36C10G20R0014-032.xlsx
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- Solicitation number
- 36C10G20R0014
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This pre-solicitation notice announces the Department of Veterans Affairs' intent to issue a request for proposal for a Community Care Network contractor in Alaska. The contractor will be responsible for establishing and maintaining a network of licensed healthcare providers to deliver medical, surgical, pharmacy, dental and other services to eligible Veterans in Alaska. The contractor will serve as a third-party administrator to provide managed care services, exemplary customer service, quality monitoring and data-driven performance improvement. The anticipated contract type is a single-award IDIQ with a 9-month base period and seven 1-year options. The VA expects to post the RFP on May 11, 2020 and have offers due on June 1, 2020. The solicitation will be issued under NAICS code 524292. Interested parties must register in SAM.gov.
36C10G20R0014 CCN Region 5 Attachment 3 - Questions Submission Format.xlsx
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DRAFT RFP RESPONSES
ITEM
Department of Veterans Affairs: Department of Veterans Affairs:
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RFP SECTION
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Use Drop Down Menu to Select Section RFP SUBSECTION RFP PAGE NUMBER (Number Identified at the bottom page of PDF) Department of Veterans Affairs: Department of Veterans Affairs:
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COMMENT/RECOMMENDATION/FEEDBACK
Department of Veterans Affairs: Department of Veterans Affairs:
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| GOVERNMENT RESPONSE | |||||
| 1 | PWS Section 1.2 | 1.2 Background | 22 | 1.0 GENERAL INFORMATION | A. Background references 26 reimbursement contracts with AK Tribal Health Programs and that VA intends to maintain those existing agreements. |
B. Need to specify that the agreements represent the entirety of the THP obligations to VA and that other factors imposed by this contract do not supersede or overlay the existing contract requirements outlined in those agreements.
C. We recommend VA clarify that by joining the CCN, additional requirements will not be placed upon tribal providers beyond what is already contained in their agreements with the VA. For example, the rates of reimbursement, fee schedule, applicable quality measures, or additional training requirements.
D. In addition, VA should make clear that the CCN Agreement will not supersede, supplant or negatively impact the tribal agreements in anyway and tribal providers have the option to remain out of network.
A. Correct. The VA intends to maintain the existing reimbursement agreements with Alaska Tribal Health Programs.
B. The existing reimbursement agreements with Alaska Tribal Health Programs will remain stand alone agreements. The CCN contract is a separate contract vehicle for VA to acquire care in the community, and will not supersede or overlay the existing contract requirements outlined in those agreements. IF a referral is submitted under the CCN contract to a participating tribal provider or a facility then the CCN contract terms and conditions apply. If a referral under the tribal agreements is submitted to a tribal provider or facility then the tribal agreement terms and conditions apply.
C. The requirements in the CCN contract provide specific exceptions for Tribal Health providers and facilities providing care under the CCN contract. See Sections 2.6 Accreditation, PWS Section 3.7.1 Credentialing, PWS Section 15.1 and Section B.5 for the Schedule of Services. Any modifications to the CCN contract requirements will be coordinated between the CCN Contracting Officer and the CCN contractor throughout the life of the contract.
D. The VA intends to maximize the use of the CCN contract for care in the community. Tribal providers have the option to join CCN and/or continue to provide care under through the Tribal Agreements.
| 2 | PWS Section 2.2 | 2.2.1 Implementation Strategy | 22 | 2.0 PROJECT MANAGEMENT | We recommend the VA consider the geographic size of Alaska in the requirement that HCD requirements be delivered six (6) months from contract award. | Thank you for your recommendation. VA considered the size among other variables to include the number of current VA Facilities within Alaska when determining the HCD timeframe. This is the requirement. |
| 3 | PWS Section 2.2 | 2.2.1 Implementation Strategy | 22 | 2.0 PROJECT MANAGEMENT | We cannot locate Section F, DELIVERIES OR PERFORMANCE. Is this the same as B. 4. Schedule of Deliverables? | Section F Deliveries or Performance is the same as B.4 Schedule of Deliverables. The PWS will be corrected accordingly. |
| 4 | PWS Section 3.2 | 3.2.1 CCN Complementary and Integrative Healthcare Services Network | 35 | 3.0 HIGH PERFORMING NETWORK | Not all of these services are available in Alaska, or they are only available in certain geographies. Does this mean that the VA would reimburse for a patient to travel to obtain services? Or is the intent that the benefit is only available locally? From our perspective it would be unlikely all geographic locations would have contracted providers to support these services. | Travel is not authorized under the contract. Any travel for Veterans will be coordinated between the VA and the Veteran. PWS Section 3.1 provides the access standards. If the Contractor can't meet those standards, it should follow the Waiver instructions in PWS Section 3.1.1 and B.4 Schedule of Deliverables (Waivers due after contract award). |
| 5 | PWS Section 3.2 | 3.2 Provider Networks | 34 | 3.0 HIGH PERFORMING NETWORK | Will the contractor be permitted to use the existing VA network for a defined period of time? Does this apply to dental providers? | No. It is the responsibility of the Contractor to establish a contract with providers. |
| 6 | PWS Section 3.2 | 3.2 Provider Networks | 34 | 3.0 HIGH PERFORMING NETWORK | The patient home should be a billable location. | Yes, only if the provider renders care at the patients home. For telehealth, the patients home can't be used as a billable location. |
