CCN Next Gen Medical West TOPR 0002-03 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 13

Medical TOPR West 0002 03 2-13-2026

36C10G

U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400 Fredericksburg VA 22408-2697

36C10G

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400 Fredericksburg VA 22408-2697

To all Offerors/Bidders

All other terms and conditions remain unchanged.

36C10G26R0003

12-15-2025

X

X X x

The purpose of this TOPR Amendment (Medical TOPR West 0002 03) is to make the following changes:

1. Revise the number of Task Orders the Government may award from this TOPR.

2. Revise various sections of Section B and E.

See Continuation Page for further details.

Jessica Portillo Contracting Officer

CONTINUATION PAGE MEDICAL TOPR WEST 0002-03

Note: 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 14 is hereby revised as follows:

FROM:

This procurement effort may result in up to two Task Orders to one awardee.

TO:

This procurement effort may result in one Task Order to one awardee.

Change 2:

The following language in Section B.1 CONTRACT ADMINISTRATION DATA, CONTRACTOR REMITTANCE ADDRESS is hereby changed as follows:

FROM:

INVOICES: Payments shall be made in arrears upon receipt and acceptance of a properly prepared invoice.

TO:

INVOICES: Invoices shall be submitted monthly in arrears, upon VA Approval of the Medical claims or invoices.

Change 3:

The following language in section B.3.4 MEDICARE RATES, hereby changed as follows:

FROM:

The Contractor shall ensure that Medicare rates are applied even if Medicare does not pay for the service/procedure, but a rate is available for the code (e.g., non-participating Medicare providers), and the CMS billing standards and guidelines for Medicare covered services are followed. When applicable, the Contractor shall not apply any type of CMS network reductions when inconsistent with VA covered benefits and payment methodology, as described in “Attachment 2 - CCN Next Gen - Medical Contractor Manual”. When there is not a Medicare rate, the VA Payment Hierarchy will determine pricing for VA authorized care.

Medical TOPR West 0002- 03

TO:

The Contractor shall ensure that Medicare rates are applied even if Medicare does not pay for the service/procedure, but a rate is available for the code (e.g., non-participating Medicare providers), and the CMS billing standards and guidelines for Medicare covered services are followed. When applicable, the Contractor shall not apply any type of CMS network reductions when inconsistent with VA covered benefits and payment methodology, as described in “Attachment 2 - CCN Next Gen Medical - Contractor Manual”. When there is not a Medicare rate, the VA Payment Hierarchy will determine pricing for VA authorized care.

Change 4:

The following language in section B.3.5 VA FEE SCHEDULE, hereby changed as follows:

FROM:

The VA Fee Schedule is used for approved services that are not included on Medicare fee schedules. VA maintains responsibility for the development of the VA Fee Schedule and the methodology used to establish its rates. The VA Fee Schedule is published annually on VA’s Community Care Website. VA will provide interim updates to the VA Fee Schedule up to once per quarter. Upon receiving the updated VA Fee Schedule, the Contractor shall update its claims processing platform within 10 business days to reflect the changes. The Contractor shall ensure that the VA Fee Schedule updates are implemented in time to reimburse valid claims based on the effective date of the VA Fee Schedule update. The Contractor shall collaborate with VA to resolve any discrepancies associated with the VA Fee Schedule. Refer to the “Attachment 2 - CCN Next Gen Medical - Contractor Manual” for a description of the VA Fee Schedule data.

TO:

The VA Fee Schedule is used for approved services that are not included on Medicare fee schedules. VA maintains responsibility for the development of the VA Fee Schedule and the methodology used to establish its rates. The VA Fee Schedule is published annually on VA’s Community Care Website. VA will provide interim updates to the VA Fee Schedule up to once per quarter. Upon receiving the updated VA Fee Schedule, the Contractor shall update its claims processing platform within 10 business days to reflect the changes. The Contractor shall ensure that the VA Fee Schedule updates are implemented in time to reimburse valid claims based on the effective date of the VA Fee Schedule update. The Contractor shall collaborate with VA to resolve any discrepancies associated with the VA Fee Schedule.

