24623Q-0148 - COMBINED SYNOPSIS SOLICITATION.docx

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DIABETIC FOOT SUPPLIES AND SERVICES - HASKELL IHS
Solicitation number
246-23-Q-0148
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This document is a combined synopsis/solicitation for diabetic foot supplies and services issued by the Department of Health and Human Services Indian Health Service. The solicitation is a 100% Buy Indian set aside seeking quotes for diabetic foot evaluations, fitting of shoes and inserts, adjustments and replacements of shoes and inserts as needed, and monthly reporting by the vendor. Quotes are due by July 27, 2023. The estimated value is $245,000 over a one year base period and three option years. The selected vendor must be accredited and provide services within 20 miles of the Haskell Indian Health Center in Lawrence, Kansas as well as major metropolitan areas in Kansas. Pricing must not exceed Medicare rates and is requested for individual products and services such as shoes, inserts, modifications, and labor. Monthly invoices are to be submitted within 30 days of service provision.

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Combined Synopsis/Solicitation RFQ # 246-23-Q-0148

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested in response to this notice and a written solicitation will NOT be issued. This solicitation is being issued as a Request for Quote (RFQ) # 246-23-Q-0148. Submit only written quotes for this RFQ. This solicitation is a 100% BUY INDIAN set aside. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2023-04. The associated NAICS code is 316210.

This RFQ contains four (4) Line Item:

CLIN
DESCRIPTION
ITEMS
Base
09/01/2023 – 08/31/2024
SEE ATTACHMENT
Option Year 1
09/01/2024 – 08/31/2025
SEE ATTACHMENT
Option Year 2
09/01/2025 – 08/31/2026
SEE ATTACHMENT
Option Year 3
09/01/2026 – 08/31/2027
SEE ATTACHMENT

PERIOD OF PERFORMANCE: 09/01/2023 – 08/31/2027

The estimated value of the BPA is $245,000.00 over 4 years

Vendor Requirements: SEE ATTACHED SPECIFICATIONS

Submit Quotes no later than: 07/27/2023 02:00p.m. CDT to the Following Point of Contact: Mary Ann Yocham, Contract Specialist, via Email: maryann.yocham@ihs.gov.

Evaluation: FAR 52.212-2 Evaluation -- Commercial Items (completed as follows):

(a) The Government will award a firm fixed price BPA resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, with price and other factors considered equally. The following factors shall be used to evaluate offers:

Best Value (see criteria below)

Pricing

· The following items will be evaluated; however, the entire pricing schedule (attached) shall be completed. Pricing will be evaluated by adding all the prices of evaluated items together for a cumulative price. Vendor shall offer Medicare like rates.

· Option years will be included in the price evaluation. Evaluation of options shall not obligate the Government to exercise the option(s)

· Items to be evaluated in pricing include:

· A5500 – Diabetic OTS Shoe

· A5512 Diabetic – OTC Multi-Density Insert

· A5513 – Diabetic – Custom Multi-Density Orthotic

· L3010 – Custom Foot Orthotic

· L3310 – Shoe Mod – 1” Elevation, Inside Shoe Location

· Vendor shall have an office located within 20 miles of Haskell Indian Health Center 2415 Massachusetts Street Lawrence, KS 66046. Additionally, the vendor shall have locations in surrounding metropolitan areas to include Kansas City metro area, Topeka, and Wichita.

Licensing

· Vendor shall be accredited by the Accredited Facilities Program of the Board for Orthotist-Prosthetist Certification (BOC) and shall provide an American Board Certified (ABC) pedorthist on site when services are being provided.

VENDORS SHALL SUBMIT THE FOLLOWING:

COMPLETED PRICE SCHEDULE (TO INCLUDE OUT YEARS)

ADDRESS OF ALL LOCATIONS

COPY OF LICENSING/ACCREDITATION

INDIAN ECONOMIC ENTERPRISE REPRESENTATION FORM

VENDORS SUBMITTING OR EQUAL ITEMS MUST SUBMIT DESCRIPTITVE LITERATURE SHOWING HOW THEIR PRODUCT MEETS OR EXCEEDS THE REQUIREMENTS BEING SOLICITED

This solicitation will result in a firm fixed price BPA pursuant to the terms and conditions below. Terms and conditions other than those stated will not be accepted. The above pricing is all inclusive.

