensation and benefits proposed by each proposer in evaluating the quality of commitment in each proposal.

Proposers are free to propose any level of commitment to incumbent providers and any compensation and benefits program that each, in its own judgment, believes to be legal and competitive. It is the responsibility of each proposer to explain the advantages of its particular approach.

Section V, E, page 38

COX: Much of what the consultants have asked for is confidential and proprietary information, which could subject the entities providing bids to potential regulatory liability. Such information may be able to be provided if the independent consultants agree to sign a statement of confidentiality and an acknowledgement that such materials will not be published, provided to any other bidders, or provided to the CCAD board and/or staff. Also, instead of specifics when it comes to wages, etc

Proposers may identify specific information within their submissions as proprietary and confidential using the procedure identified within the RFP. The District will use reasonable efforts to maintain information, so identified, confidential.

In the event that the proprietary and confidential nature of the submitted information is challenged, it will be up to the proposer claiming the status of the information to defend

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Section Question Answerwill the independent consultants accept an attestation that we are paying above the median wage amount for the area or with an appropriate range set by the consultants so as not to disclose the specifics of wage amounts? Will the independent consultants accept these terms?

against its disclosure.

Specifics regarding wages and benefits must be provided. They need not be provided in regard to individuals, but should include starting wages, step increases or scale and benefits, including any special benefits such as educational or clinical transition training such as college or nursing programs.

Section V.E., page 38

LIFENET: In the interest of providing the best treatment of the incumbent workforce will you provide hourly wages, schedules and benefit summaries of the current workforce?

The District does not have this information. Proposers are encouraged to identify benefits and regional salaries through other resources. A list of seniority by job classification is included on page 2 of Attachment One to this document.

Section V, J, page 40

TCAD: We would like a list of the Seniority and Tenure of current employees.

See previous question.


TCAD: We will require the exact number of budgeted and actual staff i.e. paramedics, EMTs, part time, and full time.

Please see the information referenced above. Note, that each proposer may employ different staffing plans and schedules. Accordingly, each proposer should rely on its own methods and plans to determine staffing requirements.


TCAD: What are the current job titles and pay rate for each employee?

See previous questions.

Section VII.C., page 42

AMR: Regarding the “lease agreement,” does this include vehicles? What is the potential cost to the Contractor?

The vehicles are owned by the District and therefore would not be part of a standby lease related to performance security. Other items, including a CAD and AVL system, equipment provided by the Contractor and any other asset that may be required to assure continuous service may be subject to such a lease. The lease would provide that after an initial period of 60 days, the District, at its option would pay the fired Contractor for use of such equipment at a rate determined using a depreciated value of the assets.

Section VII, H2., page 48

COX: The contractor is required to maintain all applicable licenses required…The State of Missouri

The Contractor will operate, under arrangement through the contract, under the District’s license.

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Section Question AnswerAmbulance license is inclusive of a defined service area. The District is the holder of the license for the defined geographic area of the Christian Co. Ambulance District. Will the contractor be required to apply for and obtain a license for the defined geographic area of the Christian Co. Ambulance District or will the contractor operate under the license held by the District?

Section VII.A.6., page 53-54

AMR: Will historical call data from CAD be provided to the bidders which would allow us to property analyze the call demand, workload, on time performance, and geospatial distribution of the calls? Having this information will greatly improve our ability to provide a quality bid. Desired data would include at least the following elements and cover all call activity over the most recent two year period:

Response Date Response Priority (Emergency, Non-Emergency,

etc) Problem Nature (MPDS code, if possible) Problem Description Initiated by (911 vs. Private caller types) Response Location (Name, Address, City, and

Latitude/Longitude) Response Zones and Districts (that would allow

alignment with the response time zones within the jurisdiction)

Destination Location (Name, Address, City) Time Call Received (Date/Time field) Time Call Dispatched (Date/Time field) Time Enroute (Date/Time field)

The current Contractor claims some of the information requested as confidential. The District has no current contractual claim to obtain this data.

