36C10G20R0014-028.xlsx
XLSX spreadsheet Posted
- Solicitation number
- 36C10G20R0014
About this file
This document contains a pre-solicitation notice and related federal contract opportunity for establishing a Community Care Network Region 5 in Alaska. The Department of Veterans Affairs intends to issue a solicitation seeking a contractor to establish and maintain a provider network to deliver medical, surgical, complementary and integrative, pharmacy, dental and other services to eligible Veterans throughout Alaska. Services will be ordered against the contract and the contractor will process and pay claims as a third-party administrator. The goal is to provide Veterans access to care when and where they need it through VA and community partners. The anticipated contract is a single-award firm fixed price IDIQ with a nine-month base and seven one-year options to be awarded under full and open competition. The solicitation is expected to post on May 11, 2020 with proposals due on June 1, 2020. The solicitation number is 36C10G20R0014 and will be issued by the VA Strategic Acquisition Center on behalf of the Office of Community Care.
36C10G20R0014 CCN Region 5 Attachment AR - SEOCs vs Health Benefits Package Categories.xlsx
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PRCT SEOCS
| Status | SEOC Name |
| Active | Blind Rehabilitation PRCT 1.1.2 |
| Active | Blood Transfusion (Outpatient) PRCT 1.0.2 |
| Active | Audiology Cochlear Implant Surgery and Follow Up PRCT 1.2.2 |
| Active | Interventional Radiology PRCT 1.0.2 |
| Active | Occupational Therapy-functional capacity-driver evaluation PRCT 1.0.3 |
| Active | Opioid Treatment Program (OTP) Buprenorphine- 6 months PRCT |
| Active | Opioid Treatment Program (OTP) Continuing Treatment- 12 months PRCT 1.2.3 |
| Active | Opioid Treatment Program (OTP) Methadone- 6 months PRCT 1.0.3 |
| Active | Outpatient Family/Couples Psychotherapy - 6 month PRCT 1.14.2 |
| Active | Outpatient Individual Psychotherapy - 12 month PRCT 1.13.2 |
| Active | Outpatient Individual Psychotherapy - 6 month PRCT 1.15.3 |
| Active | Outpatient Psychiatry - 12 month PRCT 1.11.2 |
| Active | Outpatient Psychiatry - 6 month PRCT 1.10.2 |
| Active | Cardiology - TAVR PRCT 1.2.4 |
| In-Progress | Interventional Radiology PRCT |
SEOCS with PRCT Codes
| SEOC Name | PRCERT | REV |
| Acute Inpatient Psychiatric Services - Involuntary Admission 1.0.2 | YES | |
| Acute Outpatient Center Based Assisted Hemodialysis 1.0.3 | YES | |
| Allergy and Immunology 1.0.3 | YES | |
| Audiology DS Routine 1.0.4 | YES | |
| Audiology Cochlear Implant Annual Follow Up 1.3.2 | YES | |
| Audiology Comprehensive 1.1.2 | YES | |
| Blind Rehabilitation PRCT 1.1.2 | YES | |
| Bowel and Bladder 1.0.3 | YES | |
| Cardiology - TAVR PRCT 1.2.4 | YES | |
| Cardiology Comprehensive 1.0.4 | YES | |
| Chiropractic Initial 1.0.4 | YES | |
| Chiropractic Continuation of Initial 1.1.3 | YES | |
| Chiropractic Pain Management 1.2.3 | YES | |
| Audiology Cochlear Implant Surgery and Follow Up PRCT 1.2.2 | YES | |
| Community Nursing Home 1.2.2 | YES | |
| CT Myelogram 1.1.2 | YES | |
| CT Scan 1.0.2 | YES | |
| Dermatology Comprehensive 1.0.4 | YES | |
| Electroconvulsive Therapy Services-Initial 1.6.2 | YES | |
| ENT 1.0.5 | YES | |