PROVISIONS: The following FAR provisions apply to this solicitation:

FAR 52.212-1, Instructions to Offeror- Commercial Items; FAR 52.212-3, Offeror Representations and Certifications- Commercial Items (the offeror should include a completed copy of this provision with their quote).

CLAUSES: The following FAR clauses apply to this solicitation:

FAR 52.212-4, Contract Terms and Conditions-Commercial Items (OCT 2018); FAR 52.212-5 (MAR 2020), Contract Terms and Conditions Required to Implement Statues or Executive Orders-Commercial Items (to include the following clauses sited): FAR 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards; 52.204-27. Prohibition on a ByteDance Covered Application (Jun 2023); FAR 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment; FAR 52.219-6, Notice of Total Small Business Set-Aside (Nov 2020); FAR 52.219-14, Limitations on Subcontracting (Oct 2022); FAR 52.219-28, Post Award Small Business Program Representation (Mar 2023); FAR 52.222-3, Convict Labor; FAR 52.222-19, Child Labor-Cooperation with Authorities and Remedies; 52.222-21, Prohibition of Segregated Facilities; FAR 52.222-26, Equal Opportunity; FAR 52.222-35, Equal Opportunity for Veterans (Jun 2020); FAR 52.222-36, Equal Opportunity for Workers with Disabilities; FAR 52.222-37, Employment Reports on Veterans (Jun 2020); FAR 52.222-40, Notification of Employee Rights Under the National Labor Relations Act; FAR 52.222-50, Combating Trafficking in Persons; FAR 52.222-54, Employment Eligibility Verifications (May 2022); FAR 52.223-18, Encouraging Contractor Policies to Ban text Messaging While Driving; FAR 52.225-1, Buy American Act-Supplies; FAR 52.225-13, Restriction on Certain Foreign Purchases; FAR 52.232-33, Payment by Electronic Funds Transfer- System for Award Management; FAR 52.232-36, Payments by Third Party (May 2014); FAR 52.242-5, Payments to Small Business Subcontractors (Jan 2017); FAR 52.247-64, Preference for Privately Owned U.S. –Flag Commercial Vessels (Feb 2006). The above Provisions and Clauses may be obtained via internet at http://farsite.hill.af.mil.

Miscellaneous:

NO FAX QUOTATIONS

ELECTRONIC SUBMISSIONS – SUBMISSION VIA EMAIL IS THE ONLY ACCEPTABLE ELECTRONIC SUBMISSION. (maryann.yocham@ihs.gov)

All contractors must be registered in the System for Award Management database located at https://www.sam.gov/sam/ prior to any contract award. Please submit the following information with each quote: Vendor Name, Cage Code, UEI, Tax Identification Number, Prompt Payment Terms, Delivery Time, GSA Contract Number (if applicable), Date quote expires, warranty, total price for each line item, total quote price, and technical documentation in sufficient detail to determine technical acceptability. Failure to provide sufficient technical detail may result in rejection of your quote.

Statement of Work Diabetic Foot Supplies and Services Haskell Indian Health Center

I. Background Indian Health Service (IHS) wants to improve its current accessibility when purchasing Diabetic Foot Supplies & Services (DFSS) for the Community Directed Diabetes Grant program, within the Haskell Indian Health Center; specifically, Topeka, Lawrence, and Kansas City metro areas. This project shall ensure accessibility of optimal patient outcomes, while assuring that purchased services are best value. Patient care shall be optimized, which aligns with the mission of IHS. All patients who have been diagnosed with diabetes mellitus should receive an annual foot examination to prevent any foot problems as indicated with IHS standards of care. This service shall help reduce the risk of lower limb complications by providing professionally fitted shoes to patients with diabetes who are served by Haskell Indian Health Center (HIHC). Each year when a diabetic foot exam is performed, the patient with an abnormal result or improperly fitting shoes shall have access to properly fitted shoes, as requested by provider and/or patient. In an effort to achieve this goal, the Contractor shall provide services for the patients served by HIHC.

