Sources Sought Questionnaire - USP Lee 11.12.24.pdf

U.S. Department of Justice

Federal Bureau of Prisons Field Acquisition Office

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

October 28, 2024

Sources Sought Questionnaire Comprehensive Medical Services United States Penitentiary (USP) Lee Sources Sought Notice 15BFAO25N00000002

The Federal Bureau of Prisons is conducting market research pursuant to Federal Acquisition Regulation Part 10. A single solicitation is anticipated to be issued for comprehensive hospital and physician services for adults in custody (AICs) at the United States Penitentiary located in Pennington Gap, WV (hereinafter referred to as the “institution”). Comprehensive medical services include Inpatient Facility Services, Outpatient Facility Services, Inpatient Physician Services, Outpatient Physician Services, and Outpatient Institution (On-Site Physician) Services.

The institution currently houses male AICs. Additional information about the inmate population at the institution can be found at www.bop.gov.

This Sources Sought Questionnaire is for information purposes only. The described services may or may not be included in the subsequent solicitation.

Presently, this institution is anticipating estimated quantities for the base and four-one year option periods as follows:

Inpatient and Outpatient Hospital and Physician Services:

Inpatient: 100 Inpatient Days per year (approximately) Outpatient: 535 Outpatient Visits per year (approximately)

Estimated quantities for other institution services are:

Visit Duration

(approximate) Visit Quantity per

Contract Year (approximate)

Optometrist 8 104

Pricing Methodology – will be as follows: Example: Price proposals shall 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 or copayments.

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.

Medicare Part A. The Medicare benchmark to be utilized for all services covered by Medicare Part A shall be the most current Basic Medicare Severity Diagnosis Related Group (MS-DRG) payment (i.e., Operating Federal Rate) established for Core-Based Statistical Area (CBSA) 49- Rural Area, VA. 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.

Medicare Part B Physician Services. The Medicare benchmark to be utilized for all physician services covered by Medicare Part B shall be those rates established in the most current Medicare Part B Fee Schedule for Payment Locality 00, Statewide, VA. 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 Ambulatory Payment Classifications and Ambulatory Surgical Center rates calculated for CBSA 49-Rural Area, VA. Offerors may propose a discount from or a premium to the benchmark charges.

Please answer the following questions:

1. Can your firm provide comprehensive hospital and physician services to AICs at the institution(s) specified above?

__________ Yes ___________ No

2. If you answered “No” in Question 1 above, what services can you provide?

3. Please mark the services your firm can provide and whether your firm will be providing services as a prime contractor, through use of a subcontractor, or are unable to provide services. Also, please indicate which services are reimbursable using a Medicare-based pricing structure:

Service Required Provided as Prime

Provided through a

Subcontractor

Unable to Provide

Medicare- Based Pricing

Optometrist Yes or No

4. The North American Industrial Classification System (NAICS) code for General Medical and Surgical Hospitals is 622110, which sets the small business standard at $47 million.

Based on this standard, what is your business size, small or other than small?

__________ Small ___________ Other than Small

5. What level of subcontracting, if any, would be utilized to provide the listed services?

6. Are you eligible for participation in one of the following small business programs? If so, please indicate the program.

__________ “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

7. Can your firm provide Medicare-based prices for future contract periods (for example: a contract with a base year and four option years, equaling a total of five years)? If not, how many years can you provide Medicare-based prices?

8. Please indicate how many years you can provide firm-fixed unit prices and Medicare-based prices.

______ 5 years ______ 4 years ______ 3 years ______ 2 years ______ 1 year only

9. Can your firm provide centralized billing for all services rendered under the resulting contract? (Definition of centralized billing – The contractor shall provide and operate a system of centralized billing which will enhance the institution’s ability to track medical obligations and expenditures). This system shall, at a minimum, ensure that completed consolidated invoices are submitted to the institution within 90 calendar days after an inmate’s discharge or outpatient encounter. Completed CMS-1500 and UB-04 forms shall accompany the contractor’s centralized billing invoice for all treatment encounters.

The centralized billing invoice shall be limited to no more than fifty (50) CMS-1500 and/or UB-04 forms per invoice. Invoices which are submitted beyond the 90-day requirement shall constitute a performance deficiency under this output and shall be documented in the contractor’s performance evaluations. Invoices which are submitted within the acceptable time but are found to contain errors or require further justifications will be returned to the contractor. The contractor shall submit revised/corrected invoices within 30 calendar days from the date of rejection.)

______ Yes ______ No

(If no, please explain why and what type of billing procedures your firm uses.)

10. What is the “community standard” level of medical liability insurance applicable to:

Hospital Services $ _____________per occurrence / $______________aggregate

Physician Services $ ____________per occurrence / $______________aggregate

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

_____________ 30 days _____________ 45 days _____________ 60 days

12. If awarded a contract, how many calendar days after the award could you begin providing services? Please note that all individuals providing services at the institutions must undergo a security clearance investigation. This investigation may take 30 calendar days or longer to complete.

________ Calendar days after the award for Inpatient and Outpatient Hospital services

________ Calendar days after the award for On-Site Physician Services (Outpatient Institution Services)

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

Name:

Address:

Point of Contact:

Telephone Number:

E-mail Address:

Unique Entity ID:

Please e-mail your responses to J2gregory@bop.gov. Responses must be received no later than 2:00 PM EST, November 12, 2024.

NOTE: The resulting solicitation will be distributed solely through sam.gov. All future information concerning this acquisition, including the pre-solicitation notices, solicitation, and any subsequent amendments, will be distributed solely through the website. Interested parties are responsible for monitoring the website to ensure they have the most current information about the acquisition. If you have questions about SAM, Government procurements in general, or need assistance in the preparation of your proposal, a local Procurement Technical Assistance Center (PTAC) may be able to help. The Procurement Technical Assistance Program was authorized by Congress in 1985 in an effort to expand the number of businesses capable of participating in the Government marketplace. To locate a PTAC near you, go to http://www.aptac-us.org.

mailto:ecorley@bop.gov