Amendment 0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE

6. ISSUED BY CODE 15BFA0

Federal Bureau of Prisons

Field Acquisition Office Evan Corley

U.S. Armed Forces Reserve Complex (0) 202-913-1602

346 Marine Forces Drive ecorley@bop.gov

Grand Prairie, TX 75051

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code)

CODE I FACILITY CODE

15BFA023R00000022/0001 Page 1 of 8

1. CONTRACT ID CODE

I PAGE OF PAGES

1 I 8

4. REQUISITION/PURCHASE REQUISITION NUMBER

5. PROJECT NUMBER (lfspp/kBb/BJ

15Bl 1423PR000127

7. ADMINISTERED BY (If other than Item 6) CODE I 15B301 Federal Bureau of Prisons

USP Atlanta

601 McDONOUGH BL VD., SE

Atlanta, GA 30315

(X)

9A. AMENDMENT OF SOLICITATION NUMBER

X

15BF A023R00000022

9B. DATED (SEE ITEM 11)

08/14/2024

10A. MODIFICATION OF CONTRACT/ORDER

NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

� The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers D is extended, (x] is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing items 8 and 15, and returning __ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

-------1 ORDER NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor □ is not, □ is required to sign this document and return ___ copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED

(Signature of person authorized to sign)

Previous edition unusable

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Evan Corley

Contract Specialist

16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

By (Signature of Contracting Officer) 08/20/2024

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FCI Atlanta's Comprehensive Medical Services solicitation 15BFA023R00000022 is amended as follows: Solicitation Attachment 1: Contract

Pricing & Subcontract Certification changes 2c5., Schedule ofltems, Optometrist to reflect an eight (8) hour session. Attachment 5:

Computation of Basic MS-DRG Payment changed to reflect Wage Index to .9831.

All other Terms and Conditions remain unchanged.

Due Date for Submission of Proposals remain 10/14/2024 at 14:00 CT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

8/20/2024

Solicitation Attachment 1: Contract Pricing & Subcontract Certification FCI Atlanta - Comprehensive Medical Services

15BFA023R00000022

Overview

Services are required to be provided in accordance with the Performance Work Statement included in this solicitation/contract. Offerors are required to submit, as a part of their business proposal, a completed copy of the Schedule of Items and Subcontract Certification.

Pricing Methodology

Except for services based on session rate, price proposals will be calculated from benchmarks utilizing Medicare reimbursement methodologies. For each category of service to be provided, Offerors will be allowed to propose a variance from the benchmark Medicare rate in the form of a discount from or a premium to Medicare rates established by the Centers for Medicare and Medicaid Services. The rates established in the resulting contract shall not be construed as participation in the Medicare program; contract rates will merely be equated to Medicare rates of reimbursement without reductions for deductibles, copayments, or coinsurance. When appropriate, outlier payments calculated in accordance with Medicare reimbursement methodologies shall be made in recognition of extremely costly stays. The outlier payment shall be calculated based upon the defined benchmark and will consist of the operating portion only. This structuring of the pricing methodology is not intended to be restrictive of any offeror;

offerors need only to propose that percentage discount from or premium to the Medicare benchmark rate which will reflect the desired level of payment for the category of services rendered. If during contract performance, it is determined that a necessary contract deliverable is not covered by Medicare reimbursement methodologies, a separate rate shall be negotiated for such deliverable(s).

Medicare Part A. The Medicare benchmark to be utilized for all services covered by Medicare Part A shall be the most current Basic MS-DRG Payment (i.e., Operating Federal Rate) established for Core Based Statistical Area (CBSA) 12060 – Atlanta-Sandy Springs-Alpharetta, GA. The Basic MS-DRG calculation shall not include any provider-specific adjustments allowed under actual Medicare participation. Offerors may propose a discount from or a premium to Basic MS-DRG rates. (Refer to Attachment 5 of this solicitation)

Medicare Part B Physician Services and Non-physician Services. The Medicare benchmark to be utilized for all physician and non-physician services covered by Medicare Part B shall be those rates established in the most current Medicare Part B Fee Schedule for Payment Locality 01, Georgia, Atlanta, Counties Butts, Cherokee, Clayton, Cobb, Dekalb, Douglas, Fayette, Forsyth, Fulton, Gwinett, Henry, Newton, Paulding, Rockdale, and Walton. The benchmark charges shall be those established for participating providers. Offerors may propose a discount from or a premium to the benchmark charges.

