CCN Next Gen - Medical TOPR East 36C10G26R0003 0001-14 Amendment.pdf

I

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 9

0001-14 4-23-2026

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

** HOUR & DATE for Receipt of Offers is EXTENDED to: 05-08-2026 2:00 PM EDT

X

The purpose of this amendment (0001-14) is to:

1. Extend CCN Next Gen Medical - East TOPR solicitation closing date from May 1, 2026, to May 8, 2026.

2. Revise CLIN table for CLIN X008.

3. Provide additional revisions to Sections B, D, and E.

4. Publish CCN Next Gen Medical - East TOPR 0001 Conformed Copy 04232026.

See continuation page for further details. All Other Terms and Conditions remain the same.

Jessica Portillo Contracting Officer

CONTINUATION PAGE 36C10G26R0003 0001-14

This amendment provides a conformed copy of the CCN Next Gen Medical - East TOPR 0001 Conformed Copy, noticed with RFP 36C10G26R0003 as CCN Next Gen Medical – East TOPR 0001. The following revisions have been incorporated into the updated conformed copy and are detailed below for your reference.

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 version.

Change 1:

Block 20 of the SF 1449 is hereby changed as follows:

FROM:

All Proposals must be submitted by 2:00pm EST on 5/01/2026.

TO:

All Proposals must be submitted by 2:00pm EST on 5/08/2026.

Change 2:

Block 8 of the SF 1449 is hereby changed as follows:

FROM:

05-01-2026

TO:

05-08-2026

Change 3:

Revise CLIN table in Section E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, FACTOR 4: Price for CLIN X008, Administrative Services is hereby changed as follows:

FROM:

Table 1-Projected Average Monthly Enrolled Veteran Population Volumes by Contract Year

Base Period Option Period I

Option Period II

CLIN DESCRIPTION Year 1 Year 2 Year 3 Year 4 Year 5 X008 Administrative Services

X008AA

Administrative Services for Healthcare Services

445,801 447,901 449,685 451,290 452,543

X008AB

Administrative Services for Pharmacy Benefits Management (PBM)

15,586 15,927 16,240 16,531 16,794

TO:

Table 5-Projected Annual Enrolled Veteran Population Volumes by Contract Year

Base Period Option Period I

Option Period II

CLIN DESCRIPTION Year 1 Year 2 Year 3 Year 4 Year 5

X008 Administrative Services 5,349,615 5,374,809 5,396,217 5,415,474 5,430,520

Change 4:

Section B.2.1 TASK ORDER PROCEDURES is hereby revised as follows:

FROM:

Contractors under CCN Next Gen – Medical shall provide services as requirements are identified throughout the ordering period. Each requirement will specify details as they relate to deliverables, performance, and other technical items. The Government anticipates the task orders to have a Period of Performance (PoP) consisting of one (1) three (3) year base period and two (2), 12 month option periods.

The Government anticipates that the IDIQ award date will commence on or about January 2027.

This anticipated award date is provided for planning purposes only and may be revised at the CO's discretion due to programmatic or operational needs. Offerors should be prepared to initiate performance in accordance with the requirements and timeliness specified in each task order.

In accordance with FAR 17.2, the Government may contemplate the use of options in each task order. Inclusion of options at the task order level will be properly documented and approved in accordance with FAR and agency procedures and will be clearly stated in the TOPR. FAR 52.217-9 will be included in any task orders that include options. TOs may also include FAR 52.217-8, Option to Extend Service.

TO:

Contractors under CCN Next Gen – Medical shall provide services as requirements are identified throughout the ordering period. Each requirement will specify details as they relate to deliverables, performance, and other technical items. The Government anticipates the task orders to have a Period of Performance (PoP) consisting of one (1) three (3) year base period and two (2), 12 month option periods.

The Government anticipates that the TOPR award date will commence on or about January 2027. This anticipated award date is provided for planning purposes only and may be revised at the CO's discretion due to programmatic or operational needs. Offerors should be prepared to initiate performance in accordance with the requirements and timeliness specified in each task order.