| Eye Care Comprehensive 1 Year 1.0.2 | YES | |
| Eye Care Comprehensive 6 months 1.1.2 | YES | |
| Eye Care Examination 1.3.4 | YES | |
| General Surgery 1.0.3 | YES | |
| GI Upper Endoscopy (EGD) and/or Colonoscopy 1.0.3 | YES | |
| Gynecology 1.0.3 | YES | |
| Hematology 1.0.4 | YES | |
| Home Based Dialysis 1.1.3 | YES | |
| Hospice Home 1.0.3 | YES | |
| Hormonal Therapy - Feminizing Transgender 1.9.2 | YES | |
| Hormonal Therapy - Masculinizing Transgender 1.10.2 | YES | |
| Infectious Disease 1.0.4 | YES | |
| Infertility-Female 1.3.4 | YES | |
| Infertility-Male 1.4.4 | YES | |
| Interventional Radiology PRCT 1.0.2 | YES | |
| Lab and Pathology 1.0.3 | YES | |
| Lung Cancer Screening 1.2.3 | YES | |
| Mammography 1.0.3 | YES | |
| Radiology MRI/MRA 1.0.4 | YES | |
| Nephrology Medical Dialysis Oversight Services 1.2.2 | YES | |
| Nephrology Referral and Evaluation of Kidney Disease 6M 1.4.3 | YES | |
| Neurology 1.0.4 | YES | |
| Neuropsych Evaluation 1.0.2 | YES | |
| Neurosurgery 1.0.4 | YES | |
| Nuclear Medicine 1.0.4 | YES | |
| Occupational Therapy 1.1.3 | YES | |
| Oncology Comprehensive 1.1.4 | YES | |
| Opioid Treatment Program (OTP) Buprenorphine- 6 months PRCT 1.1.3 | YES | |
| Opioid Treatment Program (OTP) Continuing Treatment- 12 months PRCT 1.2.3 | YES | |
| Opioid Treatment Program (OTP) Methadone- 6 months PRCT 1.0.3 | YES | |
| Optometry DS Routine 1.3.2 | YES | |
| Orthopedics General 1.0.5 | YES | |
| Outpatient Addiction Psychiatry/Medicine 1.5.3 | YES | |
| Outpatient Family/Couples Psychotherapy - 6 month PRCT 1.14.2 | YES | |
| Outpatient Individual Psychotherapy - 12 month PRCT 1.13.2 | YES | |
| Outpatient Individual Psychotherapy - 6 month PRCT 1.15.3 | YES | |
| Outpatient Maintenance Hemodialysis Services 1.6.2 | YES | |
| Outpatient Psychiatry - 12 month PRCT 1.11.2 | YES | |
| Outpatient Psychiatry - 6 month PRCT 1.10.2 | YES | |
| Podiatry DS 1.0.4 | YES | |
| Primary Care One Year 1.0.3 | YES | |
| Primary Care Six Month 1.1.3 | YES | |
| Program of All-Inclusive Care for the Elderly (PACE) 1.1.3 | YES | |
| Pulmonary 1.0.4 | YES | |
| Pulmonary Rehab 1.0.2 | YES | |
| Radiation Therapy 1.0.4 | YES | |
| Rheumatology Comprehensive 1.0.3 | YES | |
| Skilled RN + Infusion Therapy 1.1.3 | YES | |
| Sleep Comprehensive 1.0.4 | YES | |
| Specialty Contact Lens Fitting 1.1.3 | YES | |
| Speech Therapy-Speech Language Pathology Comprehensive 1.9.3 | YES | |
| Thoracic Surgery 1.0.3 | YES | |
| Transient Center-Based Assisted Hemodialysis 1.5.4 | YES | |
| Ultrasound 1.2.3 | YES | |
| Urology Comprehensive 1.0.4 | YES | |
| Vascular Surgery 1.0.3 | YES | |
| Venogram 1.0.2 | YES | |
| Wound Care 1.0.3 | YES | |
| Kidney Dialysis Access Creation, Revision, or Optimization 1.3.1 | YES | |
| Cardiology Testing 1.3.1 | YES | |
| Cardiothoracic Surgery 1.0.4 | YES | |
| Colorectal Surgery 1.1.2 | YES | |
| Endocrinology Comprehensive 1.0.1 | YES | |
| Gastroenterology Comprehensive 1.1.1 | YES | |
| Hepatology 1.2.1 | YES | |
| Hepatopancreatobiliary Surgery 1.2.2 | YES | |
| Inpatient Med-Surg 1.5.2 | YES | |
| Maxillofacial Surgery 1.3.1 | YES | |
| Orthopedic Hand 1.1.2 | YES | |
| Orthopedic Spine 1.2.2 | YES | |
| Plastic Surgery (not Hand) 1.0.2 | YES | |
| Plastics Hand 1.1.2 | YES | |
| Podiatry Comprehensive 1.1.2 | YES | |