Reference “Attachment 2 - CCN Next Gen Medical - Contractor Manual” for a description of the VA Fee Schedule data.

Change 5:

The following language in section B.3.5 VA FEE SCHEDULE, hereby changed as follows:

FROM:

Reference “Attachment 2 - CCN Next Gen Medical - Contractor Manual” for additional detail on the VA Fee Schedule.

TO:

Reference “Attachment 2 - CCN Next Gen Medical - Contractor Manual” for additional details on the VA Fee Schedule.

Change 6:

The following language in section B.4 MEDICAL CLIN STRUCTURE is hereby changed as follows:

FROM:

CLIN X004, Fee Schedule subCLIN X004AA, VA Fee Schedule, covers all authorized non-Medicare medical services. VA will pay the Contractor the VA Fee Schedule rate when a given medical procedure is not payable under Medicare rules or is payable under Medicare rules but does not have established pricing at the local level. (Government-provided rate)

TO:

CLIN X004, Fee Schedules subCLIN X004AA, VA Fee Schedule, covers all authorized non-Medicare medical services. VA will pay the Contractor the VA Fee Schedule rate when a given medical procedure is not payable under Medicare rules or is payable under Medicare rules but does not have established pricing at the local level. (Government-provided rate)

Change 7:

The following language in section B.4 MEDICAL CLIN STRUCTURE is hereby changed as follows:

FROM:

CLIN X012, Transition Out:

VA will pay the Contractor for transition out and residual service tasks, including retroactive processing of referrals and claims adjudication, providing claims, transition open referrals, providing an inventory of assets, facilitating knowledge transfer, removal of government furnished information, and customer service transition. This CLIN will be paid as a fixed price upon VA initiation of the transition out period. Transition out services shall be excluded from CLIN X009, Administrative Services.

TO:

CLIN X012, Transition Out:

VA will pay the Contractor for transition out and residual service tasks, including retroactive processing of referrals and claims adjudication, providing claims, transition open referrals, providing an inventory of assets, facilitating knowledge transfer, removal of government furnished information, and customer service transition. This CLIN will be paid as a fixed price upon VA initiation of the transition out period. Transition out services shall be excluded from CLIN X008, Administrative Services.

Change 8:

The following language in section B.4 MEDICAL CLIN STRUCTURE is hereby changed as follows:

FROM:

OPTIONAL CLIN X013, Optional Task Implementation

TO:

OPTIONAL CLIN X013, Implementation - Optional Task

Change 9:

The following language in section E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, Table 2- TOPR Proposal Volume Requirements is hereby changed as follows:

FROM:

Table 2 – TOPR Proposal Volume Requirements

Factor Phase Content Delivery Method

Volume Page Limit

N/A

Completed Task Order Offer

Written Proposal

I

Executed Proposal, to include SF1449 and

SF 30

Amendments Points of Contact

Factor 1

Technical Evaluation

I Use Case Approaches

Oral Presentation

N/A N/A

Factor 1

Evaluation

II

1.1 Deployment

and Implementation Plan

1.2: Medical

Adequacy Plan

Written Proposal

I 50 pages

Factor 2 II Past Performance Written Proposal

II 3 PPQs;

plus No more than a 3-page narrative for all PPQs

Factor 3 II Veteran Involvement/ Subcontracting

Written Proposal

III 10

Factor 4 II Price Written Proposal

IV 50 pages for the Price Narrative, including no more than 10-page BOE.

Table 2 – TOPR Proposal Volume Requirements

Factor Phase Content Delivery Method

Volume Page Limit

Completed Task Order Offer

Written Proposal

I

Executed Proposal, to include SF1449 and

SF 30

Amendments Points of Contact

Factor 1

Technical Evaluation

I Use Case Approaches

Oral Presentation

N/A N/A

Factor 1

Evaluation

II

1.1 Deployment

and Implementation Plan

1.2: Medical

Network Adequacy Plan

Written Proposal

I 50 pages

Factor 2 II Past Performance Written Proposal

II 3 PPQs;

plus No more than a 3-page narrative for all PPQs

Factor 3 II Veteran Involvement/ Subcontracting

Written Proposal

III 10

Factor 4 II Price Written Proposal

IV 50 pages for the Price Narrative, including no more than 10-page

BOE.

