36C10G26R0003 0013 CCN Next Gen - Medical Amendment.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 7

0013 03-13-2026

36C10G

U.S. Department of Veterans Affairs

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400

Fredericksburg VA 22408-2697

36C10G

U.S. Department of Veterans Affairs

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400

Fredericksburg VA 22408-2697

To all Offerors/Bidders

36C10G26R0003

12-15-2025

X

X X x

The purpose of this amendment (0013) is to:

1. Update language in the RFP.

2. Publish additional responses to Q&A's.

Please see continuation page.

All other Terms and Conditions remain the same.

Jessica Portillo

Contracting Officer

CONTINUATION PAGE 36C10G26R0003 0013

Outlined in this document are responses to questions received relative to the Community Care Network – Next Generation, Request for Proposal (RFP) 36C10G26R0003. Offerors are hereby notified that all comments/questions provided to the Government have been reviewed and considered by the Government but may not be specifically addressed herein due to duplicative content. Please be advised that the information provided herein may differ from information provided prior to issuance of the RFP on 12/15/25 or as amended thereafter. Please also be advised that any information contained herein is for informational purposes only, is offered in response to specific questions posed by prospective Offerors and is subject to change throughout the question-and-answer process. Accordingly, in the event that there is any discrepancy between the information contained within this document, any prior or subsequent Question and Answer document(s), and/or the Solicitation, Offerors are hereby advised that the terms and conditions are contained within the final Solicitation control. If indicated in the Question and Answers provided below, updated information will be incorporated into the RFP by an amendment to the RFP.

Note: The words in red font in the “To” sections of each change denote the new language to be added in each version.

1. The purpose of this amendment is to provide additional responses to questions received, see attachment CCN NG Medical Record of Questions Amendment 0013, see questions 1418-1442.

CHANGE 1:

The following language in section E. 3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS

TO OFFERORS — COMMERICAL PRODUCTS AND COMMERCIAL SERVICES, C.

Instructions, Conditions, and Notice to Offerors, is hereby changed as follows:

FROM:

a. Please input the following in the subject line of the proposal submission email: “[Company Name] 36C10G26R0003- CCN Next Gen – Medical IDIQ Proposal”

TO:

a. Please input the following in the subject line of the proposal submission email: “[Company Name] 36C10G26R0003- CCN Next Gen – Medical IDIQ Proposal - Volume X - Email Y of Z”

CHANGE 2:

The following language in section E. 3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS

TO OFFERORS — COMMERICAL PRODUCTS AND COMMERCIAL SERVICES, C.

Instructions, Conditions, and Notice to Offerors, is hereby changed as follows:

h. File Packaging: Do not compress (zip) proposal files. VA Network Security Operations Center (NSOC) has temporarily blocked email attachments with the “.zip” extension as a mitigation measure against the ongoing world-wide ransomware event impacting many organizations. During this time, zip file extensions will be permanently stripped from email traffic and will not be recoverable. Due to VA email file size restrictions (10 MB), Offerors are encouraged to logically separate their proposal into separate emails (i.e. one email per Volume). If this is necessary, Offerors shall attempt to contain complete Volume within single email transmissions (and not split Volumes). Offerors are encouraged to review and ensure that sufficient bandwidth is available on their end of the transmission.

TO:

h. File Packaging: Do not compress (zip) proposal files. VA Network Security Operations Center (NSOC) has temporarily blocked email attachments with the “.zip” extension as a mitigation measure against the ongoing world-wide ransomware event impacting many organizations. During this time, zip file extensions will be permanently stripped from email traffic and will not be recoverable. Due to VA email file size restrictions (10 MB), Offerors shall separate their proposals into separate emails and attempt to contain complete Volume within single email transmissions (and not split Volumes). Offerors are encouraged to review and ensure that sufficient bandwidth is available on their end of the transmission.

CHANGE 3:

The following responses to CCN NG Medical Record of Questions Amendment 0011 have been revised as follows:

• Question #488: Can the Contractor customize the EOB template while still meeting data and language requirements, and what are the timeliness requirements and associated penalties, if any, for mailing or providing electronic EOBs?

Please refer to the solicitation for detailed information. 'Some consideration' means that non-Veteran offerors proposing to subcontract with certified SDVOSBs or VOSBs will receive partial credit under this evaluation factor, subject to the discretion of the VA.

TO:

The Contractor may customize the EOB template provided it meets all required data elements, language, formatting, and regulatory requirements as specified in the PWS. Any proposed customization must not omit or alter mandatory information required for beneficiary comprehension or compliance.

Timeliness requirements for mailing or providing electronic EOBs are specified in the PWS. Contractors are expected to deliver EOBs within the prescribed timeframes. Failure to meet these timelines may result in performance-based penalties or deductions, as outlined in the PWS Incentive/Disincentive provisions. Offerors should reference the PWS for detailed requirements regarding timelines, reporting, and penalty mechanisms.”

CHANGE 4:

The following responses to CCN NG Medical Record of Questions Amendment 0011 have been revised as follows:

• Question #594: Large business commercial plan: Are commercial subcontracting plans acceptable or does the vendor still have to list small business names, UEI, etc.?

Offerors that qualify as large businesses may submit a Commercial Plan in accordance with FAR 19.704(d), if eligible. When submitting a Commercial Subcontracting Plan, Offerors are not required to list specific small business subcontractors by name, UEI, or contract specific dollar amounts at the time of proposal submission

TO:

Commercial subcontracting plans shall comply with FAR 19.206 (FAR Overhaul).