| Cardiology - Electrophysiology 1.4.1 | YES | |
| Dermatology MOHS 1.4.1 | YES | |
| Physical Medicine and Rehabilitation (Physiatry) 1.6.1 | YES | |
| Urogynecology 1.1.1 | YES | |
| Emergency Care 1.1.1 | YES | |
| Biofeedback 1.6.2 | YES | |
| Hypnosis- Mental Health Hypnotherapy 1.4.1 | YES | |
| Hypnosis - Medical Hypnotherapy 1.3.1 | YES | |
| Neurofeedback 1.5.1 | YES | |
| Maternity and Newborn 1.1.1 | YES | |
| Community Adult Day Health Care Case Mix A, B, or C 1.1.1 1.1.1 | YES | |
| Community Adult Day Health Care Case Mix D, E, F, G, H, I 1.2.1 | YES | |
| Community Adult Day Health Care Case Mix J or K 1.3.1 | YES | |
| Community Adult Day Health Care Mix L 1.5.1 | YES | |
| Community Adult Day Health Care Exception 1.4.1 | YES | |
| POM USE ONLY Unauthorized Emergent Inpatient 1.3.1 | YES | |
| POM USE ONLY Unauthorized Emergency Room Care 1.4.1 | YES | |
| Genetic Testing 1.0.1 | YES | |
| Eye Care Continuation of Advanced Eye Treatment 1.2.1 | YES | |
| IV Therapy Outpatient Infusion 1.0.1 | YES | |
| Office Based Buprenorphine 6M 1.1.1 | YES | |
| Cardiology Interventional 1.5.1 | YES | |
| Office Based Buprenorphine 12M 1.2.1 | YES | |
| GI Advanced Endoscopic Procedures: EUS, ERCP, Enteroscopy 1.3.1 | YES | |
| Gynecologic Oncology 1.2.1 | YES | |
| Hospice Inpatient 1.1.1 | YES | |
| IVF ART Female 1.4.1 | YES | |
| Skilled Home Health Care - Non Bundled 1.1.1 | YES | |
| IVF ART Male 1.5.1 | YES | |
| Pain Management Comprehensive 1.2.2 | YES | |
| Scheduler Only Communication 1.0.1 | YES |
Full List of SEOCs
| # | SEOC Name | Access Standard Options |
| 1 | Acupuncture Initial | Specialty Care |
| 2 | Acupuncture-Chronic Care Management | Specialty Care |
| 3 | Acupuncture-Continuation of Initial Care | Specialty Care |
| 4 | Acute Inpatient Psychiatric Services - Involuntary Admission | Mental Health Care |
| 5 | Acute Inpatient Psychiatric Services - Voluntary Admission | Mental Health Care |
| 6 | Acute Outpatient Center Based Assisted Hemodialysis | Specialty Care |
| 7 | Allergy and Immunology | Specialty Care |
| 8 | Ambulance Ground & Med-Flight Transportation | Specialty Care |
| 9 | Audiology Cochlear Implant Annual Follow Up | Specialty Care |
| 10 | Audiology Cochlear Implant Surgery and Follow Up PRCT | Specialty Care |
| 11 | Audiology Comprehensive | Specialty Care |
| 12 | Audiology DS Routine | Specialty Care |
| 13 | Biofeedback | Specialty Care |
| 14 | Blind Rehabilitation PRCT | Specialty Care |
| 15 | Blood Transfusion (Outpatient) PRCT | Specialty Care |
| 16 | Bowel and Bladder | Extended Care |
| 17 | CT Myelogram | Specialty Care |
| 18 | CT Scan | Specialty Care |
| 19 | Cardiac Rehab | Specialty Care |
| 20 | Cardiology - Cath/PCI | Specialty Care |
| 21 | Cardiology - Electrophysiology | Specialty Care |
| 22 | Cardiology - TAVR PRCT | Specialty Care |
| 23 | Cardiology Comprehensive | Specialty Care |
| 24 | Cardiology Interventional | Specialty Care |
| 25 | Cardiology Testing | Specialty Care |
| 26 | Cardiothoracic Surgery | Specialty Care |
| 27 | Chiropractic Continuation of Initial | Specialty Care |
| 28 | Chiropractic Initial | Specialty Care |
| 29 | Chiropractic Pain Management | Specialty Care |
| 30 | Colorectal Surgery | Specialty Care |
