Medical Record of Questions_ Amendment 0003.pdf

36C10G26R0003 0003 Medical IDIQ Record of Questions and Answers

Vendor Question VA Answer

1. Will VA consider single state plans that manage multiple service regions/GSAs and cross border care on shared platforms—as described in their Past Performance narratives—as meeting the “covering multiple states” relevancy criteria, when they explain the operational similarity to coordinating multiple states?

To clarify, VA is not evaluating past performance at the IDIQ level. At the IDIQ level, VA is evaluating three factors: 1) Corporate Experience, 2) Veteran Involvement/Subcontracting Plan, and 3) Price. In accordance with Section E of the RFP, VA will eval demonstrate corporate experience covering multiple states.

Please see IDIQ RFP section E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS — COMMERICAL ITEMS for more information on the IDIQ evaluation criteria.

For the Medical TOPR evaluation, past performance is one factor, as outlined in TOPR section E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS— COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES. In accordance with Section E of the RFP, VA will evaluate whethe references demonstrate corporate experience covering multiple states. In this factor, relevance is outlined as the following:

complexity to the current requirements.

include maintaining a healthcare and pharmacy network while also adjudicating resulting healthcare and pharmacy claims.

• Magnitude: References will be determined similar in magnitude if the reference meets or exceeds $200,000,000 in healthcare and/or pharmacy claims paid within a 12-month period or if the geographic coverage area of the healthcare and/or pharmacy network includes a minimum of nine (9) U.S. States.

• Complexity: References will be determined similar in complexity if the reference includes payment of healthcare claims in accordance with Medicare payment rules, transmission of healthcare claims using a clearinghouse, return of medical documentation and appointment scheduling services.

level to demonstrate the relevancy of their submission. VA will consider this narrative during the evaluation process.

2.

multi state Medicaid contract (or contracts with multiple states) to be eligible for award of the CCN Next Gen proposal and collective Past Performance references (prime plus demonstrate multi state capabilities consistent with the stated relevancy criteria.

multi-state Medicaid contract to be eligible for award at the IDIQ level.

To clarify, VA is not evaluating past performance at the IDIQ level. At the IDIQ level, VA is evaluating three factors: 1) Corporate Experience, 2) Veteran Involvement/Subcontracting Plan, and 3) Price. Please see IDIQ RFP section E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS — COMMERICAL ITEMS for more information on the IDIQ evaluation criteria.

For the Medical TOPR evaluation, past performance is one factor, as outlined in TOPR section E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS— COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES. In this factor, relevance is outlined as the following:

complexity to the current requirements.

include maintaining a healthcare and pharmacy network while also adjudicating resulting healthcare and pharmacy claims.

• Magnitude: References will be determined similar in magnitude if the reference meets or exceeds $200,000,000 in healthcare and/or pharmacy claims paid within a 12-month period or if the geographic coverage area of the healthcare and/or pharmacy network includes a minimum of nine (9) U.S. States.

• Complexity: References will be determined similar in complexity if the reference includes payment of healthcare claims in accordance with Medicare payment rules, transmission of healthcare claims using a clearinghouse, return of medical documentation and appointment scheduling services.

level to demonstrate the relevancy of their submission. VA will consider this narrative during the evaluation process.

award to plans that can grow into multi state capabilities over the life of the CCN of proposal submission, in accordance with Section E of the RFP. VA will not base IDIQ award decisions on prospective future growth, expansion, or post-award

Next Gen Medical IDIQ—through arrangements—rather than limiting operate multi state networks at the time of initial IDIQ award.

teaming arrangements that are not supported by demonstrated corporate experience in implementing relevant services across multiple states.

Socioeconomic Subcontracting Goals applicable to the large business subcontractors proposed under the assumption is incorrect, “Prime Contracting” and “Subcontracting” goals."

Per Section E of the RFP Subcontracting Plan. As stated in Factor 2, “The Subcontracting Plan shall meet the minimum VA subcontracting goals set forth below,” and references Table 2 - VA Socioeconomic Subcontracting Goals. The targets in Table 2 are divided into VA Prime Contracting (direct contracts) goals and subcontracting (awards from Prime the “Subcontracting” column of Table 2.

5 Readiness acceptance criteria: What are steps VA will require and accept before initiating HCD at a station (checklists, exit criteria, end-to-end interface testing)?

VA will require vendors to adhere to deployment and implementation expectations as detailed in the PWS section 2.3. Prior to initiating full Health Care Delivery activities at ensure clinical readiness, patient safety, system reliability, cybersecurity compliance, and operational alignment.

• VA will require that all hardware/software components are installed and operational prior to Health Care Delivery as detailed in the PWS section 16.3.

integrated systems and VA enterprise systems, as outlined in PWS Sections 16 and

ICD and EDI Companion Guides.

criteria before initiation of station level activities. All documentation is to be reviewed and approved by VA stakeholders, ensuring no critical defects as detailed in the PWS section 2.3.

• In addition, VA will require the vendor to provide test plans, test results, and validation sign-

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