| 7 | PWS Section 3.2 | 3.2.3 Telemedicine | 36 | 3.0 HIGH PERFORMING NETWORK | We would propose defining telehealth services and consultations through live videoconferencing, secure store and forward technology, and secure patient applications. | VA is revising the RFP "Attachment 1 - PWS Terms and Definitions" to include the following definition of Telehealth: "The use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications." |
| 8 | PWS Section 3.2 | 3.2.3 Telemedicine | 36 | 3.0 HIGH PERFORMING NETWORK | Telehealth is a means of service delivery not a service in and of itself and as such all services should be available through telehealth at the same fee structure as in person care. | The Contractor will be reimbursed the same for healthcare services whether in person or through telehealth. For Telehealth services the Contractor can bill separately for the originating facility fee. See The revised B.5 Schedule of Services for Telehealth. |
| 9 | PWS Section 3.2 | 3.2.3 Telemedicine | 36 | 3.0 HIGH PERFORMING NETWORK | Why have requirements for Telehealth services been reduced to Neuropsychology and Rheumatology from the earlier requirement for Primary care, Mental health and Specialty care services. It will literally be impossible to provide care throughout Alaska to our veterans without relying on Telehealth for a much broader range of services. | VA has identified the minimum requirements in PWS Section 3.2.3 as Neuropsychology and Rheumatology. The Contractor shall meet the access standards in PWS Section 3.1. If the Contractor can't meet these access standards, the Contractor shall submit a waiver in accordance with PWS Section 3.1.1 and B.4 Schedule of Deliverables (Waivers due after contract award). |
| 10 | PWS Section 3.2 | 3.2.3 Telemedicine | 36 | 3.0 HIGH PERFORMING NETWORK | Why is an Alaska license required to practice telemedicine? Federal law permits providers in the tribal health system to operate with licenses from other states, and this provision may block some current providers from engaging in telehealth. This contradicts the provisions for THP to follow accreditation processes already outlined by federal statute as listed on page 41. | The Alaska State Medical Board requires all telehealth providers to have an AK Medical License. If a provider is properly credentialed by the Tribal Health System, they are exempt from this requirement. See revised PWS Section 3.2.3. |
| 11 | PWS Section 3.2 | 3.2.3 Telemedicine | 36 | 3.0 HIGH PERFORMING NETWORK | Will the VA have a fee schedule for the telehealth originating site facility fee (HCPCS Code Q3014)? This is critical to covering the expenses encumbered by remote sites that participate in presenting a patient to be seen over telehealth by a remote specialist. | Telehealth originating site facility fee will be reimbursed. See revised Section B.5 Schedule of Services which includes a new Firm Fixed Price CLIN XY24 for the Telehealth originating site facility fee. |
| 12 | PWS Section 3.5 | 3.5 CCN Region | 37 | 3.0 HIGH PERFORMING NETWORK | In support of Locum Tenens Coverage – VA will need to consider how providers will be reimbursed. We suggest some type of cost+ based reimbursement to cover a provider traveling to rural locations of Alaska for patient treatment. | There is no requirement to provide Locum Tenens coverage and therefore the VA will not create a reimbursement methodology. |
| 13 | PWS Section 3.6 | 3.3 Network Adequacy Mgmt. | 38 | 3.0 HIGH PERFORMING NETWORK | Paragraph 2 states "network adequacy is measured independently for urban, rural and highly rural locations." This is contradicted in section 3.1 which outlines metrics by subspecialty. | The access standards outline in PWS Section 3.1 apply to the entire CCN Region 5. To measure the Contractor's performance against those standards, VA will measure the network adequacy for Urban areas, Rural, and Highly Rural areas independently to ensure the access standards are being met across the Region as outlined in the QASP (Attachments B-A and B-T). |
| 14 | PWS Section 3.7 | 3.7.1 Credentialing | 41 | 3.0 HIGH PERFORMING NETWORK | Final paragraph on page 41 has two commas in sequence and appears to be missing some verbiage. Please review and clarify. | No verbiage is missing and is a typographical error. PWS Section 3.7.1 paragraph has been corrected. |
| 15 | PWS Section 4.1 | 4.1 CCN Healthcare Services | 42 | 4.0 CCN HEALTH BENEFIT PACKAGE | If Travel is excluded needs to be clear how it will be coordinated with the CCN. | The Contractor is not responsible for coordinating VA travel which is also an exclusion from the CCN contract. The Veteran will be directed to VA Beneficiary Travel Office for eligibility and reimbursement requirements. |
| 16 | PWS Section 4.1 | 4.4.4 CCN Healthcare Service Exceptions | 44 | 3.0 HIGH PERFORMING NETWORK | Beneficiary Travel is listed as a service exception but on page 35 the statement "the Contractor has contracted with other providers/facilities that may be located beyond the limits in the time and distance criteria, but who are actually the currently available providers/facilities most accessible to Region 5 Veterans. " How will travel to these "most accessible" providers be coordinated with VA? | See VA Response to question #15 |
| 17 | PWS Section 4.2 | 4.2 CCN Complementary and Integrative Healthcare Services | 44 | 4.0 CCN HEALTH BENEFIT PACKAGE | Not all of these services are available in Alaska, or they are only available in certain geographies. Does this mean that the VA would reimburse for a patient to travel to obtain services? Or is the intent that the benefit is only available locally? From our perspective it would be unlikely all geographic locations would have contracted providers to support these services. | See VA Response to question #15 |