| 31 | Community Adult Day Health Care Case Mix A, B, or C | Extended Care |
| 32 | Community Adult Day Health Care Case Mix D, E, F, G, H, I | Extended Care |
| 33 | Community Adult Day Health Care Case Mix J or K | Extended Care |
| 34 | Community Adult Day Health Care Exception | Extended Care |
| 35 | Community Adult Day Health Care Mix L | Extended Care |
| 36 | Community Nursing Home | Extended Care |
| 37 | DEXA Scan | Specialty Care |
| 38 | Dental Comprehensive | Specialty Care |
| 39 | Dental Denture Services | Specialty Care |
| 40 | Dental Initial Evaluation and Limited Treatment | Specialty Care |
| 41 | Dental Oral Lesion | Specialty Care |
| 42 | Dental Perio Preventative Care | Specialty Care |
| 43 | Dental Regular Preventative Care | Specialty Care |
| 44 | Dental Routine Cleaning | Specialty Care |
| 45 | Dental Specialty Endodontics | Specialty Care |
| 46 | Dental Specialty Extractions | Specialty Care |
| 47 | Dermatology Comprehensive | Specialty Care |
| 48 | Dermatology MOHS | Specialty Care |
| 49 | ENT | Specialty Care |
| 50 | Electroconvulsive Therapy Services-Initial | Mental Health Care |
| 51 | Emergency Care | Specialty Care |
| 52 | Endocrinology Comprehensive | Specialty Care |
| 53 | Eye Care Comprehensive 1 Year | Specialty Care |
| 54 | Eye Care Comprehensive 6 months | Specialty Care |
| 55 | Eye Care Continuation of Advanced Eye Treatment | Specialty Care |
| 56 | Eye Care Examination | Specialty Care |
| 57 | GI Advanced Endoscopic Procedures: EUS, ERCP, Enteroscopy | Specialty Care |
| 58 | GI Upper Endoscopy (EGD) and/or Colonoscopy | Specialty Care |
| 59 | Gastroenterology Comprehensive | Specialty Care |
| 60 | General Surgery | Specialty Care |
| 61 | Genetic Counseling | Specialty Care |
| 62 | Genetic Testing | Specialty Care |
| 63 | Gynecologic Oncology | Specialty Care |
| 64 | Gynecology | Specialty Care |
| 65 | Hematology | Specialty Care |
| 66 | Hepatology | Specialty Care |
| 67 | Hepatopancreatobiliary Surgery | Specialty Care |
| 68 | Home Based Dialysis | Specialty Care |
| 69 | Homemaker-Home Health Aide Case Mix A, B, or C | Extended Care |
| 70 | Homemaker-Home Health Aide Case Mix D, E, or F | Extended Care |
| 71 | Homemaker-Home Health Aide Case Mix G H or I | Extended Care |
| 72 | Homemaker-Home Health Aide Case Mix J or K | Extended Care |
| 73 | Homemaker-Home Health Aide Case Mix L | Extended Care |
| 74 | Homemaker-Home Health Aide Exception | Extended Care |
| 75 | Hormonal Therapy - Feminizing Transgender | Specialty Care |
| 76 | Hormonal Therapy - Masculinizing Transgender | Specialty Care |
| 77 | Hospice Home | Extended Care |
| 78 | Hospice Inpatient | Extended Care |
| 79 | Hyperbaric Therapy | Specialty Care |
| 80 | Hypnosis - Medical Hypnotherapy | Specialty Care |
| 81 | Hypnosis- Mental Health Hypnotherapy | Specialty Care |
| 82 | IV Therapy Outpatient Infusion | Specialty Care |
| 83 | IVF ART Female | Specialty Care |
| 84 | IVF ART Male | Specialty Care |
| 85 | In Home Respite Case Mix A, B, or C | Extended Care |
| 86 | In Home Respite Case Mix D, E, or F | Extended Care |
| 87 | In Home Respite Case Mix G, H, or I | Extended Care |
| 88 | In Home Respite Case Mix J or K | Extended Care |
| 89 | In Home Respite Case Mix L | Extended Care |
| 90 | In Home Respite Exception | Extended Care |