Page 7 of Attachment One to this document does provide a one year listing of calls and transports by hour of the day and day of the week that was provided by the Contractor.

The District currently has no way to verify this data.

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Section Question Answer Time Arrived on Scene (Date/Time field) Time Departed Scene (Date/Time field) Time Arrived at Destination (Date/Time field) Time Call Completed (Date/Time field) Date/Time Scheduled (Date/Time field)

If there was an agreed upon date/time for patient pick-up

Section VII, C, page 57-58

COX: Will the members of the scoring committee be identified? If so, please state their name, employer, occupation, and whether the member or any person related to him/her within the 4th degree may gain a special monetary benefit from any bidder. Please also disclose any relationship to any bidder whether or not the Member believes that relationship to be a conflict or potential conflict.

The members of the scoring committee have not been named at this time. When named, CCAD, with the advice of legal counsel, will determine that no conflict of interest exists under Missouri Revised Statutes.

Section VII, C, page 58

COX: Will the members of the selection committee be identified? If so, please state their name, employer, occupation, and whether the member or any person related to him/her within the 4th degree may gain a special monetary benefit from any bidder. Please also disclose any relationship to any bidder whether or not the Member believes that relationship to be a conflict or potential conflict.

CCAD, with the advice of legal counsel, will determine that no conflict of interest exists under Missouri Revised Statutes for any member of the selection committee.

Section III.B.C. and Appendix 1, page 58-78

LIFENET: The “Mandatory Table of Contents”, the “Scoring Criteria” and the “Expanded Mandatory Table of Contents” have some sub categories that do not match. Please clarify so we can provide the required contents in the format you desire.

Insert the following under Clinical Performance in the Mandatory Table of Contents: H. Utilization of ALS interventions and competence

Insert the following under Clinical Performance in the Expanded Mandatory Table of Contents: H. Utilization of ALS

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Section Question Answerinterventions and competenceMinimum: Proposer shall explain its policies and processes used to determine the appropriate use of ALS procedures and the competence of each of its providers in the required skills and their appropriate use. A description of the use of skill checks, simulation devices, field oversight and other methods of assuring competence should be provided as well as methods for remediation of performance deficits.

Section VIII, D, Item IV., page 59

COX: Subsection H of Item IV lists “Utilization of ALS Interventions and Competence” as scoring criteria worth 120 points however Section H does not follow section Gin either of the two “Mandatory Table of Contents” found in section VII, B, IV – Clinical Performance or in Appendix 1 Section IV – Clinical Performance after Item G. Electronic patient record. Was this section intentionally left out of the mandatory table of contents sections? If not and it was an oversight, how would the District want the clinical interventions and competence

See previous answer.

Appendix I., Section 3,A page 63

AMR: What is the current compliance on the 10 min clock (or whatever compliance standard is in place today?

There is no current response time requirement. Current performance against the 10 minute standard is not reported and unknown to the District.

Section III.A., page 65

LIFENET: Under “Analogous Experience”, we believe there is a possibility that the word “or” has been omitted between numbers 1 and 2. The addition of that word would then mean that those proposers who can “demonstrate” their experience as outlined in subsection 1 would only have to comply with the documentation required in that subsection, while others who cannot demonstrate the requirements in subsection 1 must provide the documentation asked

That is correct. This was an editing error. The table at the end of this section is part of item 1. The paragraph following the table should be preceded by the word “Or” and be placed immediately before item 2.

Provide either the documentation requested in Item 1, or provide the information required in items 2 through 5. If answering item 1, a proposer is welcome, but not required to elaborate on methods used to achieve the performance.

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Section Question Answerfor in subsections 2 through 5. Please clarify.

All proposers must provide the information requested in sections B & C listed under Analogous Experience.

Appendix 1, Section IV, B., page 67

COX: Will the District provide a definition of Non-mandatory Clinical upgrades?