| 18 | PWS Section 4.4 | 4.4 CCN Assisted Reproductive Technology Services | 45 | 4.0 CCN HEALTH BENEFIT PACKAGE | These services are extremely limited and may not be available in the State of Alaska. If these services aren’t available in AK, and are referred by the VA to another VA region does that become the responsibility of that region? | The Contractor is responsible for building and maintaining a network for the services identified in PWS Section 4.0 unless the Contractor has a VA approved waiver in accordance with PWS Section 3.1.1. If the VA determines it will provide care by other means, VA is responsible for coordinating those services. |
| 19 | PWS Section 4.4 | 4.4 CCN Assisted Reproductive Technology Services | 45 | 4.0 CCN HEALTH BENEFIT PACKAGE | Need to consider not just ART but for other specialties. Shouldn’t establish a provider network for low volume highly specialized care. | See VA response to question #18 |
| 20 | PWS Section 4.4 | E.1 Pharmacy Prescriptions | 46 | 4.0 CCN HEALTH BENEFIT PACKAGE | Will Contractor be responsible for ensuring compliance with VHA Handbook 1108.05 relating to urgent/emergent medications dispensed by a network retail pharmacy? We recommend this verbiage enhanced to clarify that network retail pharmacies dispending urgent/emergent medications are not included in this provision. | PWS Section 4.4 has been revised to focus strictly on ART services. Any related, prescribed medications for ART services my be dispensed in accordance with PWS Section 15, if applicable, or by VA pharmacies. |
| 21 | PWS Section 4.4 | E.2 Pharmacy Prescriptions | 46 | 4.0 CCN HEALTH BENEFIT PACKAGE | Is it acceptable for claims to process at point of service without halting to ensure collaboration between prescribers and VA medical facility care? We recommend that Formulary medications be able to process without halting to prevent delay in access to urgent/emergent prescriptions. | See VA response to question 20. |
| 22 | PWS Section 4.4 | E.3 Pharmacy Prescriptions | 46 | 4.0 CCN HEALTH BENEFIT PACKAGE | Our interpretation of this subsection is that a prescription can be filled under a non-VA provider's name so long as that non-VA provider is a VA-authorized provider. Please confirm this is the correct interpretation. | Please refer to PWS Section 15.0 Pharmacy. "The Pharmacy component shall provide pharmacy benefits to Veterans through use of a Pharmacy Benefits Management (PBM) function that has a retail pharmacy network to provide prescription fulfillment services for urgent\emergent prescriptions from CCN providers (non-VA provider) and VA providers." VA revised the PWS to ensure consistency with CCN providers versus non-VA providers. |
| 23 | 7.0 REFERRALS | 52 | 7.0 REFERRALS | Care is provided in Alaska especially in rural areas by Community Health aides, Behavioral Health Aides and Dental Health Aides through Tribal Sharing Agreements. This should meet the access requirements for primary care services. | The Contractor's performance to meet access standards will be measured under PWS Section 3.1 and PWS Tribal Health Community Health aides, Behavioral Health Aides and Dental Health Aides need to be participating members of the CCN in order to meet access standards. VA is revising PWS Section 3.1 to address Dental access standards. | |
| 24 | PWS Section 7.1 | 7.1 Notification of Emergent Health Care | 54 | 7.0 REFERRALS | Participation in Direct Trust system will be important to secure messaging between EHRs. | The VA has provided requirements for data exchange in PWS Sections 18 and 19. VA also participates in the Direct Trust Network for direct exchange of secure health information. |
| 25 | PWS Section 10.1 | 10.1.Training Plan | 61 | 10.0TRAINING – CONTRACTOR PROCESSES, SYSTEMS, AND INTERFACES | Do these training requirements apply to dental providers? | Yes, the Contractor is required to meet all the training requirements as outlined in PWS Section 10. |
| 26 | PWS Section 10.1 | Military Culture and Key Issues in Providing Care to a Veteran Population Training | 66 | 10.0TRAINING – CONTRACTOR PROCESSES, SYSTEMS, AND INTERFACES | Do these training requirements apply to dental providers? | Duplicate questions submission. See Government response to question 25 above. |
| 27 | 12.0 Claims | 72 | 12.0 CLAIMS PROCESSING AND ADJUDICATION FOR CCN HEALTHCARE SERVICES RENDERED | Will Q3014 be used for the originating CPT for Telemedicine visit and will they prior auth? | Yes, Q3014 may be used for the originating CPT for a telemedicine visit. The originating location claim must contain the referral number when the episode of care is preauthorized. | |
| 28 | PWS Section 15.1 | 15.0 Pharmacy | 85 | 15.0 PHARMACY | Will the VA send a daily file, in a mutually agreed upon format, detailing additions or deletions of VA providers from the network? Provider changes being communicated frequently and in a defined file format will ensure the turnaround times specified in section 15.1 can be met. | Yes, in accordance with PWS Section 18.15.2.,” VA will provide a copy of the detailed provider data daily as identified in Attachment U, “Data Specification” (tab 16-Master Provider File 2018). |
| 29 | PWS Section 15.1 | 15.0 Pharmacy | 85 | 15.0 PHARMACY | How are routine/maintenance medications defined? | A routine/maintenance medication is defined as any drug that is part of medicinal treatment b that is not urgent or emergent. PWS Section 15.3. |
| 30 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 85 | 15.0 PHARMACY | Please confirm that the PBM function will not be needed for prescriptions filled by VA pharmacies. | Correct. Medications filled by VA Pharmacy will not require the CCN contractor's PBM involvement. |
| 31 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 85 | 15.0 PHARMACY | Which pharmacy(is) will be allowed to fill prescriptions for Specialty drugs? | Depending on the circumstances for each unique specialty drug, VA PBM will work with the Contractor to determine how to best service our Veterans when it comes to specialty drugs. |
| 32 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 85 | 15.0 PHARMACY | Will VA pharmacies provide mail order services? | Yes, for all routine/maintenance medications. |