In accordance with FAR 17.2, the Government may contemplate the use of options in each task order. Inclusion of options at the task order level will be properly documented and approved in accordance with FAR and agency procedures and will be clearly stated in the TOPR. FAR 52.217-9 will be included in any task orders that include options. TOs may also include FAR 52.217-8, Option to Extend Service.

Change 5:

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS, subsection D.3 TOPR Attachments is hereby changed as follows:

FROM:

See attached document: ATTACHMENT 4 - Past Performance Questionnaire

See attached document: ATTACHMENT 5 - Past Performance Reference Template

See attached document: Attachment 6 - Disaster Benefit Data

See attached document: Attachment 7 - Optional Task Data Historical

See attached document: Attachment 8 – Medical Network Waiver Data

TO:

See attached document: ATTACHMENT 4 - Past Performance Questionnaire

See attached document: ATTACHMENT 5 - Past Performance Reference Template

See attached document: ATTACHMENT 6 - Disaster Benefit Data

See attached document: ATTACHMENT 7 - Optional Task Data Historical

See attached document: ATTACHMENT 8 – Medical Network Waiver Data

Change 6:

Section E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, FACTOR 4: Price is hereby changed as follows:

FROM:

All proposals must include a Price Volume to be considered for award. The Pricing Template in “Attachment 3 – CCN Next Gen Medical – East TOPR Price Schedule v6, contains CLINs with varying pricing methodologies. The following CLINs and their corresponding Sub CLINs are pre-priced by VA: CLIN X001; CLIN X004; CLIN X005; X009 and CLIN X010. The Offeror must propose pricing for all non-pre-priced CLINs (i.e., populate all cells within the Price Schedule), including all CLINs identified as optional. Offerors must provide pricing for the base year and all option periods for all non-pre-priced CLINs. Failure to price the base and all option periods shall cause the offer to be rejected from further consideration. Offerors shall submit their prices using “Attachment 3 – CCN Next Gen Medical – East TOPR Price Schedule v6” and provide an explanatory narrative that the Offeror provides as the basis for their proposed price.

The Offeror’s completed Price Schedule constitutes its price proposal to the Government. VA requires the Offeror to propose pricing for all non-pre-priced CLINs (X002, X003, CLIN X006;

X007, X008, X009, X011, X012, X013, X014, X015, and X016), for each applicable year of the period of performance. Green colored cells require Offeror input. Gray colored cells are not priced by Offerors. Do not add or change gray cells.

The formulas, calculations, and links shall not be hidden. Print image files or files/worksheets containing only values are not acceptable.

Price Rounding: The Government requires the Offeror to propose prices that are two decimal places. The Offeror shall ensure that the actual values in the spreadsheet cells are no more than two decimal places.

The Offeror shall provide a narrative description of its price proposal, in PDF, addressing the following items. The narrative description of the Price Volume shall be limited to 50 pages (Excel files do not count against page count).

1. The Offeror must clearly provide a basis of estimate (BOE) for each CLIN that it is proposing and describe any additional conditions or exceptions upon which its price proposal is based.

2. The BOE shall include methodology, source and build-up of prices and rates, source of inflation index, geographic location, and any ground rules and assumptions that impact the price proposal (e.g., rurality, facility and provider locations). As previously indicated, prices proposed in the Price Schedule, in Microsoft Excel, do not count against the page limit, however, there is a 10-page limit for the BOE.

3. The proposed unit prices and rates do not need to be duplicated in the Price Volume if listed in the Price Schedule.

4. The BOE will not be evaluated for realism, accuracy of assumptions, or validity of estimating methods, and will not be used in the determination of cost or price realism.

The VA will not conduct a price realism analysis as part of this procurement.

If a proposal is not received from a HubZone small business concern, the price evaluation will not consider the preference for HubZone small business concerns (FAR 52.219-4).