| 91 | Infectious Disease | Specialty Care |
| 92 | Infertility-Female | Specialty Care |
| 93 | Infertility-Male | Specialty Care |
| 94 | Inpatient Med-Surg | Specialty Care |
| 95 | Interventional Radiology PRCT | Specialty Care |
| 96 | Kidney Dialysis Access Creation, Revision, or Optimization | Specialty Care |
| 97 | Lab and Pathology | Specialty Care |
| 98 | Lung Cancer Screening | Specialty Care |
| 99 | Mammography | Specialty Care |
| 100 | Massage Therapy - Acute Pain Condition | Specialty Care |
| 101 | Massage Therapy - Chronic Pain Condition | Specialty Care |
| 102 | Maternity and Newborn | Specialty Care |
| 103 | Maxillofacial Surgery | Specialty Care |
| 104 | Meditation Mindfulness-Based Stress Reduction (MBSR) | Specialty Care |
| 105 | Nephrology Medical Dialysis Oversight Services | Specialty Care |
| 106 | Nephrology Referral and Evaluation of Kidney Disease 6M | Specialty Care |
| 107 | Neurofeedback | Specialty Care |
| 108 | Neurology | Specialty Care |
| 109 | Neurology EEG/EMG | Specialty Care |
| 110 | Neuropsych Evaluation | Mental Health Care |
| 111 | Neuropsych Rehabilitation | Mental Health Care |
| 112 | Neurosurgery | Specialty Care |
| 113 | Nuclear Medicine | Specialty Care |
| 114 | Nutrition Intervention Services DS Routine | Specialty Care |
| 115 | Occupational Therapy | Specialty Care |
| 116 | Occupational Therapy-functional capacity-driver evaluation PRCT | Specialty Care |
| 117 | Office Based Buprenorphine 12M | Mental Health Care |
| 118 | Office Based Buprenorphine 6M | Mental Health Care |
| 119 | Oncology Comprehensive | Specialty Care |
| 120 | Opioid Treatment Program (OTP) Buprenorphine- 6 months PRCT | Mental Health Care |
| 121 | Opioid Treatment Program (OTP) Continuing Treatment- 12 months PRCT | Mental Health Care |
| 122 | Opioid Treatment Program (OTP) Methadone- 6 months PRCT | Mental Health Care |
| 123 | Optometry DS Routine | Specialty Care |
| 124 | Orthopedic Hand | Specialty Care |
| 125 | Orthopedic Spine | Specialty Care |
| 126 | Orthopedics General | Specialty Care |
| 127 | Outpatient Addiction Psychiatry/Medicine | Mental Health Care |
| 128 | Outpatient Family/Couples Psychotherapy - 6 month PRCT | Mental Health Care |
| 129 | Outpatient Individual Psychotherapy - 12 month PRCT | Mental Health Care |
| 130 | Outpatient Individual Psychotherapy - 6 month PRCT | Mental Health Care |
| 131 | Outpatient Maintenance Hemodialysis Services | Specialty Care |
| 132 | Outpatient Psychiatry - 12 month PRCT | Mental Health Care |
| 133 | Outpatient Psychiatry - 6 month PRCT | Mental Health Care |
| 134 | POM USE ONLY Unauthorized Emergency Room Care | Specialty Care |
| 135 | POM USE ONLY Unauthorized Emergent Inpatient | Specialty Care |
| 136 | Pain Management Comprehensive | Specialty Care |
| 137 | Physical Medicine and Rehabilitation (Physiatry) | Specialty Care |
| 138 | Physical Therapy | Specialty Care |
| 139 | Plastic Surgery (not Hand) | Specialty Care |
| 140 | Plastics Hand | Specialty Care |
| 141 | Podiatry Comprehensive | Specialty Care |
| 142 | Podiatry DS | Specialty Care |
| 143 | Primary Care One Year | Primary Care |
| 144 | Primary Care Six Month | Primary Care |
| 145 | Program of All-Inclusive Care for the Elderly (PACE) | Extended Care |