| 33 | PWS Section 15.1 | 15.0 Pharmacy | 86 | 15.0 PHARMACY | In identifying which medications are defined as urgent/emergent, aside from the "VA Urgent Emergent National Formulary," are there any exceptions (e.g., established maintenance therapy for which the member is out of medication)? If considerations are made for circumstances beyond this established formulary, are these claims expected to halt at point of service to evaluate the urgent/emergent need? (Noted: compounds excluded from this definition.) | Per the PWS, the CCN provider determines "urgent/emergent" and can make exceptions based on clinical judgement. If the medication is not on the Urgent/Emergent Formulary, the contractor's PBM, through its retail pharmacist, must verify with the CCN provider that the medication prescribed is truly "urgent/emergent." |
| 34 | PWS Section 15.1 | 15.0 Pharmacy | 87 | 15.0 PHARMACY | Is the intent to halt urgent/emergent claims at point of service to ensure it was determined "medically appropriate" with an "approved referral?" A review would delay the dispensing of the medication while an authorization is processed. | The Contractor's PBM must have an approach to determine Veteran's eligibility, if the medication prescribed is needed urgently/emergently, and whether the medication should be adjudicated through the process that requires an approved referral or should go through the Mission Act Urgent Care process. |
| 35 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 87 | 15.0 PHARMACY | How will the Contractor be notified of changes to the VA Urgent Emergent National Formulary and National Formulary to ensure provider compliance? | The Contractor will be notified of changes to both formularies on a monthly basis and most likely through a spreadsheet format. |
| 36 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 87 | 15.0 PHARMACY | It is stated that the Network PBM will develop and utilize a Prior Authorization process for non-formulary medications. Please confirm that this process must use the VA's CFU for Prior Authorization reviews, not PBM developed criteria. | The Prior Authorization process will use the VA's criteria for use (CFU) whenever one is available. There will be non-formulary medications that will not have CFU's. In those circumstances, a generic Prior Authorization must be used following FDA indications for the medication. VA PBM will work with the Contractor and the Contractor's PBM to develop a process for un-labeled use. |
| 37 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 88 | 15.0 PHARMACY | Confirm that the PBM can authorize a second 14-day urgent/emergent supply based on clinical reasoning (option 2 "justification" for "Urgent/Emergent Need for Continuation of Therapy as Determined by Network PBM"). Is clinical reasoning determined by the PBM or are there VA CFU for those situations? | A second 14-day urgent/emergent supply is only authorized for circumstances like antibiotic/antiviral therapy. The urgent/emergent use of opioids will be restricted to 7 days' supply with a second 7 days' supply authorized based on the CCN provider's clinical judgement. If state law is more restrictive in days' supply of opioid then the contractor's PBM should follow state law. |
| 38 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 88 | 15.0 PHARMACY | Can pharmacies, when they submit claims to a PBM, provide the appropriate VISN, Facility ID, and Referral numbers? Or will this information have to be reconciled prior to reporting? | VA PBM requires all fields as indicated in the Pharmacy deliverables identified in PWS Section 15.1. |
| 39 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 88 | 15.0 PHARMACY | Can the VA provide Veteran census data for Alaska, in order for the PBM to determine whether its pharmacy network meets the Network Pharmacy Minimum Access Standards? Or does meeting these standards apply only to the residences of the Veterans who receive Urgent/Emergent prescriptions through the PBM's pharmacy network? | Attachment A contains the Urban/Rural/Highly Rural (URH) summaries by facility and county which are based on Census-based definitions for Urban, Rural, and Highly Rural. Additionally, Attachment AA provides census data for Alaska by all ruralities (excluding Insular Islands) and all locations. This information should be sufficient for the PBM to determine whether its pharmacy network meets the minimum access standards. Please see revised PWS Section 15. |
| 40 | PWS Section 15.1 | 15.1 Urgent/Emergent Prescriptions | 88 | 15.0 PHARMACY | Please provide Section F, DELIVERIES OR PERFORMANCE. Section 15.1 makes reference to Section F related to monthly reports for urgent/emergent prescription, prior authorization, and opioid reports. Is this the same as B.4 SCHEDULE OF DELIVERABLES on page 105? | Section F Deliveries or Performance is the same as B.4 Schedule of Deliverables. The PWS will be corrected accordingly. |
| 41 | PWS Section 15.2 | 15.2.1 Urgent/Emergent Prescription Performance Metrics | 89 | 15.0 PHARMACY | Please provide Section F, DELIVERIES OR PERFORMANCE. Section 15.2.1 makes reference to Section F related to monthly reports for urgent/emergent prescription performance metrics. Is this the same as B.4 SCHEDULE OF DELIVERABLES on page 105? | Section F Deliveries or Performance is the same as B.4 Schedule of Deliverables. The PWS will be corrected accordingly. |
| 42 | PWS Section 15.2 | 15.2.1 Urgent/Emergent Prescription Performance Metrics | 89 | 15.0 PHARMACY | Please confirm if performance metrics and goals are considered performance guarantees. If considered guarantees, what are the penalties? | The performance metrics in the PWS and the QASP will be monitored through the performance of the contract and will inform future contracting decisions. VA has included Attachment B-A and B-T which outlines incentives and disincentives. |
| 43 | PWS Section 15.3 | 15.3 Routine/Maintenance Prescriptions | 90 | 15.0 PHARMACY | Confirm that flu vaccinations, as well as vaccinations included on the SEOC listing can be given/dispensed without authorization, and that all others require prior authorization. Ideally, Veterans would be permitted to receive vaccines in accordance with ACIP guidelines without authorization to lower barriers to receiving important vaccines. | As stated in the PWS, only seasonal flu vaccination is exempt from requiring an approved referral. All other vaccinations must be prescribed and administered under an approved referral. |