Change 10:

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

TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES,

FACTOR 1: Technical Evaluation Phase 1 is hereby changed as follows:

FROM:

Oral Presentations - Use Cases

The Offeror shall provide an oral presentation based on the Use Cases outlined in Table 45 The Offeror shall present its proposed approaches to address the issues raised in the Use Cases on its scheduled day of presentations. Offerors selected for Oral Presentations will receive written notice at least ten (10) business days in advance of the scheduled Oral Presentation to allow for preparation and logistics. Offerors must acknowledge receipt and confirm availability for the proposed presentation dates within two (2) business days of notification. The Offeror’s approach to each Use Case shall address all applicable sections of the PWS, as outlined in Table 4.

TO:

Oral Presentations - Use Cases

The Offeror shall provide an oral presentation based on the Use Cases outlined in Table 4 The Offeror shall present its proposed approaches to address the issues raised in the Use Cases on its scheduled day of presentations. Offerors selected for Oral Presentations will receive written notice at least ten (10) business days in advance of the scheduled Oral Presentation to allow for preparation and logistics. Offerors must acknowledge receipt and confirm availability for the proposed presentation dates within two (2) business days of notification. The Offeror’s approach to each Use Case shall address all applicable sections of the PWS.

Change 11:

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

TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES,

FACTOR 1: Technical Evaluation Phase 1 is hereby changed as follows:

FROM:

Ground Rules for Questions and Interaction

• Offerors may not ask substantive questions of the Government during the presentation. Any questions are limited to logistics and the conduct of the session and must be directed to the contracting officer.

• The Government may present written clarifying questions which Offerors may address during their scheduled time. Government evaluators will not engage in dialogue or provide feedback during the presentation.

• Oral presentations do not constitute “discussions” as set forth in FAR 15.306(d).

No changes to an Offeror’s proposal may result from the oral presentation, and Offerors may not volunteer new or revised proposal terms.

Ground Rules for Questions and Interaction

• Offerors may not ask substantive questions of the Government during the presentation. Any questions are limited to logistics and the conduct of the session and must be directed to the contracting officer.

• The Government may present written clarifying questions which Offerors may address during their scheduled time. Government evaluators will not engage in dialogue or provide feedback during the presentation.

• Oral presentations do not constitute “discussions” as set forth in FAR 15.306(d).

No changes to an Offeror’s proposal may result from the oral presentation, and Offerors may not volunteer new or revised proposal terms. The Offeror’s proposal shall include all material terms and conditions in the written proposal, incorporation by reference of oral statements is not permitted.

Change 12:

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

TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES,

FACTOR 4: PRICE, Price Schedule is hereby changed as follows:

FROM:

The Price Schedule contains CLINs with varying pricing methodologies. VA requires the Offeror to propose pricing for all non-pre-priced CLINs, for each applicable year of the Period of Performance. The X in the CLIN number stands for the year of the contract, with zero being the base year (e.g., CLIN X001 in the base year is CLIN 0001). Refer to Section B.4, Medical CLIN Structure, for a description of each CLIN/subCLIN.

Calculations supporting the percentages may be submitted in the applicable tab in the “Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule”.

TO:

The Price Schedule contains CLINs with varying pricing methodologies. VA requires the Offeror to propose pricing for all non-pre-priced CLINs, for each applicable year of the Period of Performance. The X in the CLIN number stands for the year of the contract, with zero being the base year (e.g., CLIN X001 in the base year is CLIN 0001). Refer to Section B.4, Medical CLIN Structure, for a description of each CLIN/subCLIN.

Calculations supporting the percentages may be submitted in the applicable tab in “Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule”.

Change 13:

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

TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES,

FACTOR 4: PRICE, Price Schedule is hereby changed as follows:

FROM:

OPTIONAL CLIN X016, Software, Process, and Proof of Concept Development

Offerors shall propose a unit price, in dollars, for each instance of a software, process, and proof of concept development task aligned to the task sizes below, for each year of the Period of Performance.

