Medical TOPR West 0002 - 06 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 6

0002-06 03-06-2026

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 (0002-06) is to:

1. Update language in the RFP for TOPR West.

2. Update Attachment 1: CCN Next Gen - Medical TOPR PWS_West_03_05_26 v3

3. Publish the full conformed copy for the CCN Next Gen Medical - TOPR 0002 West

4. Please see continuation page.

All other Terms and Conditions remain the same.

Jessica Portillo

Contracting Officer

CONTINUATION PAGE 36C10G26R0003 0002 -06

This amendment provides a conformed copy of the CCN Next Gen – Medical TOPR 0002 West, published with the CCN Next Gen Medical solicitation, noticed 36C10G26R0003. The following revisions have been incorporated into the updated conformed copy and are detailed below for your reference.

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:

The following language in section B.3.1 VA PAYMENT HIERARCHY is hereby changed as follows:

FROM:

For healthcare services provided, when there is a Medicare rate for the authorized services, the VA reimburses the Contractor the rate up to the maximum allowable, locality-adjusted Medicare rate inclusive of the applicable Medicare assigned deductible. The Contractor shall compare the Medicare rate with the provider’s billed charges and pay the provider. After the Contractor pays the provider, the Contractor shall submit an invoice to VA for payment at the lesser of the Medicare rate or the billed charges. When Medicare applies the CMS Mid-level reduction as determined by the rendering providers taxonomy, the Contractor shall apply that reduction. Reference the

“Attachment 2 - CCN Next Gen Medical Contractor Manual _02_24_26_v2” for additional details regarding the CMS Mid-level reduction.

A waiver of the Medicare rate will apply, as outlined in Schedule of Services below, if the Contractor submits and VA approves a request.

When there is not a Medicare rate for the authorized service(s), the VA Fee Schedule dictates the maximum allowable rate. When there is not a Medicare rate for the authorized services but there is a VA Fee Schedule rate for the authorized services, VA requires the Contractor to compare the VA Fee Schedule rate with the provider’s billed charges and pay the provider and submit an invoice to VA for payment at the lesser of the VA Fee Schedule or billed charges.

When there is not a Medicare rate or VA Fee Schedule rate for the authorized service(s), the VA shall reimburse the Contractor at 50% of provider’s billed charges.

TO:

For healthcare services provided, when there is a Medicare rate for the authorized services, the VA reimburses the Contractor the rate up to the maximum allowable, locality-adjusted Medicare rate inclusive of the applicable Medicare assigned deductible. The Contractor shall compare the Medicare rate with the provider’s billed charges and pay the provider. After the Contractor pays the provider, the Contractor shall submit an invoice to VA for payment at the lesser of the Medicare rate or the billed charges. When Medicare applies the CMS Mid-level reduction as determined by the rendering providers taxonomy, the Contractor shall apply that reduction.

Reference the “Attachment 2 - CCN Next Gen Medical Contractor Manual

_02_24_26_v2” for additional details regarding the CMS Mid-level reduction.

A waiver of the Medicare rate will apply, as outlined in Schedule of Services below, if the Contractor submits and VA approves a request.

When there is not a Medicare rate for the authorized service(s), the VA Fee Schedule dictates the maximum allowable rate. When there is not a Medicare rate for the authorized services but there is a VA Fee Schedule rate for the authorized services, VA requires the Contractor to compare the VA Fee Schedule rate with the provider’s billed charges and pay the provider and submit an invoice to VA for payment at the lesser of the VA Fee Schedule or billed charges.

When there is not a Medicare rate or VA Fee Schedule rate for the authorized service(s), the VA shall reimburse the Contractor at 50% of provider’s billed charges to the general public for similar services.

CHANGE 2:

The following language in section E.2 ADDENDUM to FAR 52.212-2 EVALUATION— COMMERICAL ITEMS, Factor 4: Price, Evaluation Criteria, is hereby changed as follows:

FROM:

For this factor, the Offeror’s price proposal will be evaluated based upon the proposed unit prices and the Government’s calculated Total Evaluated Price (TEP). All proposed unit prices and the TEP will be evaluated for completeness and to determine whether the proposed fixed prices are fair and reasonable in accordance with FAR 15.404-1(b).