II. Statement of Work The Contractor shall perform the following activities:

A. Provide an all-encompassing Diabetic Foot Supply and Orthotic Services program for referred patients from HIHC. The services program will be required to be accredited by the Accredited Facilities Program of the Board for Orthotist-Prosthetist Certification (BOC) and provide an American Board Certified (ABC) pedorthist on site when providing services to HIHC patients.

B. Shall have experience with evaluating and fitting the feet of diabetic patients C. Vendors main office with fitting clinic shall be located within 20 miles of the HIHC 2415 Massachusetts St. Lawrence, KS 66046. Vendor shall have other fitting locations in surrounding metropolitan areas of KS (Kansas City metro area, Topeka, and Wichita).

D. Ensure adequate fit and function of the shoes at time of delivery to participant.

E. Services shall be fully coordinated and integrated with the Project Manager with respect to services provided and professional relationships.

F. Contractor shall measure each patient's foot and provide appropriate shoes.

G. Shall have competent/effective oral and written communication. Supplies and services provided to each patient shall be appropriately documented on each monthly invoice.

H. Maintain familiarity and comply with all Federal and State regulations and requirements I. Shall maintain patient privacy/confidentiality J. Accountability requires that all services be under professional direction, therefore, the Contractor shall be fully responsible for any subcontracts (if applicable), professionally, administratively, and financially.

III. Government Furnished Information, Property and Services A. Provide written patient referrals with individual identification number to the Contractor, with specified expiration (vouchers).

IV. Period of Performance and Work Schedule A. One year from the date of award with three (3) option years.

B. Work Schedule maybe be coordinated between the Contractor and Project Manager

V. Specific Requirements A. Diabetic Foot evaluations (measuring of feet, testing for protective sensation, palpating and checking for range of motion and foot deformities and gait evaluation) B. Patient shall be fitted at vendor’s clinic in patient’s area. The vendor’s main office with fitting clinic shall be located within 20 miles of HIHC (2415 Massachusetts St. Lawrence, KS 66046) and shall offer fitting clinic offices in major metropolitan areas of KS (Kansas City metro area, Topeka, and Wichita).

C. Adjustments and modifications of shoes and/or inserts if necessary D. After wearing the shoes at home or at the gym (without wearing outside), the Contractor shall replace if the shoe does not fit well or is causing pain within 15 days. The Contractor shall replace with a more appropriate fitting shoe.

E. Vendor shall communicate any issues with services provided or patient compliance immediately to HIHC project manager.

VI. Reporting Requirements A. The Contractor shall provide services for patients referred within 30 days of receipt of the written referral.

B. The Contractor shall provide a Monthly Report of Services, a narrative report with comparison of actual services provided according to requirements established and the quantity of shoes, inserts, and compression stockings provided as well as the number of problems encountered and circumstances, if any, adversely affecting the delivery of services and recommendations.

VII. Vendor Performance Evaluation A. Provide multiple footwear options based on needs of patients.

B. Patients must have a favorable satisfaction rate, this will be determined through follow up phone calls, online evaluations, or written evaluations through Haskell Diabetes Program or obtained from Vendor.

C. Successful patient follow up for fit, comfort, and needs met.

D. Accurate and timely invoice submission.

E. HIPAA compliant with PII and PHI.

VIII. Rates of Payment A. Payments on diabetic shoes and inserts shall not exceed Medicare-Like Rates for the services provided.

B. Vendor shall provide invoices for services no later than 30 days after services have been provided.

C. If the Contractor's price changes as a result of notification from CMS or cost to charge ratio, they shall provide a letter from CMS to Haskell Indian Health Center within 30 days of receipt along with a corrected price list in order to be paid at the new rate.

D. The Contractor shall not bill any patient for any amounts not paid under this purchase order unless the patient is determined by IHS to be ineligible for services under this purchase order and demonstrated by a letter of denial of the Community Directed Diabetes Grant Program services payment.