Historical purchasing patterns and volume data, provided as Attachment P “Health Care Historical Volumes and Estimated Enrolled and Eligibility,” can be used to inform Offerors’ proposals and network development. There is no guarantee for future purchase volumes.

TO:

All proposals must include a Price Volume to be considered for award. The Pricing Template in “Attachment 3 – CCN Next Gen Medical – East TOPR Price Schedule v6, contains CLINs with varying pricing methodologies. The following CLINs and their corresponding Sub CLINs are pre-priced by VA: CLIN X001; CLIN X004; CLIN X005; X009 and CLIN X010. The Offeror must propose pricing for all non-pre-priced CLINs (i.e., populate all cells within the Price Schedule), including all CLINs identified as optional. Offerors must provide pricing for the base year and all option periods for all non-pre-priced CLINs. Failure to price the base and all option periods shall cause the offer to be rejected from further consideration. Offerors shall submit their prices using “Attachment 3 – CCN Next Gen Medical – East TOPR Price Schedule v6” and provide an explanatory narrative that the Offeror provides as the basis for their proposed price.

The Offeror’s completed Price Schedule constitutes its price proposal to the Government. VA requires the Offeror to propose pricing for all non-pre-priced CLINs (X002, X003, CLIN X006;

X007, X008, X011, X012, X013, X014, X015, and X016), for each applicable year of the period of performance. Green colored cells require Offeror input. Gray colored cells are not priced by Offerors. Do not add or change gray cells.

The formulas, calculations, and links shall not be hidden. Print image files or files/worksheets containing only values are not acceptable.

Price Rounding: The Government requires the Offeror to propose prices that are two decimal places. The Offeror shall ensure that the actual values in the spreadsheet cells are no more than two decimal places.

The Offeror shall provide a narrative description of its price proposal, in PDF, addressing the following items. The narrative description of the Price Volume shall be limited to 50 pages (Excel files do not count against page count).

1. The Offeror must clearly provide a basis of estimate (BOE) for each CLIN that it is proposing and describe any additional conditions or exceptions upon which its price proposal is based.

2. The BOE shall include methodology, source and build-up of prices and rates, source of inflation index, geographic location, and any ground rules and assumptions that impact the price proposal (e.g., rurality, facility and provider locations). As previously indicated, prices proposed in the Price Schedule, in Microsoft Excel, do not count against the page limit, however, there is a 10-page limit for the BOE.

3. The proposed unit prices and rates do not need to be duplicated in the Price Volume if listed in the Price Schedule.

4. The BOE will not be evaluated for realism, accuracy of assumptions, or validity of estimating methods, and will not be used in the determination of cost or price realism.

The VA will not conduct a price realism analysis as part of this procurement.

If a proposal is not received from a HubZone small business concern, the price evaluation will not consider the preference for HubZone small business concerns (FAR 52.219-4).

Historical purchasing patterns and volume data, provided as Attachment P “Health Care Historical Volumes and Estimated Enrolled and Eligibility,” can be used to inform Offerors’ proposals and network development. There is no guarantee for future purchase volumes.

Change 7:

Section E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS, Factor 4:

Price, Evaluation Criteria, bullet e) Total Evaluated Price, CLINs X014-X014AE is hereby changed as follows:

FROM:

CLIN X014, Optional: Healthcare Appointment Scheduling and Comprehensive Care Coordination Optional CLIN X014AA, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 1: The Offeror’s proposed Tier 1 unit price for each year of the Period of Performance will be multiplied by the projected number of Approved Referrals for appointment scheduling per year provided in E.1 FACTOR 4: PRICE, Table 7.

The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AA.

Optional CLIN X014AB, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 2: The Offeror’s proposed Tier 2-unit price for each year of the Period of

Performance will be multiplied by the projected number of Approved Referrals for appointment scheduling per year provided in E.1 FACTOR 4: PRICE, Table 7. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AB.