The TEP will include the sum of prices for the base year and all option years. Evaluation of options shall not obligate the Government to exercise such options. Price will not be evaluated adjectivally or assigned a score.

(a) Completeness: The Government will review the pricing submissions for completeness. A proposal is complete if the Offeror used the Government-developed Price Schedule Excel file as required, provides Cost/Price data for all solicitation requirements as required by Section E, the proposed costs are traceable and accurate, and the pricing table does not include blanks, unreadable files, or incomplete data. The proposed costs are traceable if they can be tracked from the Basis of Estimates to the Price Schedule, as well as throughout the Price Schedule. Incomplete price submissions may not be evaluated, and the proposal may be eliminated from the competition.

Government will NOT compare offers for the first year against offers for the entire multiyear period.

(b) Reasonableness: The Government will perform analysis using one or more of the price analysis techniques identified in FAR 15.404-1 to determine reasonableness.

(c) Total Evaluated Price (TEP): For the purpose of determining Best Value, the

Government will use the TEP for each Offeror. The TEP will be the sum of all priced CLINs.

(d) Options: As part of price evaluation, the Government will evaluate its option to extend services, FAR Clause 52.217-8, by adding one-half of the Offeror's last option period price to the Offeror's total price. The Government will evaluate proposals for award purposes by adding the total price for all performance periods. Evaluation of the option shall not obligate the Government to exercise the option. The Government may determine that a proposal is unacceptable if the option prices are significantly unbalanced.

(e) Unbalanced Pricing. The Government may evaluate whether the Offeror has submitted unbalanced pricing. An unbalanced price is one where the price of one or more contract line items or components is significantly overstated or understated, and which will result in the Government paying an unreasonably high price for contract performance or otherwise present an unacceptable level of risk to the Government. If the Contracting Officer determines that the risk is unacceptable, then the proposal may be rejected.

No price realism analysis will be conducted.

TO:

For this factor, the Offeror’s price proposal will be evaluated based upon the proposed unit prices and the Government’s calculated Total Evaluated Price (TEP). Offerors shall complete the pricing template in accordance with the TOPR instructions. All proposed unit prices and the TEP will be evaluated for completeness and to determine whether the proposed fixed prices are fair and reasonable in accordance with FAR 15.404-1(b).

The TEP will include the sum of prices for the base year and all option years. Evaluation of options shall not obligate the Government to exercise such options. Price will not be evaluated adjectivally or assigned a score.

(a) Completeness: The Government will review the pricing submissions for completeness. A proposal is complete if the Offeror used the Government-developed Price Schedule Excel file as required, provides Cost/Price data for all solicitation requirements as required by Section E, the proposed costs are traceable and accurate, and the pricing table does not include blanks, unreadable files, or incomplete data. The proposed costs are traceable if they can be tracked from the Basis of Estimates to the Price Schedule, as well as throughout the Price Schedule. Incomplete price submissions may not be evaluated, and the proposal may be eliminated from the competition.

Government will NOT compare offers for the first year against offers for the entire multiyear period.

(b) Reasonableness: The Government will perform analysis using one or more of the price analysis techniques identified in FAR 15.404-1 to determine reasonableness.

(c) Total Evaluated Price (TEP): To determine Best Value, the Government will use the TEP for each Offeror. For purposes of evaluation, the Government will calculate the Total Evaluated Price (TEP) using a standardized methodology that converts all proposed pricing inputs including unit-based pricing and percentage-based pricing into evaluated price values. Where percentages are required, the

Government will apply the Offeror’s proposed percentage rates to the applicable pricing assumptions, estimated quantities, or evaluation scenarios defined within the pricing template to derive a comparable evaluated dollar value. The TEP will then be calculated as the sum of all priced CLINs using this standardized approach.

