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FedBizOpps Award Notice
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* = Required Field FedBizOpps Award Notice Rev. March 2010 Q VBA Medical Disability Exams (MDE) | Region 2 (Southeast) |
LHI | 36C10X19D0004
21703 36C10X18R0133
SNOTE
N 621111 Strategic Acquisition Center - Frederick Department of Veterans Affairs 321 Ballenger Center Drive, Suite 125 Frederick MD 21703 Renaldo "Will" Williams, Contract Specialist Renaldo.Williams2@va.gov Stephen Nickles, Contracting Officer Stephen.Nickles@va.gov 36C10X19D0004 $3,500,000.00 11-15-2018
LOGISTICS HEALTH, INC.
131468071
328 FRONT ST S
LA CROSSE
WI
54601 https://benefits.va.gov/disabilityexams/ Veterans Benefits Admin (VBA) | Compensation Services Renaldo.Williams2@va.gov Renaldo "Will" Williams, Contract Specialist
CONTRACT DESCRIPTION
I. Title of Project: Medical Disability Examinations (MDEs) under Section 504 of the Veterans’ Benefits Improvements Act of 1996 (Public Law 104–275; 38 U.S.C. 5101) | Region 2 (Southeast) II. Background: The Department of Veterans Affairs (VA) through the Veterans Benefits Administration (VBA) administers the Compensation & Pension (C&P) Program for benefits to Veterans, their dependents, and their survivors. Entitlement determinations for disability compensation and pension claims are made by VBA Rating Veterans Service Representatives (RVSRs) and Decision Review Officers (DROs) working in VA Regional Offices (VAROs) across the country. VA Central Office (VACO) assists the VAROs. An MDE is a critical piece of evidence for determining the extent of permanent impairment, and thus the percent of disability that defines the dollar benefit a Veteran is awarded. Because it is so critical, the examination report must be of high quality, providing essential information to support each diagnosed disability. It is not enough to simply state a diagnosis. The examination report must provide detailed findings sufficient for RVSRs and DROs to arrive at a determination that is able to withstand the scrutiny of appellate review. Veterans may appeal disability ratings. MDE's must be sufficiently accurate, thorough, and detailed to answer these challenges. The Contractor therefore shall follow the requirements of the worksheets to ensure that sufficient criteria are met. For the purpose of this PWS, the term “worksheet” represents a Disability Benefit Questionnaire (DBQ) or Compensation and Pension (i.e., Aid & Attendance; Bones) worksheet in situations where specific DBQs do not exist. VA reserves the right to substitute worksheets or any other system VA may deploy in the future.
On October 9, 1996, Congress enacted Public Law 104-275, which authorized VA to contract for medical examinations from non-VA medical sources. The report stated a desire to see the contract medical examination authority expanded and made permanent. A subsequent contract was awarded under the same public law authority. The current contracts provided over 724,000 examination referrals during fiscal year 2017, and each referral, on average, results in 2-3 unique examination types, plus additional ancillary diagnostic services and Veteran travel benefits. This contract is anticipated to execute approximately of 7.7 million examination requests over the life of the 10-year contract.
VA has a critical requirement for one or more prime contractors with deep and relevant institutional/corporate experience and knowledge to provide the above referenced disability examination services for Veterans through hiring and/or subcontracting with, training, and overseeing a skilled network of licensed examiners. Additionally, the prime contractor(s) shall possess deep and relevant institutional/corporate experience and knowledge in the development and maintenance of an IT network capable of interfacing with various VA systems in order to process incoming examination requests and to transmit examination results and other data back into the VA’s systems.
III. Contract Type: This contract is a Firm Fixed-Price, Indefinite Delivery, Indefinite Quantity (IDIQ) contract, under FAR 16.202.