| 44 | PWS Section 15.4 | 15.4 Contingency Plan for Disaster Response | 90 | 15.0 PHARMACY | Please provide Section F, DELIVERIES OR PERFORMANCE. Section 15.4 makes reference to Section F related to reports for electronic disaster response prescription report. Is this the same as B.4 SCHEDULE OF DELIVERABLES on page 105? | Section F Deliveries or Performance is the same as B.4 Schedule of Deliverables. The PWS will be corrected accordingly. |
| 45 | 17.0 Dental | 92 | 17.0 DENTAL | Please confirm and/ or clarify that the referenced outpatient dental care includes urgent and emergent care and is not limited to only urgent and emergent dental care. | Dental care is not limited to only urgent and emergent care. | |
| 46 | PWS Section 17.1 | 17.1 Dental Network Adequacy | 93 | 17.0 DENTAL | There is a reference to section 3.1. The time/travel requirements in 3.1, Table 1 are reasonable for the lower 48 but we would request consideration for them to be revised to reflect the geographical challenges in Alaska. | It is the responsibility of the Contractor to provide its solution to achieve the travel time requirements and if necessary submit a waiver See PWS Section 3.1.1 for Waiver instructions and B.4 Schedule of Deliverables (Waivers due after contract award). |
| 47 | PWS Section 17.2 | 17.2 Dental Network Provider Credentialing | 93 | 17.0 DENTAL | There is a requirement that network providers have an Alaskan license. Dentists can practice in native corporation clinics legally with a current license from any state. Could the licensure requirement be amended to allow contracting with dentists practicing in these locations? |
| The Dentist who operate in native corporation clinics must adhere to Alaska Tribal Health Programs licensure. | |||||||
| 48 | PWS Section 17.4 | 17.4 Dental Care Referrals | 93 | 17.0 DENTAL | It states, “The Contractor shall have a referral for all dental services to be provided under the contract in advance of the treatment.” In order to submit a treatment plan for consideration, certain services are necessary- for example an exam and radiographs. What treatment is the member able to receive without a referral? Can they have diagnostic and preventative treatment OR emergency treatment (i.e., palliative—D9110) without having a referral/predetermination? | As stated in PWS Section 17.4 all dental care must have an approved referral prior to all dental services. | |
| 49 | PWS Section 17.5 | 17.5 Return of Dental Records | 93 | 17.0 DENTAL | It states that providers are required to return dental records of completed care to the VA within 45 days. How is the “dental record” defined? In this context is it simply the clinical treatment notes and applicable images/radiographs? | As stated in PWS Section 17.5, the Contractor shall educate its CCN Dental Network providers to return dental records of completed care, including supplemental images/ radiographs, to VA within forty-five (45) days upon completion of the dental treatment plan. | |
| 50 | 18.0 Technology | 94 | 18.0TECHNOLOGY | We would propose language that the EHR used to document care by the CCN provider must meet the Meaningful Use Stage 3 requirements rather than the contractor. Contractor would be responsible to ensure that their provider network can meet these requirements with EHR technologies. | The Contractor must meet Meaningful Use Stage 3 requirements. The VA will be interacting with the Contractor and not the individual providers. Much of the current implementation involves contractor rolling up data across providers and populations to provide to the VA, and contractor is responsible for providing continuity of experience across providers via a patient portal, etc. | ||
| 51 | PWS Section 18.3 | 18.13 Submission of Medical Documentation | 99 | 18.0TECHNOLOGY | Will the VA support the submission of CCDA and CDA documents being submitted over Direct Messaging from EHRS that participate in the Direct trust bundle? Are there specific restrictions that will impact the ability for modern EHR vendors - e.g. Cerner, Epic - to submit these documents to the VA with their existing DSM infrastructure? | Yes, the VA will support CCDA and CDA documents being submitted over Direct Messaging from EHRs that participating in the Direct trust bundle. | |
| 52 | PWS Section 3.2 | PWS Section 3.2 | 19 | 1.0 GENERAL INFORMATION | The VA notes that there are 26 reimbursement agreements with THP's. What, if any, communications, encouragements, or inducements will VA make directed to the THPs to encourage their ongoing participation? | There has been on going communications with the THPs. The Alaska Native Tribal Health Consortium participated in Industry Day, one on one discussions with VA and VA leadership met with Tribal leaders during their Tribal Self Governance Summit in Traverse City, Michigan this past April. | |
| 53 | PWS Section 3.2 | PWS Section 3.2 | 20 | 1.0 GENERAL INFORMATION | The Contractor is intended to provide exemplary customer service. Will the Contractor be allowed to measure Veteran satisfaction? If VA retains this responsibility, how does VA intend to measure? | VA will provide the content and format for Veteran satisfaction surveys. VA does not expect the Contractor to survey Veterans. See revised PWS Section 1.3. | |
| 54 | PWS Section 3.2 | PWS Section 3.2 | 22 | 2.0 PROJECT MANAGEMENT | The Implementation strategy includes a requirement to transition dialysis services from expiring VA contracts. What is the status of VA's dialysis contracts which would be relevant to this RFP? | VA National contracts only cover the facility. VA dialysis contracts were recently awarded in March 2019 and are annual contracts. | |
| 55 | PWS Section 3.2 | PWS Section 3.2 | 31 | 3.0 HIGH PERFORMING NETWORK | The Network Access Waiver Request process requires a response from VA. What is the expected processing time once received from VA? | The VA will work as quickly as possible to review and adjudicate waivers. The VA's response time is dependent on the complexity and volume of the waiver requests. See revised section B.4 Schedule of Deliverables. | |