E. IHS is the payor of last resort for persons defined as eligible for Diabetic Foot Supply and Services.

Diabetic Foot Supplies and Services Pricing Schedule Haskell IHS

CODE
DESCRIPTION
PRICE
UNIT
A5500
Diabetic OTS Shoe

EA

A5501
Diabetic Custom Shoe

EA

A5503
Diabetic – Shoe Mod Rocker Bottom

EA

A5504
Diabetic – Shoe Mod Wedge, Addition

EA

A5505
Diabetic – Shoe Mod Metatarsal Bar

EA

A5506
Diabetic – Shoe Mod Off-set heels

EA

A5507
Diabetic – Shoe Mod Unspecified

EA

L3216
Women’s Extra Depth Shoe

EA

L3217
Women’s Extra Depth Boot

EA

L3221
Men’s Extra Depth Shoe

EA

L3222
Men’s Extra Depth Boot

EA

L3230
Custom Molded Shoes

EA

L3230
Custom Molded Boots

EA

L3257
Split Shoe Size

PAIR

A5512
Diabetic – OTC Multi-density Insert

EA

A5513
Diabetic – Custom Multi-density Orthotic

EA

L3000
UCB Type Orthotic

EA

L3010
Custom Foot Orthotic

EA

L3020
Custom Foot Orthotic with Metatarsal Pad

EA

L3031
Carbon Foot Plate

EA

L3040
OTC Full Length Orthotic

EA

L3050
OTC Metatarsal Length Orthotic

EA

L3060
OTC Full Length with Met Pad Orthotic

EA

L5000
Toe Filler Orthotic

EA

E0951
Shoe Mod – Loop to Back of Shoes Addition

EA

L3300
Shoe Mod – 1” Heel Lift, Tapered, Outside Shoe

EA

L3310
Shoe Mod – 1” Elevation, Inside Shoe

EA

L3332
Shoe Mod – ½” Heel Lift, Inside Shoe

EA

L3334
Shoe mod – 1” Elevation, Outside Shoe

EA

L3340
Shoe mod – Heel Wedge, Sach

EA

L3360
Shoe Mod – Sole Wedge

EA

L3390
Shoe Mod – Outflare Wedge

EA

L3340
Shoe Mod – Metatrasla Bar Wedge Rocker

EA

L3410
Shoe Mod – Metatarsal Bar

EA

L3430
Shoe Mod – Heel Counter Reinforcement Any

EA

L3540
Shoe Mod – Shoe Sole

EA

L3570
Shoe Mod – Instep Exten/Velcro Extension

EA

L3580
Shoe Mod – Lace to Velcro

EA

L3649
Shoe Mod – Heel to Toe Rocker

EA

L3649
Shoe Mod – Double Rocker

EA

L3649
Shoe Mod – Zipper Added

EA

L4002
Strap Replacement

EA

L4205
Labor – Per 15 min

EA

A6530
Knee Comp. 18-30mmHG

PAIR

A6549
Knee Comp. 20-30mmHG

PAIR

A6531
Knee Comp. 30-40mmHG

PAIR

L0174
CO-Aspen TX/Miami J

EA

L0190
TLSO – Minerva Lehrman

EA

L0472
TLSO – CASH, Jewette

EA

L0484
TLSO – Bivalve

EA

L0631
LSO – Sagittal Control

EA

L0637
LSO – Sagittal – Coronal Control

EA

L1832
KO – Post Op

EA

L1940
AFO – Leather or Plastic Material, Custom

EA

L1951
AFO – Carbon Fiber

EA

L1960
AFO – Solid, Boot

EA

L1970
Plastic AFO with Joints

EA

L2210
AFO – Add On, Dorsi Assist, Plantar Stop

EA

L2275
AFO – Varus/Valgus Correction

EA

L2280
AFO – Inner Boot

EA

L2330
AFO – Lacer

EA

L2340
AFO – Add On, pretib shell

EA

L2820
AFO – Soft Interface, Leather

EA

L2840
Addition to Lower Extermity orthosis Tibial Length sock

EA

L3981
UE – Humeral Fx Brace, shoulder cap included

EA

L4631
CROW

EA

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