CCN Region 5 Alaska 36C10G20R0014 SF30 Amendment 0002.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 11

0002 05-28-2020

Y 36C10G

U.S. Department of Veterans Affairs

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400

Fredericksburg VA 22408-2697

Y 36C10G

U.S. Department of Veterans Affairs

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400

Fredericksburg VA 22408-2697

To all Offerors/Bidders

36C10G20R0014

05-11-2020

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: June 08, 2020/1:00PM EST

X 1

Amendment (0002) for RFP # 36C10G20R0014-1 is hereby issued to:

1. Publish an updated RFP (see attached conformed copy. Changes are highlighted in green).

2. Extend the date and time for receipt of proposals to Monday, June 8, 2020 at 13:00 Eastern.

3. Publish questions received with answers to solicitation 36C10G20R0014-1 Amendment 0001 dated

May 13, 2020 (see attached CCN R5 – Attachment 3 Questions Submission with Government Responses).

4. Publish an updated Attachment 1 – PWS Terms and Definitions (see revised version 0001 attached).

5. All other Terms and Conditions are unchanged.

See Continuation Page for Specifics

36C10G20R0014 0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this Amendment:

SUMMARY OF CHANGES (ADJUSTED)

Note: The words struck out in the “From” sections of each change denote the language that will be removed in each revision. The words in red font in the “To” sections of each change denote the new language to be added in each revision.

CHANGE 1

SF 1449 Block 8 – Offer Due Date/Local Time

From:

June 1, 2020 at 1:00pm Eastern Standard Time

To:

June 8, 2020 at 1:00pm Eastern Standard Time

CHANGE 2

Section 3.1: Network Access Standards

From:

The Contractor shall provide a CCN. The CCN shall always consist of a comprehensive network of qualified healthcare providers and practitioners to provide services set forth in Section 4.0, “CCN Health Benefit Package.” Additional requirements for the Pharmacy component of the CCN are contained in Section 15.0, “Pharmacy.” Additional requirements for the DME component of the CCN are contained in Section 16.0, “Durable Medical Equipment, Medical Devices, Orthotic and Prosthetic Items.”

Additional requirements for the Dental component of the CCN are contained in Section 17.0, “Dental.” The Contractor shall maintain a network of providers and practitioners that will extend across the entirety of CCN Region 5 and shall always be sufficient (as required in attachment B-A) in size (numbers of providers to provide healthcare to Veterans in VA), scope (the types of providers, practitioners and facilities), and capacity (number of available appointments) to ensure that all services will be accessible within the network adequacy standards outlined in this Offeror must review in its entirety to include the attachments which provides information on the number of enrolled Veterans and the types of services necessary section, based on drive times and appointment availability.

To:

The Contractor shall provide a CCN. The CCN shall always consist of a comprehensive network of qualified healthcare providers and practitioners to provide services set forth in Section 4.0, “CCN Health Benefit Package.” Additional requirements for the Pharmacy component of the CCN are contained in Section 15.0, “Pharmacy.” Additional requirements for the DME component of the CCN are contained in Section 16.0, “Durable Medical Equipment, Medical Devices, Orthotic and Prosthetic Items.”

Additional requirements for the Dental component of the CCN are contained in Section 17.0, “Dental.” The Contractor shall maintain a network of providers and practitioners that will extend across the entirety of CCN Region 5 and shall always be sufficient (as required in attachment B-A) in size (numbers of providers to provide healthcare to Veterans in VA), scope (the types of providers, practitioners and facilities), and capacity (number of available appointments) to ensure that all services will be accessible within the network adequacy standards outlined in this section and not Urgent Care Standards which are defined in PWS Section 3.2.1.

Added Footnote: 2 Specialty Care includes CIHS, ART/IVF and Dental

CHANGE 3

Section 3.2: Provider Networks

From:

Eligible Veterans are authorized to receive Urgent Care services from CCN providers.

Urgent Care services include episodic care, including therapeutic vaccines and flu shots, and will not include longitudinal management of conditions, or preventive health services (except for flu shots), therefore there will not be continuous interaction between the Urgent Care services provider and the Eligible Veteran. Urgent Care services encompass services provided at Centers of Medicare and Medicaid Services (CMS) Place of Service (POS) codes 17 and 20. 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. The Contractor shall submit their urgent care claims to VA. as indicated in the contract with a unique contractor-generated urgent care approval number

The Contractor will educate the CCN providers that Urgent Care claims shall follow the claims procedures established for emergent claims in Section 7.5.3.