IV. Contract Minimum and Maximum Value: In accordance with FAR 16.504(a)(4)(ii), the guaranteed minimum dollar value for each contract awarded under this solicitation is $3,500,000. The Government anticipates it will order the following maximum quantities of examination requests over the 10-year life of the contract:
· Region 2 (Southeast): 2.7 Million Exam Requests The actual exam request volume may vary from year to year and depends on many factors, including, but not limited to the following examples: Number of Veterans that file for Disability benefits; Any unexpected increase or decrease in the number of active Servicemembers; New armed conflicts; New conditions being added to those that are eligible for award of benefits; and/or Any significant change in the volume of exams that can be handled internally by VA through VHA exam providers versus contracted exam providers .
V. Period of Performance: The period of performance is a base period of 12 months from the date of award, with nine subsequent 12-month option periods, subject to the availability of funds. Exercise of options will be made at the sole discretion of the Government. If VA chooses not to exercise an option, that shall not be deemed a termination of the contract. Following are the periods of performance:
| Base Year: | | November 28, 2018 – November 27, 2019 |
| Option Year 1: | November 28, 2019 – November 27, 2020 | |
| Option Year 2: | November 28, 2020 – November 27, 2021 | |
| Option Year 3: | November 28, 2021 – November 27, 2022 | |
| Option Year 4: | November 28, 2022 – November 27, 2023 | |
| Option Year 5: | November 28, 2023 – November 27, 2024 | |
| Option Year 6: | November 28, 2024 – November 27, 2025 | |
| Option Year 7: | November 28, 2025 – November 27, 2026 | |
| Option Year 8: | November 28, 2026 – November 27, 2027 | |
| Option Year 9: | November 28, 2027 – November 27, 2028 | |
VI. Place of Performance: Performance shall take place at the Contractor’s place of business and at the examination provider’s place of business.
VII. Scope of Work: This contract requires private-sector MDEs on behalf of VA. The Contractor shall provide all resources necessary to accomplish the deliverables described in the PWS, except as may otherwise be specified. The Contractor is to locate, subcontract, and train medical professionals in performing MDEs for Veterans in one or more of four geographic Regions. The Contractor shall document examination findings as provided in this PWS. The geographic area (or VBA Region) to be serviced by this contract includes Region 2 (Southeast). Following are details for each of the various VBA Regions:
Page 1 of Page 1 of
MDE REGIONS 1-4
Region 1 (Northeast): To include Veterans that reside anywhere within the states of Connecticut, Delaware, Illinois, Indiana, Maine, Massachusetts, Michigan, Missouri, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, and Vermont. The total anticipated volume of examination requests for this region is 1.1 million over the 10-year life of the contract.
Disability claims for this region are, primarily, serviced out of the following VA Region Offices, although other VA Region Offices may administer the claim according to VA’s National Work Queue program:
Page 1 of Page 1 of
· Hartford, CT
· Chicago, IL
· Wilmington, DE
· Boston, MA
· Indianapolis, IN
· Togus, ME
· Detroit, MI
· Manchester, NH
· Newark, NJ
· Buffalo, NY
· New York, NY
· Philadelphia, PA
· Pittsburgh, PA
· Providence, RI
· Cleveland, OH
· White River Junction, VT
· St. Louis, MO
Page 1 of Page 1 of Page 1 of
Region 2 (Southeast): To include Veterans that reside anywhere within the states of Alabama, Arkansas, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, and West Virginia. The total anticipated volume of examination requests for this region is 2.7 million over the 10-year life of the contract.
Page 1 of Page 1 of Page 1 of Disability claims for this region are, primarily, serviced out of the following VA Region Offices, although other VA Region Offices may administer the claim according to VA’s National Work Queue program:
Page 1 of Page 1 of Page 1 of
· Washington, DC
· Montgomery, AL
· Little Rock, AR
· St. Petersburg, FL
· Atlanta, GA
· Louisville, KY
· New Orleans, LA
· Baltimore, MD
· Jackson, MS
· Winston-Salem, NC
· Columbia, SC
· Nashville, TN
· Roanoke, VA
· Huntington, WV Page 1 of Page 1 of
Region 3 (Midwest): To include Veterans that reside anywhere within the states of Colorado, Iowa, Kansas, Minnesota, Nebraska, North Dakota, Oklahoma, South Dakota, Texas, Wisconsin, and Wyoming. The total anticipated volume of examination requests for this region is 1.9 million over the 10-year life of the contract.