| 146 | Pulmonary | Specialty Care |
| 147 | Pulmonary Bronchoscopy | Specialty Care |
| 148 | Pulmonary Rehab | Specialty Care |
| 149 | Radiation Therapy | Specialty Care |
| 150 | Radiology MRI/MRA | Specialty Care |
| 151 | Radiology PET Scan | Specialty Care |
| 152 | Radiology X-Ray NOS | Specialty Care |
| 153 | Rheumatology Comprehensive | Specialty Care |
| 154 | Scheduler Only Communication | |
| 155 | Skilled Home Health - Bath Aide Non Bundled | Extended Care |
| 156 | Skilled Home Health Care - Non Bundled | Extended Care |
| 157 | Skilled Home Health Care Bundled | Extended Care |
| 158 | Skilled Home Health Care-Expanded | Extended Care |
| 159 | Skilled RN + Infusion Therapy | Extended Care |
| 160 | Sleep Comprehensive | Specialty Care |
| 161 | Specialty Contact Lens Fitting | Specialty Care |
| 162 | Speech Therapy-Speech Language Pathology Comprehensive | Specialty Care |
| 163 | Tai Chi | Specialty Care |
| 164 | Thoracic Surgery | Specialty Care |
| 165 | Transient Center-Based Assisted Hemodialysis | Specialty Care |
| 166 | Ultrasound | Specialty Care |
| 167 | Urgent-Walk In Care | Specialty Care |
| 168 | Urogynecology | Specialty Care |
| 169 | Urology Comprehensive | Specialty Care |
| 170 | Vascular Surgery | Specialty Care |
| 171 | Venogram | Specialty Care |
| 172 | Veteran Directed Care | Extended Care |
| 173 | Vision Rehabilitation | Specialty Care |
| 174 | Wound Care | Specialty Care |
| 175 | Yoga (Group Well-Being Class) | Specialty Care |
Data Lists
| High Level Health Benefit | Coverage |
| Basic Medical Benefit Package | Acupuncture |
| Basic Medical Benefit Package | Ancillary Services |
| Basic Medical Benefit Package | Behavioral Health (to include professional counseling) |
| Basic Medical Benefit Package | Chronic Dialysis Treatment |
| Basic Medical Benefit Package | Comprehensive Rehabilitative Services |
| Dental | Dental |
| DME, Medical Devices, Orthotic, and Prosthetic | DME, Medical Devices, Orthotic, and Prosthetic |
| Emergent Care | Emergent Care |
| Basic Medical Benefit Package | Geriatrics (Noninstitutional extended care services, including but not limited to noninstitutional geriatric evaluation, noninstitutional adult day health care, and noninstitutional respite care) |
| Basic Medical Benefit Package | Home Healthcare (Skilled and Unskilled) |
| Basic Medical Benefit Package | Hospice/Palliative Care/Respite |
| Basic Medical Benefit Package | Hospital Services |
| Immunizations | Immunizations |
| Implants | Implants |
| Basic Medical Benefit Package | Inpatient Diagnostic and Treatment |
| Items | Items |
| Basic Medical Benefit Package | Long Term Acute Care |
| Basic Medical Benefit Package | Maternity and Women’s Health |
| Basic Medical Benefit Package | Outpatient Diagnostic and Treatment Services (including laboratory services) |
| Pharmacy | Pharmacy |
| Basic Medical Benefit Package | Preventive Care |
| Reconstructive Surgery | Reconstructive Surgery |
| Basic Medical Benefit Package | Residential Care |
| Basic Medical Benefit Package | Service |
| Skilled Nursing Facility Care | Skilled Nursing Facility Care |
| Basic Medical Benefit Package | Telehealth |
| Urgent Care | Urgent Care |
File details come from the government source that posted it. Updated .