36C10G26R0004 0011 CCN Next Gen - Dental Network 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 11

0011 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

36C10G26R0004

X

X X x

The purpose of this amendment (0011) is to:

1. Update language within the RFP.

2. Provide the updated CCN Next Gen Dental Network PWS.

See continuation pages.

ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME

Jessica Portillo

Continuation Page 36C10G26R0004 0011

Outlined in this document are responses to questions received relative to the

Community Care Network – Next Generation, Request for Proposal

(RFP) 36C10G26R0004. 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. This amendment updates language within the CCN Next Generation Dental

Network solicitation 36C10G26R0004.

CHANGE 1:

Section E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, Subfactor 1.2: Dental

Network Adequacy Plan under FACTOR 1: Technical Evaluation is hereby changed as follows:

FROM:

1. Approach to building and maintaining a network with sizing and capacity to meet the network adequacy standards stated in Table 1 Network Adequacy Standards in each VAMC catchment area as outlined in “Attachment C – Performance

Requirement Summary_Dental_02_24_26 v3.pdf.” This shall include details on the numbers and types of providers entering the CCN Next Generation Dental

Network (including those from other offeror, Federally Qualified Healthcare

Centers (FQHCs), and VA-identified preferred providers)

TO:

1. Approach to building and maintaining a network with sizing and capacity to meet the network adequacy standards stated in Table 1 Network Adequacy Standards in each VAMC catchment area as outlined in “Attachment C – Performance

Requirement Summary_Dental_02_24_26 v3.pdf.” This shall include details on the numbers and types of providers entering the CCN Next Generation

Dental Network (including those from other contracts, Federally Qualified

Healthcare Centers (FQHCs), and VA-identified preferred providers).

CHANGE 2:

Section E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, Table 3 – Dental Use

Cases, use case 4 is hereby changed as follows:

FROM:

The Department of Veteran Affairs (VA) has received multiple complaints from

Veterans regarding ABC Medical Group, a provider in your Dental Network. Veterans have reported receiving bills for services they did not receive, and discrepancies have been noted between the services listed on their Explanation of Benefits (EOB) and the care they actually received. Additionally, VA data analytics flagged ABC Medical Group for a high volume of claims using a specific procedure code that is significantly above the regional average, raising concerns about potential overutilization and improper payments.

VA has requested your organization to investigate ABC Medical Group for potential fraud, waste, and abuse (FWA) and improper payments. VA has also asked for a detailed plan to address the issue pursuant to PWS 13.6. Your organization must demonstrate its ability to operationalize its FWA program, collaborate with VA, and ensure compliance with Federal statutes and regulations.

You are tasked with demonstrating how your solution would address this scenario.

Specifically:

1. Detection: How would your solution detect these FWA patterns in billings by network providers, pharmacies, entities, and beneficiaries?

2. Prepayment and Post-payment Operations: How does your solution operate on both a prepayment and post-payment basis to flag suspicious activity before payments are issued and identify improper payments after they are made?

3. Anti-Fraud and Abuse Controls: What anti-fraud and abuse controls does your solution utilize to prevent improper payments, and how does it ensure that fraudulent claims are corrected, and overpayments are recovered in a timely manner?

4. Deterrence: How would your solution deter future occurrences of FWA?

5. Transparency and Accountability: How does your solution share substantiated

FWA information with program administrators, ensuring transparency and accountability?

Provide a detailed response, including specific features, methodologies, and success stories that demonstrate your ability to detect, prevent, correct, deter, and recover improper payments in scenarios like this. Highlight how your solution would empower the VA Community Care program to safeguard taxpayer dollars, maintain operational integrity, and ensure Veterans receive the care they deserve.

TO:

The Department of Veteran Affairs (VA) has received multiple complaints from

Veterans regarding ABC Medical Group, a provider in your Dental Network. Veterans have reported receiving bills for services they did not receive, and discrepancies have been noted between the services listed on their Explanation of Benefits (EOB) and the care they actually received. Additionally, VA data analytics flagged ABC Medical Group for a high volume of claims using a specific procedure code that is significantly above the regional average, raising concerns about potential overutilization and improper payments.

VA has requested your organization to investigate ABC Medical Group for potential fraud, waste, and abuse (FWA) and improper payments. VA has also asked for a detailed plan to address the issue pursuant to PWS section 13. Your organization must demonstrate its ability to operationalize its FWA program, collaborate with VA, and ensure compliance with Federal statutes and regulations.

You are tasked with demonstrating how your solution would address this scenario.

Specifically:

1. Detection: How would your solution detect these FWA patterns in billings by network providers, pharmacies, entities, and beneficiaries?

2. Prepayment and Post-payment Operations: How does your solution operate on both a prepayment and post-payment basis to flag suspicious activity before payments are issued and identify improper payments after they are made?

3. Anti-Fraud and Abuse Controls: What anti-fraud and abuse controls does your solution utilize to prevent improper payments, and how does it ensure that fraudulent claims are corrected, and overpayments are recovered in a timely manner?

4. Deterrence: How would your solution deter future occurrences of FWA?

5. Transparency and Accountability: How does your solution share substantiated

FWA information with program administrators, ensuring transparency and accountability?

Provide a detailed response, including specific features, methodologies, and success stories that demonstrate your ability to detect, prevent, correct, deter, and recover improper payments in scenarios like this. Highlight how your solution would empower the VA Community Care program to safeguard taxpayer dollars, maintain operational integrity, and ensure Veterans receive the care they deserve.