Non-mandatory clinical upgrades include new equipment and training in its use for changes in clinical practices in EMS. An example may be that the system chooses to implement a new technology or type of therapy such as hypothermia in ROSC, or automated CPR devices. In such cases, the cumulative financial reserve must be exhausted prior to requesting an increase in rates and/or subsidy to support the new upgrade(s).

Section IX.A., page 71

TCAD: The RFP states the contractor will be responsible for vehicle maintenance, so we would like more information about current district vehicle maintenance. Does the district currently have any maintenance contracts with service stations or repair centers? Do any of the district owned vehicles have current manufacture or extended warranties covering repairs by authorized service centers? Can the district provide us with the current vehicle maintenance schedule and records associated with repairs or PM’s done since placed in service?

A copy of fleet vehicle maintenance records is available for inspection at the Ozark Headquarters of CCAD. Because of the volume of material, it would be difficult to distribute copies on paper or electronically.

Appendix 1, Section IX, C,. page 72

TCAD: Is the district or the contractor responsible for the costs associated with durable medical equipment maintenance, including PM’s and biomedical inspections, and/or replacement?

The Contractor is responsible for DME maintenance including PM’s and biomedical inspections. Regular replacement and/or expansion or District provided inventory is the responsibility of the District. Losses due to misuse, accidents or negligence will be the responsibility of the Contractor, at least up to the depreciated value of the equipment.

Section IX.B., page 72

AMR: Who provides maintenance to the ambulance units in place today?

The Contractor provides maintenance for all vehicles.

Appendix 1, Section XIV,

TCAD: In order to make the most accurate assessment of charges could CCAD supply us with the payor mix

A payor mix for CY 2012 is provided on page 1 of Attachment One to this document.

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Section Question AnswerB, page 74-75 (%) of the current provider?Appendix 1, Section XIV, B, page 74-75

TCAD: Can you provide the total miles billed annually as well as the average transport mileage?

Sufficient information to calculate this information is provided on page 1 of Attachment One to this document.

Appendix 1, Section XIV, B, page 74-75

TCAD: Can you supply the specific collection rates for Medicare, Medicaid, Private insurance, and private pay?

This information is not available to the District. Information regarding the number and amount of accounts that are Medicare and Medicaid is provided in Attachment One, page 1. This should allow calculation of a large portion of revenue collections. Proposers are to use their own expertise and experience in fashioning their responses.


TCAD: Can we get the current provider’s ALS/BLS mix billed for the last 3 years? Example: Non-transport ALS BLSBLS Emergency ALSALS Emergency ALS 2SCT

This information is not available to the District.


TCAD: Can the district define the term “total call volume” so we are able to determine if the number presented is number of incidents or number of vehicle responses.

Attachment One, pages 2, 4 & 7 provide the information that is available to the District.


TCAD: Can the district provide us with an accurate number of patient transports for calendar year’s 2011, 2012, and 2013? Additionally, we would like to know the total number of requests for service during the same three years.

Attachment One, pages 2, 4 & 7 provide the information that is available to the District.

Appendix 2, page 77

AMR: Could CCAD provide your current payor mix? A payor mix for CY 2012 is provided on page 1 of Attachment One to this document.

Appendix 5., page 90

TCAD: Because there will be a five month lag in contract take over, will the district allow the current contractor to defer maintenance on vehicles or equipment? If not, what actions will be executed to ensure this does not happen?

The District does not intend to allow deferral of maintenance or other lame duck behavior that would be detrimental to the health and safety of the public and the financial strength of the District and it’s current or prospective Contractor. The current contract requires that all vehicles and equipment be returned to the District in good condition, normal wear and tear accepted. Should it become evident that deferred maintenance

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Section Question Answerviolates this provision, the District will pursue remedies available to it. In any event, a new contractor would not be unreasonably responsible for any damage caused by the previous Contractor.

Appendix 5., TCAD: As listed in ‘Appendix 5, EMS Vehicles’ listing, we would like to have the current mileages of all vehicles listed in order to assess and plan maintenance schedules.