| 56 | PWS Section 3.2 | PWS Section 3.2 | 34 | 3.0 HIGH PERFORMING NETWORK | Urgent Care section stated “For locations that can provide urgent care services but normally bill with a different POS code (i.e. a physician’s office with a POS code of 11), the Contractor can request VA approval for these types of locations to be a part of the urgent care network as long as the locations meet the payment criteria”. Please clarify when the request for VA approval for providing urgent care at POS11 shall happen and the process or any form to be used for requesting VA approval. | VA has a process and criteria in place for evaluating requests for POS 11 locations. Request for approval must be approved prior to the provider being added to the network and entered into PPMS. | |
| 57 | PWS Section 3.7 | PWS Section 3.7 | 40 | 3.0 HIGH PERFORMING NETWORK | The RFP states that "THPs provide significant healthcare to Veterans in AK, especially in the highly rural, lower population density areas. The THPs have established accreditation and credentialing standards established by the Indian Health Service (IHS) which are acceptable within the scope of this contract for CCN participation and Veteran care. The Contractor is encouraged to include providers employed by THPs." Can VA provide a copy of the IHS provider accreditation and credentialing standards? Does this credentialing exception for THP providers only apply to professional providers employed by THP? | The IHS provider accreditation and credentialing standards are available on Indian Health Services website www.ihs.gov. The credentialing standards are applicable to Licensed Independent Practitioners, and community health, social behavioral health and dental health aides employed by the THPs. | |
| 58 | PWS Section 4.1 | PWS Section 3.2.3 | 43 and 36 | 4.0 CCN HEALTH BENEFIT PACKAGE | Please confirm that the Health Benefit Package as it relates to Telemedicine is limited to Neuropsychology and Rheumatology as listed under 3.2.3. | See the response to Question #9. | |
| 59 | PWS Section 6.2 | N/A | 48 | 6.0 CUSTOMER SERVICE | Does the VA intend for a separate phone number / call tree to be used for Urgent Care? | No. Refer to PWS Section 5.0 and 6.2 (Item 7) | |
| 60 | B.5 PRICE/COST SCHEDULE | N/A | 115 | Please confirm that the VA does not intend to include the Optional Services that were included in all other CCN RFP's issued to date (e.g. Care Coordination, Case Management, Disease Management). | That is correct. Optional tasks for care coordination, case management and disease management are not part of the Region 5 CCN contract. | ||
| 61 | E.8 ADDENDUM 52.212-2 EVALUATION FACTORS | 3.2 | 174 | SECTION E - SOLICITATION PROVISIONS | “3.2 VOLUME II – TECHNICAL” in the middle of this page appears not belong here. Please confirm. | See revised paragraph E.3.2. | |
| 62 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 5.3 | 153-154 | SECTION E - SOLICITATION PROVISIONS | Paragraph numbering appears off starting on the bottom of page 153 – “5. 3 The Government is not responsible...“. There is another 5.3 paragraph on page 153 and a second 5.4 paragraph on page 154. | See revised paragraphed numbering beginning with E.5.3. | |
| 63 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 5.4.2 | 154 | SECTION E - SOLICITATION PROVISIONS | Para. 5.4.2 Stated “Page size shall be no greater than 8 1/2" x 11" with printing on one side, only”. Para. 5.4.6 Hard Copies stated “Hard copy proposals shall be printed double-sided with sequential page numbers at the bottom of each printed page”. These two paragraphs appear conflicted with each other - please clarify whether the hard copy proposals should be printed single- or double-sided. | The hard copy proposal shall be printed double sided. See revised paragraph E.5.4.2. | |
| 64 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 5.4.2 | 154 and 162 | SECTION E - SOLICITATION PROVISIONS | Para 5.4.2 on page 154 states “All files will be submitted as either a Microsoft Excel (.XLS) file or an Acrobat (PDF) file or compatible as indicated in the table” while page 162, Para. 6.4.1 for volume IV stated “The electronic price proposal narrative shall be in Microsoft Word, and the price proposal calculations shall be in Excel”. | ||
| Please confirm that the electronic price proposal narrative may be submitted in Acrobat (PDF) format. | Yes. The narrative for the price proposal shall be submitted in Acrobat (PDF) format. See Revised paragraph E.6.4.1. | ||||||
| 65 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 5.4.5 | 155 | SECTION E - SOLICITATION PROVISIONS | Para. 5.4.5 stated “No part of a Volume shall incorporate by reference portions of other Volumes of the proposal (e.g., Volume IV, Price Proposal, shall not be referenced in Volume I, Technical Proposal)” – Volume I, Technical Proposal here appears to be a typo. | See revised paragraph E.5.4.5. | |
| 66 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 6.1.6 | 157 | SECTION E - SOLICITATION PROVISIONS | In section 6.1.6, VA requires inclusion of a cover page in Volume VI. However, section 6.1 pertains to Volume I. Will VA clarify that the cover page with the offeror’s POC is intended to be included in Volume I? | A cover page with offeror's POC is intended for all Volumes. See revised paragraph E.6.1.6. | |
| 67 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 6.1.6 | 157 | SECTION E - SOLICITATION PROVISIONS | Para 6.1.6 stated “The Offeror shall include a cover page in Volume VI, identifying the Offeror’s point of contact (POC) authorized to communicate throughout the solicitation process and who has full authority to bind the company. The Offeror shall provide the following POC information: Full name, title, e-mail address, phone number, fax number, and level of authority” – Please clarify whether the cover page for the Offeror’s POC shall be included in Volume I or Volume IV. | A cover page with offeror's POC is intended for all Volumes. See revised paragraph E.6.1.6. | |