The Contractor shall meet the following minimum network adequacy standards for urgent care.

• 90% of enrolled Veterans are within 30 minutes of an Urgent Care clinic with

CMS

• POS codes 17, 20, 22, 81 or an approved POS 11 Urgent Care location in Region 5.

3.2.1 CCN Healthcare Services Network

3.2.2 CCN Complementary and Integrative Healthcare Services Network

3.2.3 Telehealth

To:

3.2.1 Urgent Care

Eligible Veterans are authorized to receive Urgent Care services from CCN providers.

Urgent Care services include episodic care, including therapeutic vaccines and flu shots, and will not include longitudinal management of conditions, or preventive health services (except for flu shots), therefore there will not be continuous interaction between the Urgent Care services provider and the Eligible Veteran. Urgent Care services encompass services provided at Centers of Medicare and Medicaid Services (CMS) Place of Service (POS) codes 17 and 20. 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. The Contractor shall submit their urgent care claims to VA.

The Contractor will educate the CCN providers that Urgent Care claims shall follow the claims procedures established for emergent claims in Section 7.5.3.

The Contractor shall meet the following minimum network adequacy standards for urgent care.

• 70% of enrolled Veterans are within a 30 minute commute/drive times of an Urgent Care provider/clinic with CMS POS codes 17, 20, 22, 81 or an approved POS 11 at the start of HCD through Option Year 1.

• 90% of enrolled Veterans are within a 30 minute commute/drive time of an Urgent Care provider/clinic for Option Period 2 through 7.

• POS codes 17, 20, 22, 81 or an approved POS 11 Urgent Care location in Region 5.

3.2.2 CCN Healthcare Services Network

3.2.3 CCN Complementary and Integrative Healthcare Services Network

3.2.4 Telehealth

CHANGE 4

Section 3.6: Network Adequacy Management

From:

Section 3.1 except in those instances where VA has specifically granted an approved waiver. The Contractor shall monitor CCN performance for the initial appointment in an Episode of Care against the network adequacy standards set forth in PWS Section 3.6, “Network Adequacy Management”. The Contractor shall provide Network Adequacy Performance Reports in accordance with the Schedule of Deliverables.

Network adequacy performance is measured independently for Urban, Rural, and Highly Rural Locations. The Network Adequacy Performance Reports shall include the following elements for the CCN Healthcare Services Network, CCN CIHS Network, dental, and pharmacy: (i) average Drive Time, calculated per claim received and calculated using a geo-mapping utility approved by VA based on the distance between Veteran address and the rendering provider’s physical address which factor in allocations for traffic conditions; (ii) average Appointment Availability to evaluate wait times, calculated using the date the referral is sent to CCN provider from VA and actual appointment date on the first claim associated with that referral; (iii) any further analysis that takes into consideration any rescheduled, cancelled, or missed appointments and/or Veteran or CCN provider complaint data received regarding Drive Time or Appointment Availability standards; (iv) any gaps in network adequacy for average Drive Time and Appointment Availability, categorized by healthcare service category and geographic location to include an Urban, Rural, or Highly Rural Location indicator; (v) documentation of rescheduled, cancelled, or missed appointments; and (vi) percentage of available Urgent Care clinics, POS codes 17 and 20 (and any POS code 11 locations submitted as Urgent Care locations), within Region 5.

To:

Section 3.1 PWS Section 3.2.1 and PWS Section 15.2 except in those instances where VA has specifically granted an approved waiver for a specific category of care. The Contractor shall monitor CCN performance for the initial appointment in an Episode of Care against the network adequacy standards set forth in PWS Section 3.6, “Network Adequacy Management”. The Contractor shall provide Network Adequacy Performance Reports in accordance with the Schedule of Deliverables.