Medicare Part B Facility Services (including hospital outpatient services and ambulatory surgical centers). The Medicare benchmark to be utilized for all facility services covered by Medicare Part B shall be the most current APC and ASC rates calculated for CBSA – 12060 – Atlanta-Sandy Springs-Alpharetta, GA. Offerors may propose a discount from or a premium to the benchmark charges.

15BFA023R00000022

Estimated Quantities

Estimated quantities for the base year and all option years are detailed below. The estimated quantities provided are not a representation to the offeror/contractor that the estimated quantities will be required or ordered or that conditions affecting requirements will be stable or normal.

Inpatient and Outpatient Facility and Physician Services

FCI Atlanta

Base Year – Effective Date of Award (EDOA) through twelve (12) months from EDOA.

Inpatient Days: 983 days (estimated) Outpatient Visits: 1155 visits (estimated)

Option Year 1 Inpatient Days: 983 days (estimated) Outpatient Visits: 1155 visits (estimated)

Option Year 2 Inpatient Days: 983 days (estimated) Outpatient Visits: 1155 visits (estimated)

Option Year 3 Inpatient Days: 983 days (estimated) Outpatient Visits: 1155 visits (estimated)

Option Year 4 Inpatient Days: 983 days (estimated) Outpatient Visits: 1155 visits (estimated)

Optional 6-month extension Inpatient Days: 492 days (estimated) Outpatient Visits: 578 visits (estimated)

Outpatient Institution Services

Estimated quantities shall remain constant for the base year and all option years. For Medicare-based services, duration of visits is listed for informational purposes only, as contracted rates will be based upon the Medicare allowable per procedure performed. Session based services shall be paid based upon the provision of defined sessions.

Note: Session-priced items which exceed the established session or are less than a full session shall be pro-rated to the nearest quarter hour.

15BFA023R00000022

Other Physicians:

Orthopedic Surgeon: Visit duration: 6 hours Visit quantity: 12 per contract year

Dermatologist: Visit duration: 6 hours Visit quantity: 4 per contract year

Urologist: Visit duration: 6 hours Visit quantity: 4 per contract year

General Surgeon: Visit duration: 6 hours Visit quantity: 4 per contract year

Podiatrist: Visit duration: 6 hours Visit quantity: 4 per contract year

Cardiologist: Visit duration: 6 hours Visit quantity: 4 per contract year

Gastroenterologist: Visit duration: 6 hours Visit quantity: 4 per contract

Endocrinologist: Visit duration: 6 hours Visit quantity: 4 per contract year

Session Based Services:

Mobile CT: Session duration 6 hrs. (approximately) Session quantity 12 per contract year (estimated)

Mobile MRI: Session duration 6 hrs. (approximately) Session quantity 12 per contract year (estimated)

Mobile Ultrasound: Session duration 6 hrs. (approximately) Session quantity 12 per contract year (estimated)

Optometrist: Session duration 8 hrs. (approximately) Session quantity 52 per contract year (estimated)

Offerors shall complete the following Schedule of Items. All proposed pricing will be evaluated in accordance with Federal Acquisition Regulation (FAR) 52.212-2, Evaluation - Commercial Products and Commercial Services, and Attachment 4: Submission and Evaluation of Proposals, of this solicitation.

15BFA023R00000022

Base Year

Effective Date of Award (EDOA) through twelve (12) months from EDOA.

1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Outpatient Institution Services:

2c1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2c2. Mobile MRI:

2c3. Mobile CT:

2c4. Mobile Ultrasound:

2c5. Optometrist :

$_____________ per six (6) hour session $_____________ per six (6) hour session $_____________ per six (6) hour session $_____________ per eight (8) hour session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE,

INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0".

Option Year 1

1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Outpatient Institution Services:

2c1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2c2. Mobile MRI: $_____________ per six (6) hour session 2c3. Mobile CT: $_____________ per six (6) hour session 2c4. Mobile Ultrasound: $_____________ per six (6) hour session 2c5. Optometrist : $_____________ per eight (8) hour session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE,

INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0".

Option Year 2

1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Outpatient Institution Services:

2c1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2c2. Mobile MRI: $_____________ per six (6) hour session 2c3. Mobile CT: $_____________ per six (6) hour session 2c4. Mobile Ultrasound: $_____________ per six (6) hour session 2c5. Optometrist : $_____________ per eight (8) hour session bop32350 Highlight bop32350 Highlight bop32350 Highlight

15BFA023R00000022

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE,

INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0".