Optional CLIN X014AC, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 3: The Offeror’s proposed Tier 3-unit price for each year of the Period of Performance will be multiplied by the projected number of Approved Referrals for appointment scheduling per year provided in E.1 FACTOR 4: PRICE, Table 7. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AC.

Optional CLIN X014AD, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 4: The Offeror’s proposed Tier 4-unit price for each year of the Period of Performance will be multiplied by the projected number of Approved Referrals for appointment scheduling per year provided in E.1 FACTOR 4: PRICE, Table 7. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AD.

Optional CLIN X014AE, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 5: The Offeror’s proposed Tier 5-unit price for each year of the Period of Performance will be multiplied by the projected number of Approved Referrals for appointment scheduling per year provided in E.1 FACTOR 4: PRICE, Table 7. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AE.

TO:

CLIN X014, Optional: Healthcare Appointment Scheduling and Comprehensive Care Coordination Optional CLIN X014AA, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 1: The Offeror’s proposed Tier 1 unit price for each year of the Period of Performance will be multiplied by the first 200,000 approved referrals in the Government’s hypothetical annual evaluation volume of 600,000 approved referrals.

The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AA.

Optional CLIN X014AB, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 2: The Offeror’s proposed Tier 2-unit price for each year of the Period of Performance will be multiplied by the next 100,000 approved referrals, from 200,001 through 300,000, in the Government’s hypothetical annual evaluation volume of 600,000 approved referrals. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AB.

Optional CLIN X014AC, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 3: The Offeror’s proposed Tier 3-unit price for each year of the Period of Performance will be multiplied by the next 100,000 approved referrals, from 300,001 through 400,000, in the Government’s hypothetical annual evaluation volume of 600,000 approved referrals. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AC.

Optional CLIN X014AD, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 4: The Offeror’s proposed Tier 4-unit price for each year of the Period of Performance will be multiplied by the next 100,000 approved referrals, from 400,001 through 500,000, in the Government’s hypothetical annual evaluation volume of 600,000 approved referrals. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AD.

Optional CLIN X014AE, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 5: The Offeror’s proposed Tier 5-unit price for each year of the Period of Performance will be multiplied by the next 100,000 approved referrals, from 500,001 through 600,000, in the Government’s hypothetical annual evaluation volume of 600,000 approved referrals. The result of this calculation is the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN X014AE.

Change 8:

Section E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, FACTOR 4: Price, for Optional CLINs X014- X014AE is hereby changed as follows:

FROM:

OPTIONAL CLIN X014, Appointment Scheduling and Comprehensive Care Coordination Administration:

Offerors shall propose a unit price, in dollars, that applies to each Approved Referral for appointment scheduling, by quantity tier, for each year of the Period of Performance.

OPTIONAL SubCLIN X014AA, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 1

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AB, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 2

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AC, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 3

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AD, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 4

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AE, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 5

Priced. Offerors shall propose a unit price by quantity tier.

• Offerors shall use the VA estimated data below when pricing CLIN X014.

TO:

OPTIONAL CLIN X014, Appointment Scheduling and Comprehensive Care Coordination Administration:

Offerors shall propose a unit price, in dollars, that applies to each Approved Referral for appointment scheduling, by quantity tier, for each year of the Period of Performance.

OPTIONAL SubCLIN X014AA, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 1

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AB, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 2

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AC, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 3

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AD, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 4

Priced. Offerors shall propose a unit price by quantity tier.

OPTIONAL SubCLIN X014AE, Appointment Scheduling Administration and Comprehensive Care Coordination Tier 5

Priced. Offerors shall propose a unit price by quantity tier.

• Table 7 is for informational purposes only. The Offeror shall price their Tiers to reflect their proposed pricing for all potential referral volumes across all five Tiers, as the Government will use a hypothetical annual volume of 600,000 approved referrals for evaluation purposes.

ATTACHMENTS:

- CCN Next Gen Medical - East TOPR 0001 Conformed Copy 04223026

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