Network adequacy performance is measured independently for Urban, Rural, and Highly Rural Locations with the exception of UC, see item iv below and PWS Section

3.2.1. The Network Adequacy Performance Reports shall include the following elements for the CCN Healthcare Services Network, CCN CIHS Network, dental, and pharmacy:

(i) average Drive Time, calculated per claim received and calculated using a geo-mapping utility approved by VA based on the distance between Veteran address and the rendering provider’s physical address which factor in allocations for traffic conditions; (ii) average Appointment Availability to evaluate wait times, calculated using the date the referral is sent to CCN provider from VA and actual appointment date on the first claim associated with that referral; (iii) any further analysis that takes into consideration any rescheduled, cancelled, or missed appointments and/or Veteran or CCN provider complaint data received regarding Drive Time or Appointment Availability standards; (iv) any gaps in network adequacy for average Drive Time and Appointment Availability, categorized by healthcare service category and geographic location to include an Urban, Rural, or Highly Rural Location indicator; (v) documentation of rescheduled, cancelled, or missed appointments; and (vi) percentage of available Urgent Care clinics, POS codes 17 and 20, 22, 81 (and any POS code 11 locations submitted as Urgent Care locations), within Region 5.

CHANGE 5

Section 7.5.2: Covered Services

From:

For locations that can provide urgent care services but normally bill with a different POS (i.e. a physician's office with a POS 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, in accordance with existing claims requirements identified in Section 12.0. After approval of the list by VA, the Contractor shall submit a PPMS entry for the Urgent Care center as either a POS 17 or 20. This entry will be used to populate the VA.gov Urgent Care Locator tool only. It is not related to billing or any other activities.

The Contractor shall provide a unique Contractor-generated UC approval number to all claims associated with each Veteran Urgent Care episode of care. The contractor generated urgent care approval number begins in UC and ends in R5.

The fiscal year of the date of service follows the letters UC. Six middle digits will be assigned sequentially. A sample number is UC19123456R5. The unique identifier is shared across all claims associated with an urgent care visit (urgent care visit, prescription, and labs). The unique approval number is required for all urgent care claims.

To:

For locations that can provide urgent care services but normally bill with a different POS (i.e. a physician's office with a POS 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, in accordance with existing claims requirements identified in Section 12.0. After approval of the list by VA, the Contractor shall submit a PPMS entry for the Urgent Care center as either a POS 17 or 20. This entry will be used to populate the VA.gov Urgent Care Locator tool only. It is not related to billing or any other activities.

CHANGE 6

Section 7.5.3: Claims Processing

From:

Per Section 7.3 the Provider shall request a referral from VA once care is rendered to the Veteran. The VA will make an appropriate determination, and, if approved, the Contractor shall receive an Approved Referral from VA for the care rendered prior to submitting their claims to VA. as indicated in the contract with a unique Contractor-generated Urgent Care approval number.

To:

Per Section 7.3 the Provider shall request a referral from VA once care is rendered to the Veteran. The VA will make an appropriate determination, and, if approved, the Contractor shall receive an Approved Referral from VA for the care rendered prior to submitting their claims to VA.

CHANGE 7

Section 7.5.4: Network

From:

The CCN Urgent Care network shall consist of a comprehensive network of Urgent Care providers. The Contractor shall maintain a network of providers and practitioners that will extend across Region 5 and shall be sufficient in numbers to ensure 90% of Urgent Care Providers are within a 30 minute drive.

To:

The CCN Urgent Care network shall consist of a comprehensive network of Urgent Care providers. The Contractor shall maintain a network of providers and practitioners that will extend across Region 5 and shall be sufficient in numbers to ensure that Urgent Care providers/clinics with CMS POS codes 17, 20, 22, 81 or an approved POS 11 are within a 30 minute commute/drive time of 70% of enrolled Veterans at the start of HCD, through Option Period 1 and 90% of enrolled Veterans from Option Year 2 through Option Year 7.

CHANGE 8

Section 12.1.1: Claims Adjudication and Payment Rules

From:

The Contractor shall deliver a Claims Processing Data Dictionary in accordance with the Schedule of Deliverables that includes all capabilities for auto-adjudication, rejection, return, and denial of a claim. The Contractor’s claims processing system shall include standard business rules and edits in its Claims Processing Data Dictionary. The Contractor’s claims processing system shall be capable of adding rules and edits based on information from VA, to include the application of Alaska VA fee schedules and Maximum Allowable Charges Schedule (Attachment 12). When VA requests a change, the Contractor shall implement the change within thirty (30) days, or as mutually agreed upon by the parties. When industry changes occur that require planning, testing, implementation, and compliance readiness dates, system change orders will be made in accordance with industry standards. The Contractor’s claims processing system shall include adjudication rules for the following requirements:

To:

The Contractor shall deliver a Claims Processing Data Dictionary in accordance with the Schedule of Deliverables that includes all capabilities for auto-adjudication, rejection, return, and denial of a claim. The Contractor’s claims processing system shall include standard business rules and edits in its Claims Processing Data Dictionary. The Contractor’s claims processing system shall be capable of adding rules and edits based on information from VA, to include the application of Alaska VA fee schedules (CLIN XY06), Tribal Health payment methodologies (CLIN XY22) and Maximum Allowable Charges Schedule (CLIN XY23) (Attachment 12). When VA requests a change, the Contractor shall implement the change within thirty (30) days, or as mutually agreed upon by the parties. When industry changes occur that require planning, testing, implementation, and compliance readiness dates, system change orders will be made in accordance with industry standards. The Contractor’s claims processing system shall include adjudication rules for the following requirements:

CHANGE 9

Section 12.1.1: Claims Adjudication and Payment Rules

From:

• Maximum Allowable Charges Schedule. The Contractor shall use the Maximum Allowable Charges Schedule (Attachment 12) when codes are not available on VA Fee Schedule or Alaska VA Fee Schedules. VA will post this schedule to the VA Fee Schedule Webpage and will notify the Contractor via email when the updated Schedule is available. As with the VA fee schedule, the Contractor will have no more than 30 days to implement the new/updated schedule from the date it is provided to the Contractor.

To:

• Maximum Allowable Charges Schedule. The Contractor shall use the Maximum Allowable Charges Schedule (Attachment 12) when codes are not available on VA Fee Schedule or Alaska VA Fee Schedules. VA will post this schedule to the VA Fee Schedule Webpage and will notify the Contractor via email when the updated Schedule is available. As with the VA fee schedule, the Contractor will have no more than 30 days to implement the new/updated schedule from the date it is provided to the Contractor.

The VA will update The Maximum Allowable Charges Schedule on an annual basis.

CHANGE 10

Clause Section C.6: 52-217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT

(MAR 2000)

From:

(a) The Government may extend the term of this contract by written notice to the Contractor within 15 days of Contract expiration; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed eight (8) years and 6 months.

To:

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days of Contract expiration; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed eight (8) years and 6 months.

CHANGE 11

Section D: CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

From:

See attached document: CCN Reg 5 Attachment 1 - PWS Terms and Definitions

To:

See attached document: CCN Reg 5 Attachment 1 - PWS Terms and Definitions version 0001

CHANGE 12

Section 4.1: Volume I – SF1449, AMENDMENTS & OTHER DOCUMENTS

ADD:

4.1.9 Offeror/Contractor and the VA agree to be bound by digital signatures with the same force and effect as wet signatures. PLEASE NOTE, a scanned copy of a document with your wet signature, although not considered a digital signature, remains acceptable. A digital signature—a type of electronic signature—is a mathematical algorithm routinely used to validate the authenticity and integrity of a document. Digital signatures create a virtual fingerprint that is unique to a person or entity and are used to identify users and protect information in digital documents. Digital signatures are significantly more secure than other forms of electronic signatures.

4.1.9.1 While digital signatures are a form of electronic signature, not all electronic signatures are digital signatures. Electronic signatures—also called e-signatures—are any sound, symbol, or process that shows the intent to sign something. This could be an image (e.g. JPEG, PNG, etc.) of your hand-written signature, a stamp, or a recorded verbal confirmation. An electronic signature could even be your typed name on the signature line of a document. The only form of electronic signatures that are acceptable are digital signatures.

CHANGE 13

Section 4.2.2.1: Technical Subfactor 2 – Build the Community Care Network

From:

4.2.2.1 The Offeror shall describe how it will build the CCN of high performing providers in Rural and Highly Rural areas in Alaska. The Offeror shall describe its plan for utilization of the network access waiver request process (in PWS Section 3.1.1.)

and its use of Telehealth and for which healthcare services the Offeror intends to use these solutions (in PWS Section 3.2.2) to meet network access standards defined in PWS Section 3.1. The Offeror shall detail when its network will be fully implemented to meet the requirements of Full Health Care Delivery in nine (9) months or less.

To:

4.2.2.1 The Offeror shall describe how it will build the CCN of high performing providers in Rural and Highly Rural areas in Alaska. The Offeror shall describe how it will meet the access standards in PWS Section 3.1 Tables 1 and Table 2 for only those four categories of care (primary care, mental healthcare, extended care, and specialty care).