Recent mileage, as recorded by the Contractor, is provided on page 6 of Attachment One to this Document.

Section IX.A., page

COX: What is the “District’s Billing Platform” referring to in which the EPCR must be integrated?

The District does not have a billing platform. This was an editing error. The proposed ePCR should be integrated with the Contractor’s billing platform.

TCAD: In the section titled “Ownership of Assets”, the RFP states that CCAD owns “all medical equipment used for daily operations including Lifepak 15 monitoring equipment.” Will the District provide a detailed list of medical equipment owned by the District, including manufacturer name, model (if applicable), and quantity? Also in regards to medical equipment owned by the District, does the District have a maintenance and replacement plan for the equipment?.

The major items of equipment, in addition to radios are listed on pages 11 & 12 of Attachment One.

Not Referenced

TCAD: Are there any existing contracts that CCAD has with other services or agencies that will affect contractor operations or expenses? If so, can the district provide a copy of those contracts for evaluation prior to bid submittal?

Agreements with Taney County Ambulance District, Nixa Fire, Highlandville Fire and Spokane are provided as attachments to this document.

Not Referenced

TCAD: Section 1, F, page 4 Does CCAD currently have an ambulance service license issued by the Missouri Bureau of EMS?

Yes

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Section Question AnswerNot Referenced

TCAD: Does CCAD currently hold registrations through the Bureau of Narcotics and Dangerous Drugs (BNDD) or Drug Enforcement Agency (DEA)?

Yes

Not Referenced

COX: Can we mark pages of Bid which are “Trade Secrets” and then provide a duplicate copy in an envelope included with the bid so as not to interrupt the flow of materials?

Section VIII A 7 provides the acceptable means by which trade secrets should be handled in the proposal. Only those sections that are considered “trade secrets” by the proposer should be placed in a separate sealed envelope.

Not Referenced

Does the District own any radio frequencies? No

Not Referenced

TCAD: Do the radios in the vehicles belong to the District or the Contractor? Does the District own any hand-held radios, pagers, cell phones, MDT’s, modems and routers for stations and/or vehicles?

The District owns two mobile radios in each ambulance as well as portable radios. The District owns 11 Toughbooks that are listed in Attachment One. Modems and routers at the stations and on the vehicles currently belong to the Contractor.

Article VII, Secton 2

COX: Please elaborate on the standard set forth in Article VII, Section 2 – “Lowest and Best.”

The District is not obligated to take the “lowest price” bid. Rather, the District, under their By-laws, may evaluate all aspects of the bid to determine the best option for the District.

Not Referenced

TCAD: Are there any base repeaters owned by CCAD? The District owns 4 base station radios located at the ambulance stations. The District does not own any repeaters. The County 911 District operates a VHF trunked radio system.

Not Referenced

LIFENET: The pricing sheet identifies charges as bundled base rates in the format that CMS uses for reimbursement (i.e.: BLS-NE, BLS-E, ALS-1, ALS-2, SCT, etc.). Will the District allow billing using a “laundry list” of unbundled charges so long as the total of the bill does not exceed the bundled rate?

The District prefers that all patients and payors will be billed in the same manner using bundled charges. However, it is possible that certain government and private payors may require or provide better reimbursement with unbundled billing. Should a proposer or Contractor desire to use unbundled billing in certain circumstances, it should bring a proposal to the Board detailing the reasons and advantages of the proposal.

Not TCAD: Does the District intend to confer market The Contract is intended to provide an exclusive franchise for of 15


Section Question AnswerReferenced rights for non-emergency and interfacility transports

as well as 911 calls?all ground ambulance services with certain exceptions as outlined in the District’s ordinance.

Not Referenced

TCAD: Through what organization is the Federal Reimbursement Allocation (FRA) currently contracted?

Currently, the FRA for Christian County is arranged through a contract between the current Contractor and MoEMSAC.

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