Change 5:

Section B.13 SERVICE CONTRACT LABOR STANDARDS (ADDENDUM) is hereby changed as follows:

FROM:

This contract is subject to the Service Contract Labor Standards (41 U.S.C. § 6701 et seq.). The Contractor is responsible for determining whether providers in its network employ any service employees and apply wage determinations as necessary. The definition of "service employee" includes any employee engaged in performing services on a covered contract other than a bona fide executive, administrative or professional employee who meets the exemption criteria set forth in 29 C.F.R. §541.

TO:

For the purposes of subcontracting plans, FAR flow-down requirements, and proposal representations, network providers furnishing direct medical services to Veterans under the Veterans Community Care Program are not treated as Federal contractors or subcontractors. Otherwise, this contract is subject to the Service Contract Labor

Standards (41 U.S.C. § 6701 et seq.). The Contractor is responsible for determining whether providers in its network employ any service employees and apply wage determinations as necessary. The definition of "service employee" includes any employee engaged in performing services on a covered contract other than a bona fide executive, administrative or professional employee who meets the exemption criteria set forth in 29 C.F.R. §541.

CHANGE 5:

The following language in Section E.4 ADDENDUM to FAR 52.212-2 EVALUATION—

COMMERICAL ITEMS, FACTOR 2: Veteran Involvement & Subcontracting Plan is hereby changed as follows:

FROM:

FACTOR 2: Veteran Involvement & Subcontracting Plan

For Service-Disabled Veteran-Owned Small Businesses (SDVOSB) and Veteran-

Owned Small Businesses (VOSB): An Offeror shall submit a statement of compliance that it qualifies as a SDVOSB or VOSB in accordance with VAAR 852.215-70, Service-

Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors.

Eligible and certified service-disabled Veteran-owned small businesses offerors will receive full credit, and offerors qualifying as Veteran-owned small businesses will receive some consideration for the certified Service-Disabled Veteran-Owned and

Veteran-Owned Small Business Status evaluation factor. To receive credit, an offeror must be listed at the time of submission of proposals and at time of award, as a certified

SDVOSB/VOSB in the SBA certification database on the SBA Veteran Small Business

Certification Program portal at https://veterans.certify.sba.gov/ (Vet13 CFR 128) and be otherwise eligible in accordance with SBA size standards for the acquisition and limitations on subcontracting requirements set forth in SBA regulations (see 13 CFR

121, 125 and 128).

Non-Veteran offerors proposing to use certified SDVOSBs or VOSBs as sub-Offeror will receive partial consideration under this evaluation factor. The prime contractor must state in this volume the name(s) of SDVOSB(s) and/or VOSB(s) with whom it intends to subcontract. The Offeror shall provide a brief description and the approximate dollar values of the proposed subcontracts. Additionally, proposed SDVOSB/VOSB subcontractor must be certified by the Small Business Administration (SBA) database

(https://veterans.certify.sba.gov) and must meet federal small business size standards for the NAICS code assigned to this solicitation at time of both proposal submission and time of award in order to receive some consideration under this Factor. Note that the

Government requires the Offeror to honor the evaluation factor commitment to the https://veterans.certify.sba.gov/

SDVOSB/VOSB concern throughout the life of the contract. The Offeror shall agree, if awarded a contract, to use the SDVOSB or VOSBs proposed as subcontractor or to substitute one (1) or more SDVOSBs or VOSBs for subcontract work of the same or similar value.

TO:

FACTOR 2: Veteran Involvement & Subcontracting Plan

For Service-Disabled Veteran-Owned Small Businesses (SDVOSB) and Veteran-

Owned Small Businesses (VOSB): An Offeror shall submit a statement of compliance that it qualifies as a SDVOSB or VOSB in accordance with VAAR 852.215-70, Service-

Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors.

Eligible and certified service-disabled Veteran-owned small businesses offerors will receive full credit, and offerors qualifying as Veteran-owned small businesses will receive partial credit for the certified Service-Disabled Veteran-Owned and Veteran-

Owned Small Business Status evaluation factor. To receive credit, an offeror must be listed at the time of submission of proposals and at time of award, as a certified

SDVOSB/VOSB in the SBA certification database on the SBA Veteran Small Business

Certification Program portal at https://veterans.certify.sba.gov/ (Vet13 CFR 128) and be otherwise eligible in accordance with SBA size standards for the acquisition and limitations on subcontracting requirements set forth in SBA regulations (see 13 CFR

121, 125 and 128).

Non-Veteran offerors proposing to use certified SDVOSBs or VOSBs as sub-Offeror will receive some consideration under this evaluation factor. The prime contractor must state in this volume the name(s) of SDVOSB(s) and/or VOSB(s) with whom it intends to subcontract. The Offeror shall provide a brief description and the approximate dollar values of the proposed subcontracts. Additionally, proposed SDVOSB/VOSB subcontractor must be certified by the Small Business Administration (SBA) database

(https://veterans.certify.sba.gov) and must meet federal small business size standards for the NAICS code assigned to this solicitation at time of both proposal submission and time of award in order to receive some consideration under this Factor. Note that the

Government requires the Offeror to honor the evaluation factor commitment to the

SDVOSB/VOSB concern throughout the life of the contract. The Offeror shall agree, if awarded a contract, to use the SDVOSB or VOSBs proposed as subcontractor or to substitute one (1) or more SDVOSBs or VOSBs for subcontract work of the same or similar value.

Attachment:

- CCN NG Medical Record of Questions Amendment 0013

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