Additionally, the Offeror shall describe how it will meet the Urgent Care access standards for PWS Section 3.2 for the base year through Option Year 1 only, specifically, 70% of enrolled Veterans are within a 30 minute commute/drive time of an Urgent Care provider/clinic with CMS POS codes 17, 20, 22, 81 or an approved POS 11 at the start of HCD. The Offeror shall describe its approach to using Telehealth for Neuropsychology and Rheumatology (in PWS Section 3.2.3). The Offeror shall detail when its network will be fully implemented to meet the requirements of Full Health Care Delivery in nine (9) months or less.

CHANGE 14

Section 4.2.3: Technical Subfactor 3 – Manage and Maintain the CCN

From:

4.2.3.2 The Offeror shall describe its strategic Communications approach that details the key messages that shall be articulated to the internal Community Care stakeholders (listed in Attachment AL, CCN Stakeholder List), as well as the timing associated with the delivery of those messages. The approach shall contain the desired outcomes for the communications, as well as the vehicles for communications distribution. The approach shall also address timelines and milestones and identify measures to validate and improve communications. The approach shall address both routine and urgent communications to include:

1. Transition activities and milestones from PC3 to CCN (PWS Section 2.8.1)

2. Implementation (PWS Section 2.3.1)

3. Changes in Fee Schedule (B.6 Cost/Price Schedule)

To:

4.2.3.2 The Offeror shall describe its strategic Communications approach that details the key messages that shall be articulated to the internal Community Care stakeholders (listed in Attachment AL, CCN Stakeholder List), as well as the timing associated with the delivery of those messages. The approach shall contain the desired outcomes for the communications, as well as the vehicles for communications distribution. The approach shall also address timelines and milestones and identify measures to validate and improve communications. The approach shall address both routine and urgent communications to include:

1. Transition activities and milestones from PC3 to CCN (PWS Section 2.3.1)

2. Implementation (PWS Section 2.3.1)

3. Changes in Fee Schedule (B.5 Cost/Price Schedule)

CHANGE 15

Section 4.4.1: Volume IV – Price

From: Offerors shall submit their unit and one-time prices and percentages in Attachment 8, “CCN Reg 5 Pricing Template” (“Pricing Template” or “Schedule of Services”) and provide an explanatory narrative that the Offeror provides as the basis for their proposed price. The Offeror’s completed pricing template and narrative constitutes its offer to the Government. The electronic price proposal narrative shall be in Microsoft Word, and the price proposal calculations shall be in Excel.

To: Offerors shall submit their unit and one-time prices and percentages in Attachment 8, “CCN Reg 5 Pricing Template” (“Pricing Template” or “Schedule of Services”) and provide an explanatory narrative that the Offeror provides as the basis for their proposed price. The Offeror’s completed pricing template and narrative constitutes its offer to the Government. The electronic price proposal narrative shall be in Acrobat (PDF) file, and the price proposal calculations shall be in Excel.

CHANGE 16

Section E.8: ADDENDEUM 52.212-2 EVALUATION FACTORS

From:

Subfactor 2 – Build the Community Care Network

The proposal shall be evaluated to determine the feasibility of the Offeror’s approach to building a CCN of high performing providers in Rural and Highly Rural areas to meet the network access standards in PWS Section 3.1, to include the utilization of the network access waiver request process (PWS Section 3.1.1.) and the utilization of Telehealth (PWS Section 3.2.3). Feasible means “capable of being done or carried out.”

To:

Subfactor 2 – Build the Community Care Network

The proposal shall be evaluated to determine the feasibility of the Offeror’s approach to building a CCN of high performing providers in Rural and Highly Rural areas to meet the network access standards in PWS Section 3.1 Tables 1 and 2 for only those four categories of care (primary care, mental healthcare, extended care, and specialty care) for the base year through Option Year 1,and the network access standard in PWS Section 3.2 for urgent care (specifically, 70% of enrolled Veterans are within a 30 minute commute/drive time of an Urgent Care provider/clinic with CMS POS codes 17, 20, 22, 81 or an approved POS 11 at the start of HCD, and the feasibility of the approach for utilization of Telehealth (PWS Section 3.2.3) for Neuropsychology and Rheumatology. Feasible means “capable of being done or carried out.”

---------------------- End of Summary of Changes ----------------------