| 68 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 6.1.8 | 157 | SECTION E - SOLICITATION PROVISIONS | In section 6.1.8, VA requires submission of wage determinations in Volume IV. However, section 6.1 pertains to Volume I. Will VA clarify that the wage determinations are intended to be included in Volume I? | Submission of wage determinations are in Volume 1. See revised paragraph E.6.1.8. | |
| 69 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 6.2.2.6 | 159 | SECTION E - SOLICITATION PROVISIONS | In section 6.2.2.6 VA is requiring a Provider Addendum with panel participation information. Is it VA’s intent that offerors survey all network providers to identify a number of available appointments? The offeror cautions that community providers will be unwilling to make what may seem like a panel commitment, and any responses gained cannot be guaranteed by the network providers and are subject to change based on their availability at the time an appointer reaches out to the provider. | Yes we understand the panel participation does not mean a commitment by the provider. However VA intends on evaluating the Contractor's provider file. See the revised Instructions to Offerors 4.2.2.1. VA is providing the Contractor with predicted healthcare delivery by categories of care in Attachment 10 - Addendum Provider Data. | |
| 70 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 6.2.2.6 | 160 | SECTION E - SOLICITATION PROVISIONS | Section 6.2.2.6 specifies that provider NPIs will be listed with their specialty designation, but the Addendum template in Attachment 10 contains a list of Categories of Care. In the final RFP will VA clarify that Categories of Care are not provider specialties, and offerors will need to develop a “mapping” from provider specialty to the “best match” Category of Care? | Please see revised Template Attachment 10 – Addendum Provider Data. | |
| 71 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 6.4.1 | 162 | SECTION E - SOLICITATION PROVISIONS | Para. 6.4.1 stated “Offerors shall submit their prices in Attachment 9: “CCN Reg5 Pricing Template ” (“Pricing Template” or “Schedule of Services”. Attachment 9 is the Table Mapping document. Is the "CCN Reg5 Pricing Template actually Attachment 8? | Yes, Attachment 8 is the Reg 5 Pricing Template. See revised paragraph 6.4.1. | |
| 72 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 6.4.2 | 164 | SECTION E - SOLICITATION PROVISIONS | CLINs XY12AA-AD are not referenced in Table 2: Pricing Group Definitions. Will VA clarify in which group these CLINs will be evaluated? | All CLIN XY12 sub-CLINs are part of Group B. See revised Table 2: Pricing Group Definitions. | |
| 73 | E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 164 | SECTION E - SOLICITATION PROVISIONS | CLIN Group table on the top of the page for CLIN Group A listed “XY04B” and CLIN Group B didn’t list CLIN XY12AA, XY12AB, XY12AC and XY12AD – shall “XY04B” be “XY04AB” instead? Shall CLIN XY12AA, XY12AB, XY12AC and XY12AD be added to Group B? | Yes XY04B was a typo and should of said XY04AB. See revised CLIN Group table. Note for simplicity the subCLINs are no longer listed, just the parent. CLINs. VA intends to make a far and reasonableness determination at the CLIN level and not the subCLIN level. One item that allowed for the simplification was the deletion of sub CLINs 9AD and 21AD. Tribal pharmacies can continue to bill at actual cost using the existing manual VA processing or they can become a CCN pharmacy provider and bill at a percent of AWP. Since % of AWP allows for profit we suspect that most Tribal pharmacy that are capable of EDI will transition to becoming CCN pharmacy providers. | ||
| 74 | Attachment 8 - CCN Reg5 Pricing Template | Pricing Sheet (CLIN XY20) | Attachment | The list of ART codes to be priced includes two codes that do not exist (70145 and 76844). Does VA intend to correct these codes to 71045 and 76811? | Yes. See revised Attachment 8 - CCN Reg 5 Pricing Template | ||
| 75 | Attachment B-T - Incentives Disincentives Factor Summary | Attachment | Please confirm that the Maximum Incentive Annual Value is also the Maximum Disincentive for each IDF. | See revised Attachment B-T, Table 3 for maximum incentives and disincentives. | |||
| 76 | Attachment F - Projected Active Veterans | Attachment | Will VA provide the escalation logic used to project active Veterans into future months? The escalation rates appear to vary by year. | No. VA will provide the Volumes which will be evaluated. |
Drop Down Menu
| RFP SECTION | CATEGORY |
| PWS Section 1.1 | 1.0 GENERAL INFORMATION |
| PWS Section 1.2 | 2.0 PROJECT MANAGEMENT |
| PWS Section 1.3 | 3.0 HIGH PERFORMING NETWORK |
| PWS Section 2.1 | 4.0 CCN HEALTH BENEFIT PACKAGE |
| PWS Section 2.2 | 5.0 ELIGIBILITY |
| PWS Section 2.3 | 6.0 CUSTOMER SERVICE |
| PWS Section 2.4 | 7.0 REFERRALS |
| PWS Section 2.5 | 8.0 SCHEDULING OF APPOINTMENTS |
| PWS Section 2.6 | 9.0 MEDICAL DOCUMENTATION |
| PWS Section 2.7 | 10.0TRAINING – CONTRACTOR PROCESSES, SYSTEMS, AND INTERFACES |
| PWS Section 2.8 | 11.0 RESERVED |
| PWS Section 3.1 | 12.0 CLAIMS PROCESSING AND ADJUDICATION FOR CCN HEALTHCARE SERVICES RENDERED |
| PWS Section 3.2 | 13.0 VETERAN CLAIM APPEALS AND PROVIDER RECONSIDERATIONS |
| PWS Section 3.3 | 14.0 CLINICAL QUALITY AND PATIENT SAFETY MONITORING |
| PWS Section 3.4 | 15.0 PHARMACY |
| PWS Section 3.5 | 16.0DURABLE MEDICAL EQUIPMENT |
| PWS Section 3.6 | 17.0 DENTAL |
| PWS Section 3.7 | 18.0TECHNOLOGY |
| PWS Section 4.0 | 19.0DATA ANALYTICS |
| PWS Section 4.1 | SECTION C - CONTRACT CLAUSES |
| PWS Section 4.2 | SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS |
| PWS Section 4.3 | SECTION E - SOLICITATION PROVISIONS |
| PWS Section 4.4 | |
| PWS Section 5.0 | |
| PWS Section 6.1 | |
| PWS Section 6.2 | |
| PWS Section 6.3 | |
| PWS Section 6.4 | |
| PWS Section 6.5 | |
| PWS Section 6.6 | |
| PWS Section 6.7 | |
| PWS Section 6.8 | |
| PWS Section 7.1 | |
| PWS Section 7.2 | |
| PWS Section 7.3 | |
| PWS Section 7.4 | |
| PWS Section 8.0 | |
| PWS Section 9.1 | |
| PWS Section 9.2 | |
| PWS Section 9.3 | |
| PWS Section 9.4 | |
| PWS Section 9.6 | |
| PWS Section 9.7 | |
| PWS Section 9.8 | |
| PWS Section 10.1 | |
| PWS Section 10.2 | |