Option Year 3

1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Outpatient Institution Services:

2c1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2c2. Mobile MRI: $_____________ per six (6) hour session 2c3. Mobile CT: $_____________ per six (6) hour session 2c4. Mobile Ultrasound: $_____________ per six (6) hour session 2c5. Optometrist : $_____________ per eight (8) hour session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE,

INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0".

Option Year 4

1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Outpatient Institution Services:

2c1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2c2. Mobile MRI: $_____________ per six (6) hour session 2c3. Mobile CT: $_____________ per six (6) hour session 2c4. Mobile Ultrasound: $_____________ per six (6) hour session 2c5. Optometrist : $_____________ per eight (8) hour session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE,

INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0"

Option to Extend Services as Authorized by FAR 52.217-8

1a. Inpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part A 1b. Outpatient Facility Services: - __ Discount or + ___ Premium to Medicare Part B 2a. Inpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2b. Outpatient Physician Services: - __ Discount or + ___ Premium to Medicare Part B 2c. Outpatient Institution Services:

2c1. Other Physicians: - __ Discount or + ___ Premium to Medicare Part B 2c2. Mobile MRI: $_____________ per six (6) hour session bop32350 Highlight

15BFA023R00000022

2c3. Mobile CT: $_____________ per six (6) hour session 2c4. Mobile Ultrasound: $_____________ per six (6) hour session 2c5. Optometrist : $_____________ per eight (8) hour session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE,

INSERT APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0".

All offerors are hereby advised the successful offeror’s unit pricing (to include discount percentage from or premium percentage to the benchmark Medicare rate) for the base year and all option years is public information in accordance with FAR 15.503(b)(1)(iv). Accordingly, all successful unit pricing will be released to unsuccessful offerors with the notification of award as well as to the public when requested. Any party who objects to the release of their own unit pricing information, should they be awarded a contract in response to this solicitation, should not submit a proposal in response to the solicitation.

Subcontract Certification

This contract { } does or { } does not, provide for subcontracting possibilities.

If answer is in the affirmative, offeror { }will, submit a subcontracting plan in accordance with the requirements of FAR 52.219-9.

Offerors are strongly encouraged to consult the following link to obtain assistance with subcontracting opportunities: https://www.sba.gov/federal-contracting/counseling-help/commercial-market-representatives

Solicitation Attachment 5: Computation of Basic MS-DRG Payment

15BFA023R00000022

Attachment 5 Computation of Basic MS-DRG Payments (i.e., Operating Federal Rate)

CBSA Code 12060 - Atlanta-Sandy Springs-Alpharetta, GA

Calculation of the Operating Federal Rate:

Step 1: Select the applicable average standardized amount for the full update

Step 2: Multiply the labor-related portion of the standardized amount by the applicable wage index for the geographic area

Step 3: For hospitals in Alaska and Hawaii, multiply the nonlabor-related portion of the standardized amount by the applicable cost-of-living adjustment factor

Step 4: Add the amount from Step 2 and the nonlabor-related portion of the standardized amount (adjusted, if applicable, under Step 3)

Step 5: Multiply the final amount from Step 4 by the relative weight corresponding to the applicable MS-DRG

Index Figures: Obtained from the Centers for Medicare and Medicaid Services for discharges on/after October 1, 2023

Step 1 Enter CBSA Code in Cell B24 12060

Table 4A, Wage Index for Rural Areas by CBSA Table: 0.9831

Area Name: Atlanta-Sandy Springs-Alpharetta, GA

Table 1A or 1B (Full Update) National Adjusted Operating Standardized Amount:

Labor-related: $4,028.62 Non-labor-related: $2,469.15

Table 5, MS-DRG Relative Weight (MS-DRG 76, Viral Meningitis w/o CC/MCC): 0.9225

Step 2 Labor-related x Wage Index 3,960.54$

Step 3 Only applicable for HI & AK

Step 4 Total of Step 2 + Non-labor related 6,429.69$

Step 5 Total of Step 4 x MS-DRG Relative Weight 5,931.39$

Payment for MS-DRG 076 under the contract would be 5,931.39$ plus or minus any premium or discount established as the contract rate.

Updated: 09/26/2023