CHANGE 3:

FROM:

The Prime Contracting goals listed above shall be calculated based on the percentage of total subcontracted dollars, excluding subcontracted supplies (as defined in FAR

2.101).

* The Subcontracting goals listed above shall be calculated based on the percentage of total contract dollars for distribution services only, excluding subcontracted supplies

(as defined in FAR 2.101).

TO:

* The Prime Contracting goals listed above shall be calculated based on the percentage of subcontracted service dollars, excluding subcontracted supplies (as defined in FAR

2.101).

* The Subcontracting goals listed above shall be calculated based on the percentage of subcontracted service dollars, excluding subcontracted supplies (as defined in FAR

2.101).

CHANGE 4:

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

TO OFFERORS—COMMERCIAL 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] 36C10G26R0004- CCN Next Gen – Dental Network”

TO:

a. Please input the following in the subject line of the proposal submission email:

“[Company Name] 36C10G26R0004- CCN Next Gen – Dental Network - Volume

X - Email Y of Z”

CHANGE 5:

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

TO OFFERORS—COMMERCIAL 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 6:

The following attachment in Section D is revised as follows:

FROM:

Attachment 1 CCN Next Gen Dental Network PWS_03_05_26 v3

TO:

Attachment 1 - CCN Next Gen Dental Network PWS_03_13_26 v4

CHANGE 7:

The following language in section B.5.3 VA PAYMENT HIERARCHY is hereby changed as follows:

FROM:

When there is no rate for the authorized service(s) in the DVAFS, VA shall reimburse the Contractor 50% of the provider’s billed final invoice to the Contractor.

TO:

When there is no rate for the authorized service(s) in the DVAFS, VA shall reimburse the Contractor 50% of the provider’s billed charges to the general public for similar services.

CHANGE 8:

Section B.7 PERFORMANCE WORK STATEMENT (PWS) is hereby revised as follows:

FROM:

See “Attachment 1 – CCN Next Gen Dental Network PWS_03_05_26 v3

TO:

See “Attachment 1 – CCN Next Gen Dental Network PWS_03_13_26 v4

CHANGE 9:

Update PWS reference in Section B.1.2 CO and COR Responsibilities to read as follows:

FROM:

CCN Next Gen Dental Network PWS_03_05_26 v3

TO:

Attachment 1 – CCN Next Gen Dental Network PWS_03_13_26 v4

CHANGE 10:

Section E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, General Instructions is hereby revised as follows:

FROM:

A. General Instructions

This section provides requirements for preparing proposals, as well as specific instruction on the format and content of the proposal. Offerors are cautioned to follow the instructions provided in this section carefully to ensure the Government receives consistent information. Each Offeror shall comply with the solicitation requirements and submit a clear, concise proposal that includes sufficient detail for the Government’s effective evaluation. The instructions describe the type and extent of information required and emphasize the significant areas to be addressed in the proposal. Review

“Attachment 1 – CCN Next Gen Dental Network PWS_03_05_26 v3” and corresponding

Attachments contained in this Request for Proposal (RFP) for further insight into the areas that shall be addressed within the proposal. Proposals will be evaluated on the scheduled oral presentations and written information submitted by Offeror. Offerors shall submit a well-written proposal with adequately detailed information which clearly demonstrates compliance with the solicitation requirements and allows for a meaningful evaluation by the agency. Clarity and completeness are essential. Data not submitted with the proposal but submitted previously or presumed to be known (i.e. previous projects performed for the United States Government) will not be considered as part of the proposal, except for Past Performance. The Government intends to make a single award IDIQ contract from this solicitation. Multiple proposals from one Offeror will not be accepted in response to this solicitation.

TO:

A. General Instructions

This section provides requirements for preparing proposals, as well as specific instruction on the format and content of the proposal. Offerors are cautioned to follow the instructions provided in this section carefully to ensure the Government receives consistent information. Each Offeror shall comply with the solicitation requirements and submit a clear, concise proposal that includes sufficient detail for the Government’s effective evaluation. The instructions describe the type and extent of information required and emphasize the significant areas to be addressed in the proposal. Review

“Attachment 1 – CCN Next Gen Dental Network PWS_03_13_26 v4” and corresponding

Attachments contained in this Request for Proposal (RFP) for further insight into the areas that shall be addressed within the proposal. Proposals will be evaluated on the scheduled oral presentations and written information submitted by Offeror. Offerors shall submit a well-written proposal with adequately detailed information which clearly demonstrates compliance with the solicitation requirements and allows for a meaningful evaluation by the agency. Clarity and completeness are essential. Data not submitted with the proposal but submitted previously or presumed to be known (i.e. previous projects performed for the United States Government) will not be considered as part of the proposal, except for Past Performance. The Government intends to make a single award IDIQ contract from this solicitation. Multiple proposals from one Offeror will not be accepted in response to this solicitation.

CHANGE 11:

Section B.11 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 12:

The following language in Section E.4 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).

https://veterans.certify.sba.gov/

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.

TO:

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 https://veterans.certify.sba.gov/ 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.

CHANGE 13:

Update to Section 2.3 Deployment and Implementation (last paragraph) is hereby revised as follows:

FROM:

The Contractor shall deploy the network in two (2) phases as defined in Error!

Reference source not found.. The first phase shall achieve HCD no later than six (6) months from contract award. The second phase shall achieve HCD no later than twelve

(12) months from contract award.

TO:

The Contractor shall deploy the network twelve (12) months from contract award.

ATTACHMENT:

- Attachment 1 - CCN Next Gen Dental Network PWS_03_13_26 v4

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