| PWS Section 10.3 | |
| PWS Section 11.1 | |
| PWS Section 11.2 | |
| PWS Section 11.3 | |
| PWS Section 11.4 | |
| PWS Section 12.1 | |
| PWS Section 12.2 | |
| PWS Section 12.3 | |
| PWS Section 12.4 | |
| PWS Section 12.5 | |
| PWS Section 12.6 | |
| PWS Section 12.7 | |
| PWS Section 12.8 | |
| PWS Section 12.9 | |
| PWS Section 12.10 | |
| PWS Section 12.11 | |
| PWS Section 12.12 | |
| PWS Section 12.13 | |
| PWS Section 12.14 | |
| PWS Section 13.1 | |
| PWS Section 13.2 | |
| PWS Section 14.1 | |
| PWS Section 14.2 | |
| PWS Section 15.1 | |
| PWS Section 15.2 | |
| PWS Section 15.3 | |
| PWS Section 15.4 | |
| PWS Section 16.1 | |
| PWS Section 16.2 | |
| PWS Section 16.3 | |
| PWS Section 16.4 | |
| PWS Section 17.1 | |
| PWS Section 17.2 | |
| PWS Section 17.3 | |
| PWS Section 17.4 | |
| PWS Section 17.5 | |
| PWS Section 17.6 | |
| PWS Section 18.1 | |
| PWS Section 18.2 | |
| PWS Section 18.3 | |
| PWS Section 18.4 | |
| PWS Section 18.5 | |
| PWS Section 18.6 | |
| PWS Section 18.7 | |
| PWS Section 18.8 | |
| PWS Section 18.9 | |
| PWS Section 18.10 | |
| PWS Section 18.11 | |
| PWS Section 18.12 | |
| PWS Section 18.13 | |
| PWS Section 18.14 | |
| PWS Section 18.15 | |
| PWS Section 18.16 | |
| PWS Section 19.1 | |
| PWS Section 19.2 | |
| PWS Section 19.3 | |
| PWS Section 19.4 | |
| PWS Section 19.5 | |
| B.4 SCHEDULE OF DELIVERABLES | |
| B.5 PRICE/COST SCHEDULE | |
| B.6 PERFORMANCE INCENTIVE PLAN | |
| B.7 REFERRAL PROCEDURES | |
| B.8 INVOICES: | |
| SECTION C | |
| C.1 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (MAY 2019) | |
| C.2 52.216-18 ORDERING (OCT 1995) | |
| C.3 52.216-19 ORDER LIMITATIONS (OCT 1995) | |
| C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995) | |
| C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) | |
| C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) | |
| C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | |
| C.8 852.303-70 COMMERCIAL ADVERTISING (MAY 2018 | |
| C.9 815.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009) | |
| C.10 852.219-9 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM REQUIREMENTS (DEC 2009) | |
| C.11 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009) | |
| C.12 852.219-72 EVALUATION FACTOR FOR PARTICIPATION IN THE VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009) | |
| C.13 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018) (DEVIATION) | |
| C.14 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018) | |
| C.15 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 2008) | |
| C.16 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984) | |
| C.17 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008) | |
| C.18 VAAR 852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO BENEFICIARIES (JAN 2008) | |
| C.19 MANDATORY WRITTEN DISCLOSURES | |
| C.20 GUARANTEED CONTRACT MINIMUM AND CONTRACT MAXIMUM | |
| SECTION D | |
| Attachment A - VA Medical Center Catchment Area by CCN Region | |
| Attachment B - RESERVED | |
| Attachment B-A – QASP Performance Requirement Summary | |
| Attachment B-T - Incentives Disincentives Factor Summary | |
| Attachment C - QPR Template | |
| Attachment D - MPR Template | |
| Attachment E - Summary Demand Data | |
| Attachment F - Projected Active Veterans | |
| Attachment G - CCN Healthcare Services Network Quality and Performance Criteria Template | |
| Attachment H - Eligibility Verification and Enrollment Data Exchange | |
| Attachment I - RESERVED | |
| Attachment J - RESERVED | |
| Attachment K - RESERVED | |
| Attachment M - RESERVED | |
| Attachment N – VHA Request Form for CCN DME Med Dev Orthotic and Prosthetic Items | |
| Attachment O – Interconnection Security Agreement with MOU | |
| Attachment P Q R – DAS Interface Control Document | |
| Attachment S - CC Data Flow Diagram | |
| Attachment T - RESERVED | |
| Attachment U - Data Specification | |
| Attachment V - MVI Identity Management Data Specification | |
| Attachment W - Data Repository Schema | |
| Attachment X - Dental Volumes by Station | |
| Attachment Y - RESERVED | |
| Attachment Z - Station Category of Care Provider Zip Unique | |
| Attachment AA - Uniques by Rurality by Station | |
| Attachment AB - Pharmacy 14 Day Fills | |
| Attachment AC - No Show Choice | |
| Attachment AD - Dialysis Rurality Uniques | |
| Attachment AE - RESERVED | |
| Attachment AF - Home Infusion by Station | |
| Attachment AG - Urgent vs Emergent Care | |
| Attachment AH - RESERVED | |
| Attachment AI – RESERVED | |
| Attachment AJ – RESERVED | |
| Attachment AK – RESERVED | |
| Attachment AL – Community Care Network (CCN) Stakeholders List | |
| Attachment AM – ART/IVF Standard Episodes of Care | |
| Attachment AN – RESERVED | |
| Attachment AO - ART Codes by SEOC | |
| Attachment AP - Alaska THP Facility List | |
| Attachment AQ - Urgent Care Preventive Code Exclusion List | |
| Attachment AR - SEOC’s vs Health Benefits Package Categories | |
| Attachment AS – Waiver Requests | |
| Attachment IA - RESERVED | |
| Attachment TA - RESERVED | |
| Attachment 1 - PWS Terms and Definitions | |
| Attachment 2 - PWS Acronyms and Definitions | |
| Attachment 3 - Questions Submission Format | |
| Attachment 4 - Past Performance Questionnaire | |
| Attachment 5 - VHA Patient Safety Handbook HB 1050.01 | |
| Attachment 6 - VHA OCC Patient Safety Guidebook | |
| Attachment 7 – Past Performance References | |
| Attachment 8 - CCN Reg5 Pricing Template | |
| Attachment 9 – Table Mapping | |
| Attachment 10 – Addendum Provider Data | |
| SECTION E | |
| E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | |
| E.2 52.216-1 TYPE OF CONTRACT (APR 1984) | |
| E.3 52.233-2 SERVICE OF PROTEST (SEP 2006) | |
| E.4 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | |
| E.5 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008 | |
| E.6 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018) | |
| E.7 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018) | |
| E.8 ADDENDUM 52.212-2 EVALUATION FACTORS | |
| E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS – COMMERCIAL ITEMS (OCT 2018) |
File details come from the government source that posted it. Updated .