CCN NG Dental Record of Questions Amendment 0006.pdf

PDF 56 KB Posted

Attached to
Q503--CCN Next Gen - Dental Network
Solicitation number
36C10G26R0004
Issued by

About this file

This is a Questions and Answers (Q&A) document for a federal dental network contracting opportunity with the Department of Veterans Affairs (VA). The document addresses ten vendor inquiries regarding contract scope, data access, enrollment projections, fee schedules, performance periods, and attachment requirements.

Key details include: vendors cannot access full eligible census files with home ZIP codes due to VA information security and privacy requirements protecting PII/PHI; historical purchasing patterns and volume data in Attachment O are available to inform proposals but do not guarantee future purchase volumes; the VA serves as the entity responsible for reimbursing the contractor for claims and administrative fees, with the contractor not acting as policyholder; the Dental VA Fee Schedule (DVAFS) establishes maximum allowable reimbursement rates at the 50th percentile of Usual and Customary Rates (UCR) but specific dollar amounts are proprietary and disclosed only post-award; performance period and transition dates were added via Amendment 0003; all priced CLINs denoted in green in Attachment 3 comprise the Total Evaluated Price; level of effort under CLIN X006 is anticipated to vary by VA site with volume information in Attachment O provided for estimating effort; and Attachment 6 Past Performance Reference Template was added via Amendment 0005. A Dental Pre-Proposal conference held on January 21, 2025, with video posted to SAM.gov via Amendment 0004, provides additional information on enrollment, plan design parameters, network requirements, and operational expenses.

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Other files

File Type Posted
36C10G26R0004 CCN Next Gen - Dental Network Conformed Copy 03272026.pdf PDF
Attachment 3 - CCN Next Gen - Dental Network Pricing Template v3.xlsx XLSX spreadsheet
36C10G26R0004 0014 CCN Next Gen - Dental Network Amendment.pdf PDF
36C10G26R0004 0013 CCN Next Gen - Dental Network Amendment.pdf PDF
Attachment 3 - CCN Next Gen Dental Network Pricing Template.xlsx XLSX spreadsheet
36C10G26R0004 Next Gen Dental Network_Conformed Copy_03232026.pdf PDF
36C10G26R0004 0012 CCN Next Gen - Dental Network Amendment.pdf PDF
36C10G26R0004 Next Gen Dental Network_Conformed Copy.pdf PDF
Attachment 3 - CCN Next Gen Dental Network Pricing Template v2.xlsx XLSX spreadsheet
36C10G26R0004 0011 CCN Next Gen - Dental Network Amendment.pdf PDF
Attachment 1 - CCN Next Gen Dental Network PWS_03_13_26 v4.pdf PDF
36C10G26R0004 0010 CCN Next Gen Dental Network Amendment.pdf PDF
36C10G26R0004 Next Gen Dental Network Conformed Copy 03062026.pdf PDF
Attachment 2-CCN Next Gen Dental Network Contractor Manual_03_06_26 v3.pdf PDF
Attachment 1 - CCN Next Gen Dental Network PWS_03_05_26 v3.pdf PDF
Attachment Ca - QASP Dental by CA_02_24_26 v2.pdf PDF
Attachment 1 - CCN Next Gen Dental Network PWS_02_25_26 v2.pdf PDF
CCN NG Dental Record of Questions Amendment 0009.pdf PDF
Attachment 2- CCN Next Gen Dental Contractor Manual_02_24_26 v2.pdf PDF
Attachment C - Performance Requirement Summary_Dental_02_24_26 v3.pdf PDF
Attachment R - Dental Network Provider Satisfaction Survey_02_24_26 v2.pdf PDF
36C10G26R0004 0009.pdf PDF
Attachment Q- Network Adequacy Rate Waiver Form- Dental Network_02_24_26 v3.pdf PDF
36C10G26R0004 0008 CCN Next Gen Dental Amendment.pdf PDF
CCN Next Gen - Care Coordination Slides.pdf PDF
CCN Next Gen - Eligibility_Enrollment Slides.pdf PDF
CCN Next Gen - Referrals_Authorizations_SEOCs Overview.mp4 MP4 file
CCN Next Gen - Eligibility_Enrollment Overview.mp4 MP4 file
CCN Next Gen - Care Coordintion Overview.mp4 MP4 file
CCN Next Gen - Referrals_Authorizations_SEOC Slides.pdf PDF
36C10G26R0004 0007 CCN Next Gen Dental Network Amendment.pdf PDF
Attachment 6 - Past Performance Reference Template - Dental Network.pdf PDF
36C10G26R0004 0006 CCN Next Gen Dental Amendment.pdf PDF
CCN Next Generation Dental Pre-proposal Conference slides_01212026.pdf PDF
36C10G26R0004 0005 CCN Next Gen Dental Amendment.pdf PDF
36C10G26R0004 0004 CCN Next Gen Dental Amendment.pdf PDF
CCN Next Gen Dental Pre-proposal Conference 01212026 Recording.mp4 MP4 file
Attachment O Dental Volumes by Station Dental Network_Updated.xlsx XLSX spreadsheet
Attachment C- Performance Requirement Summary- Dental Network _V2.xlsx XLSX spreadsheet
36C10G26R0004 0003 CCN Next Gen Dental Amendment.pdf PDF
36C10G26R0004 0002 CCN Next Gen Dental Network Amendment.pdf PDF
Attachment 2- CCN Next Gen Dental Contractor Manual_v1.0.pdf PDF
36C10G26R0004 0001 CCN Next Gen Dental RFP Amendment 12.23.25.pdf PDF
Next Gen Dental Combined Synopsis_Solicitation_v2.pdf PDF
Dental IDIQ Record of Questions_Amendment 0001.pdf PDF
Attachment 4- Phase I Questionnaire- Dental Network.pdf PDF
Attachment N- Scheduling Return Reason Codes- Dental Network.docx DOCX document
Attachment J- Data Specifications- Dental Network.xlsx XLSX spreadsheet
Attachment C- Performance Requirement Summary- Dental Network.xlsx XLSX spreadsheet
Attachment Ma- EDI 834 Healthcare Provider Information Companion Guide- Dental Network.pdf PDF
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Text version