OPTIONAL subCLIN X015AA, Extra-Small (XS) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X015AB, Small (S) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X015AC, Medium (M) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X015AD, Large (L) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X015AE, Extra-Large (XL) Software, Process, and Proof of Concept Development Task Size

TO:

OPTIONAL CLIN X016, Software, Process, and Proof of Concept Development

Offerors shall propose a unit price, in dollars, for each instance of a software, process, and proof of concept development task aligned to the task sizes below, for each year of the Period of Performance.

OPTIONAL subCLIN X016AA, Extra-Small (XS) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X016AB, Small (S) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X016AC, Medium (M) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X016AD, Large (L) Software, Process, and Proof of Concept Development Task Size

OPTIONAL subCLIN X016AE, Extra-Large (XL) Software, Process, and Proof of Concept Development Task Size

Change 14:

The following language in section E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS, RELATIVE OF IMPORTANCE, is hereby changed as follows:

FROM:

Factor 1 (Technical Evaluation) consists of Oral Presentation and Written Submission, which are of equal importance. When combined, Factor 1 is slightly more important than Factor 2 (Past Performance). When considered together, all non-price factors (Factors 1, 2) are significantly more important than Factor 3 (Price). Price is the least important factor.

TO:

Factor 1 (Technical Evaluation) consists of Oral Presentation and Written Submission, which are of equal importance. When combined, Factor 1 is slightly more important than Factor 2 (Past Performance). When considered together, all non-price factors (Factors 1, 2) are significantly more important than Factor 3 (Veteran Involvement/ Subcontracting). Factor 4 (Price) is the least important factor.

Change 15:

The following language in section E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS, FACTORS TO BE EVALUATED, is hereby changed as follows:

FROM:

Factor 2: Past Performance Plan

TO:

Factor 2: Past Performance

Change 16:

The following language in section E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS, Table 6- Oral Presentation Adjective Ratings is hereby changed as follows:

FROM:

Table 7 – Written Submission Ratings Rating Definition

Outstanding The proposal meets requirements and indicates an exceptional approach and understanding of the requirements. Strengths far outweigh any weaknesses. The risk of unsuccessful performance is very low.

Acceptable The proposal meets requirements and indicates an adequate approach and understanding of the requirements. Strengths and weaknesses are offsetting or will have little or no impact on contract performance. The risk of unsuccessful performance is no worse than moderate.

Unacceptable The proposal does not meet requirements and contains one or more deficiencies. The proposal is not awardable.

Table 7 – Written Submission Ratings Rating Definition

Outstanding The proposal meets requirements and indicates an exceptional approach and understanding of the requirements. Strengths far outweigh any weaknesses. The risk of unsuccessful performance is very low.

Acceptable The proposal meets requirements and indicates an adequate approach and understanding of the requirements. Strengths and weaknesses are offsetting or will have little or no impact on contract performance. The risk of unsuccessful performance is no worse than moderate.

Unacceptable The proposal does not meet requirements and contains one or more deficiencies. Risk of unsuccessful performance is unacceptable. The proposal is not awardable.

Change 17:

The following language in section E.5 52.233-2 SERVICE OF PROTEST (SEP 2006), is hereby changed as follows:

FROM:

Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an agency, and copies of any protests that are filed with the

Government Accountability Office (GAO), shall be served on the Contracting Officer (addressed as follows) by obtaining written and dated acknowledgment of receipt from:

Electronic to: TBD (Assigned CO/CS)

The copy of any protest shall be received in the office (email) designated above within one day of filing a protest with the GAO.

TO:

Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an agency, and copies of any protests that are filed with the Government Accountability Office (GAO), shall be served on the Contracting Officer (addressed as follows) by obtaining written and dated acknowledgment of receipt from:

Electronic to: Jessica Portillo SAC_CCNNextGen@va.gov

Hand-Carried/Mailing Address:

OPAL | Strategic Acquisition Center

Attn: Jessica Portillo, Contracting Officer 10300 Spotsylvania Ave | STE 400

Fredericksburg VA 22408-2697

The copy of any protest shall be received in the office (email) designated above within one day of filing a protest with the GAO.

All other Terms and Conditions remain the same.

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