(d) Options: As part of price evaluation, the Government will evaluate its option to extend services, FAR Clause 52.217-8, by adding one-half of the Offeror's last option period price to the Offeror's total price. The Government will evaluate proposals for award purposes by adding the total price for all performance periods. Evaluation of the option shall not obligate the Government to exercise the option. The Government may determine that a proposal is unacceptable if the option prices are significantly unbalanced.

(e) Unbalanced Pricing. The Government may evaluate whether the Offeror has submitted unbalanced pricing. An unbalanced price is one where the price of one or more contract line items or components is significantly overstated or understated, and which will result in the Government paying an unreasonably high price for contract performance or otherwise present an unacceptable level of risk to the Government. If the Contracting Officer determines that the risk is unacceptable, then the proposal may be rejected.

No price realism analysis will be conducted.

CHANGE 3:

The following language on section E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS, Factor 3: Veteran Involvement/Subcontracting Plan, is hereby changed as follows:

FROM:

For Service-Disabled Veteran-Owned Small Businesses (SDVOSB) and Veteran- Owned Small Businesses (VOSB): A Contractor 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/ (see 13 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 sub Offeror 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 sub-Offeror or to substitute one (1) or more SDVOSBs or VOSBs for subcontract work of the same or similar value.

TO:

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

Owned Small Businesses (VOSB): A Contractor 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/ (see 13 CFR 128) and be otherwise eligible in accordance with SBA size standards for the acquisition and limitations on https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fveterans.certify.sba.gov%2F&data=05%7C02%7C%7C6b3a95c664ed4aa4f8ba08de2c5a7435%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638996964170101030%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=kJVyrnZOuKJRJxY%2FJBmYj%2BZaeQC1v593idx%2FP9J%2FWxo%3D&reserved=0 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 sub

Offeror 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 sub-Offeror or to substitute one (1) or more SDVOSBs or VOSBs for subcontract work of the same or similar value.

CHANGE 4:

The following changes in section D are as follows:

FROM:

D.1 CONTRACT ATTACHMENTS

See attached document: ATTACHMENT 1 – CCN Next Gen – Medical West TOPR

PWS 03_05_26 v3

See attached document: ATTACHMENT 2 – CCN Next Gen – Medical Contractor

Manual _02_24_26_v2

See attached document: ATTACHMENT 3 – CCN Next Gen - Medical West TOPR

Price Schedule

See attached document: Attachment 6 – Disaster Benefit Data

See attached document: Attachment 7 – Optional Task Data Historical

TO:

D.1 CONTRACT ATTACHMENTS

See attached document: ATTACHMENT 1 – CCN Next Gen – Medical West TOPR

PWS 03_05_26 v3 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fveterans.certify.sba.gov%2F&data=05%7C02%7C%7C6b3a95c664ed4aa4f8ba08de2c5a7435%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638996964170128904%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=H9%2BXBH%2F79kTUca2whnNLFL2vRUt4gUrFlDTn%2FNvQz4E%3D&reserved=0

See attached document: ATTACHMENT 2 – CCN Next Gen – Medical Contractor

Manual _02_24_26_v2

See attached document: ATTACHMENT 3 – CCN Next Gen - Medical West TOPR

Price Schedule

CHANGE 5:

The following changes in section D are as follows:

FROM:

D.3 TOPR Attachments

See attached document: ATTACHMENT 4 - Past Performance Questionnaire

See attached document: ATTACHMENT 5 - Past Performance Reference Template

TO:

D.3 TOPR Attachments

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

CHANGE 6:

The following attachments in Section D are revised as follows:

FROM:

Attachment 1 - CCN Next Gen – Medical TOPR PWS_West_02_24_26 v2

TO:

Attachment 1 - CCN Next Gen – Medical TOPR PWS_West_03_05_26 v3

ATTACHMENTS:

- CCN Next Gen Medical - TOPR 0002 West Conformed Copy

- Attachment 1 - CCN Next Gen - Medical TOPR PWS_West_03_05_26 v3

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