Question Number Vendor Questions VA Answers

1 Can we please access an all eligible census (inclusive of home zip codes) - for those who will be offered the plan?

Historical purchasing patterns and volume data, provided as Attachment O ‘Dental Scheduling and Dental Comprehensive Care Estimated Volumes’ can be used to inform Offerors’ proposals and network development. There is no guarantee for future purchase volumes.

The solicitation also contains VA information security and privacy requirements (Sections B.9 and C.20 / VAAR 852.204-71), emphasizing protection of PII/PHI and VA sensitive information, which would encompass home ZIP-level eligibility files.

2 Of the eligible census, how many are enrolled in coverage? And what take rate are we expecting in year one and longer term?

Historical purchasing patterns and volume data, provided as Attachment O ‘Dental Scheduling and Dental Comprehensive Care Estimated Volumes’ can be used to inform Offerors’ proposals and network development.

3 Who will be the policyholder in charge of paying the administrative fees and claims reimbursement?

The Department of Veterans Affairs (VA) is the entity responsible for reimbursing the Contractor for claims and paying administrative fees under this contract.

The Contractor does not act as the policy holder; rather, the Contractor submits invoices to VA for reimbursement after paying network providers. Details regarding administrative fees may be located in section 2.9 of the CCN Next Gen Dental Network PWS and CCN Next Gen Dental Contractor Manual. Details regarding claims invoice reimbursements are located in section 10 of the CCN Next Gen Dental Network PWS and CCN Next Gen Dental Contractor Manual.

4 What is the effective date of the Dental benefits? The performance period has been added to the RFP via Amendment 0003.

5 Can we please access the dollar amounts associated with the fee schedule provided?

The Dental VA Fee Schedule (DVAFS) establishes the maximum allowable reimbursement rates for network dental providers. These rates are derived from the 50th percentile of Usual and Customary Rates (UCR), as detailed in the Community Care Network (CCN) Dental Manual, Part 2, Section B.5 – Pricing.

In accordance with contractual obligations and VA policy, the specific dollar amounts associated with the DVAFS are considered proprietary and may not be disclosed publicly prior to contract award. Upon award, the applicable fee schedule rates will be made available to the awarded contractor in accordance with VA guidelines.

Any additional clarity you can share around expected enrollment, plan design parameters, network requirements, and operational expenses would be helpful.

The VA held a Dental Pre-Proposal conference on 1/21/2025 to provide additional opportunity for industry engagement. A video of the pre-propsal conference has been posted to SAM.gov via Amendment 0004.

7 Will the VA please provide the expected calendar year dates for this contract’s transition and performance periods?

The performance period has been added to the RFP via Amendment 0003.

8 Will the VA please identify which CLINs in Attachment 3 are part of the Total Evaluated Price?

Per E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2025) FACTOR 4: PRICE, The Total Evaluated Price are all priced CLINs, denoted in green in Attachment 3.

(recommend removing all additional references to CLINs as if we release once with all details, if there are future changes, instead of references just Attachment 3, we'd have to now follow this process of updating CLINs)

Does the VA expect all work under CLIN X006 to be the same level of effort at each VA site? If the level of effort is expected to be variable based on VA sites, will the VA please provide data allowing contractors to better understand level of expected effort in order to provide more credible pricing?

VA anticipates that the level of effort under CLIN X006 may vary by VA site.

Offerors may use the volume information provided in Attachment O when estimating the expected level of effort at each VA site. As stated in the solicitation, this data is provided to inform proposals and network development and does not constitute a guarantee of future purchase volumes.

The RFP document mentions Attachment Past Performance Reference Template. We cannot locate that attachment. Please provide

Attachment 6 Past Performance Reference Template has been added via Amendment number 0005.

File details come from the government source that posted it. Updated .