Market Research Questionnaire.pdf

U.S. Department of Justice Federal Bureau of Prisons

Field Acquisition Office

U.S. Armed Forces Reserve Complex Grand Prairie, Texas 75051

REQUEST FOR INFORMATION (RFI)

GENDER REASSIGNMENT SURGERY SERVICES

The Federal Bureau of Prisons (FBOP) is conducting market research pursuant to Federal Acquisition Regulation (FAR), Part 10 for an upcoming requirement for Gender Reassignment Surgery (GRS). This RFI is not a pre-solicitation nor a solicitation announcement. The FBOP is requesting information for GRS services. The locality for services will be in the Dallas/Fort Worth, Texas area. The GRS services are anticipated to include the following:

• Inpatient/Outpatient hospital and physician services o male-to-female (top and bottom) o female-to-male (top and bottom)

The purpose of this questionnaire is to gather information for the upcoming requirement of GRS services.

This RFI is a means of identifying interested firms who may be capable of providing GRS services to include male-to-female (top and bottom), and female-to-male (top and bottom). The result of this notice will assist in the determination of the appropriate procurement methods.

However, a determination by the Government not to compete this anticipated procurement action based on the responses to this notice is solely at the discretion of the Government.

The FBOP is requesting capability information as market research to solicit the anticipated requirement. Interested firms shall include all pertinent information detailing their ability to comply with the GRS requirement.

Firms interested and capable of performing the services outlined above are encouraged to provide a response to the questionnaire. Up to three additional pages may be submitted identifying your capability in providing the GRS services.

Please answer the following questions:

1. Can your firm provide Gender Reassignment Surgery (male-to-female/female-to-male) to include top and bottom surgery, inpatient/outpatient hospital and physician services as specified above? Yes or No? _________

If No to question #1 – What services can your firm provide pertaining to GRS Surgery (male to female/female-to-male)?

2. Please mark the services your firm can provide and indicate if you would provide services as a prime contractor or provide services using a subcontractor. Also, please indicate which services are reimbursable using a Medicare-based pricing structure:

Service Required Provide as Prime

Provide as Subcontractor

Medicare- Based Pricing

Community-Based Inpatient and Outpatient Facility Services

Yes or No Yes or No Yes or No

Community-Based Inpatient and Outpatient Physician Services

Yes or No Yes or No Yes or No

3. What CPT codes will be used for the GRS (Male-to-Female) surgeries, please list all:

4. What DRG Codes will be used for the GRS (Male-to-Female) surgeries, please list all:

5. List of all physician specialties needed for the GRS (Male-to-Female) surgeries:

6. What CPT codes will be used for the GRS (Female-to-Male) surgeries, please list all:

7. What DRG Codes will be used for the GRS (Female-to-Male) surgeries, please list all:

8. What are the recommendations/feasibility of doing both tops and bottoms simultaneously? Is there a community standard for separate or simultaneous procedures?

9. List of all physician specialties needed for the GRS (Female-to-Male) surgeries:

10. List all codes from above and/or additional procedures that do not adhere to inpatient/outpatient facility or inpatient/outpatient physician Medicare reimbursement pricing methodology. Please discuss.

11. For procedures that do not adhere to Medicare reimbursement pricing, please provide the method in which your company would quote pricing.

12. What procedures are performed at an outpatient facility?

13. What procedures are performed at an inpatient facility?

14. What is your business size, small or large? ________________ The North American Industrial Classification System (NAICS) code is based on

NAICS 622110, $47M.

15. If you are a small business, what level of subcontracting, if any, would be available for the service(s) your firm is interested in providing? _______%

16. Is your firm eligible for participation in one of the following small business programs? If so, please indicate the programs.

__________ “8(a)” Program __________ Women-Owned Small Business concern __________ Economically Disadvantaged Women-Owned Small Business concern __________ HUBZone Small Business concern __________ Veteran-Owned Small Business concern __________ Service-Disabled Veteran-Owned Small Business concern

17. What is the "community standard" level of medical liability insurance applicable to:

hospital services? ___________ physician services? ___________

NOTE: INCLUDE RESOURCES/REFERENCE FOR THE DETERMINATION OF

MEDICAL LIABILITY INSURANCE COMMUNITY STANDARD FOR

HOSPITALS and PHYSICIANS.

18. How many calendar days does your firm need to prepare a proposal resulting from this solicitation?

__________30 days __________45 days __________60 days

19. If awarded a contract, how many calendar days after the award could you begin providing services? __________days

20. Please furnish the following information in reference to your firm:

Name:

Address:

Point of Contact:

Telephone Number:

E-mail Address:

Unique Entity ID:

List Hospital Privileges:

List of any question you may have:

The Field Acquisition Office is appreciative of the time you have taken to complete this questionnaire. Please return via e-mail to bkeim@bop.gov and/or bop-adm-fao-cms-s@bop.gov no later than 2:00PM CST, Friday, June 7, 2024. If there are any questions, please email myself or Drew Corley, Contracting Officer, Field Acquisition Office, at ecorley@bop.gov.

Respectfully, Ben Keim, Contracting Officer Federal Bureau of Prisons Field Acquisition Office mailto:bkeim@bop.gov mailto:bop-adm-fao-cms-s@bop.gov mailto:ecorley@bop.gov