Page 1 of Page 1 of Page 1 of Disability claims for this region are, primarily, serviced out of the following VA Region Offices, although other VA Region Offices may administer the claim according to VA’s National Work Queue program:
Page 1 of Page 1 of Page 1 of
· Denver, CO
· Wichita, KS
· Des Moines, IA
· St. Paul, MN
· Lincoln, NE
· Muskogee, OK
· Fargo, ND
· Sioux Falls, SD
· Waco, TX
· Houston, TX
· Milwaukee, WI
· Cheyenne, WY
Page 1 of Page 1 of
Region 4 (Pacific): To include Veterans that reside anywhere within the states of Arizona, California, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Alaska, and Hawaii. The total anticipated volume of examination requests for this region is 2.0 million over the 10-year life of the contract.
Page 1 of Page 1 of Page 1 of Disability claims for this region are, primarily, serviced out of the following VA Region Offices, although other VA Region Offices may administer the claim according to VA’s National Work Queue program:
Page 1 of Page 1 of Page 1 of
· Oakland, CA
· Los Angeles, CA
· Phoenix, AZ
· Seattle, WA
· Boise, ID
· Reno, NV
· Portland, OR
· San Diego, CA
· Honolulu, HI
· Anchorage, AK
· Salt Lake City, UT
· Albuquerque, NM
· Ft. Harrison, MT
Page 1 of Page 1 of Page 1 of
VIII.
Page 1 of Page 1 of
Page 1 of IX. List of Contract Line Items:
| LINE ITEM |
| DESCRIPTION |
| UNIT OF ISSUE |
| 0001 |
| General Medical Examination |
| 0001A |
| General Medical - Compensation: Comprehensive General Medical Examination to include a complete base-line exam covering all body parts |
| EA |
| 0001AA |
| Requiring 1-5 DBQs |
| EA |
| 0001AB |
| Requiring 6-10 DBQs |
| EA |
| 0001AC |
| Requiring 11-15 DBQs |
| EA |
| 0001AD |
| Requiring 16 or more DBQs |
| EA |
| 0001B |
| General Medical - Pension |
| EA |
| 0001BA |
| Requiring 1-5 DBQs |
| EA |
| 0001BB |
| Requiring 6-10 DBQs |
| EA |
| 0001BC |
| Requiring 11-15 DBQs |
| EA |
| 0001BD |
| Requiring 16 or more DBQs |
| EA |
| 0001C |
| General Medical - Separation Health Assessment for Shared Examinations for VA/DOD (including BDD, IDES, and Examinations) |
| EA |
| 0001CA |
| Requiring 1-5 DBQs |
| EA |
| 0001CB |
| Requiring 6-10 DBQs |
| EA |
| 0001CC |
| Requiring 11-15 DBQs |
| EA |
| 0001CD |
| Requiring 16 or more DBQs |
| EA |
| 0001D |
| Aid and Attendance or Housebound |
| EA |
| 0001DA |
| Requiring 1-5 DBQs |
| EA |
| 0001DB |
| Requiring 6-10 DBQs |
| EA |
| 0001DC |
| Requiring 11-15 DBQs |
| EA |
| 0001DD |
| Requiring 16 or more DBQs |
| EA |
| 0001E |
| Cold Injury Residuals |
| EA |
| 0001F |
| General Medical - Comprehensive Medical Examination to include a Gulf War DBQ |
| EA |
| 0001FA |
| Requiring 1-5 DBQs |
| EA |
| 0001FB |
| Requiring 6-10 DBQs |
| EA |
| 0001FC |
| Requiring 11-15 DBQs |
| EA |
| 0001FD |
| Requiring 16 or more DBQs |
| EA |
| 0001G |
| General Medical - Comprehensive Medical Examination to include a Prisoner of War DBQ |
| EA |
| 0001GA |
| Requiring 1-5 DBQs |
| EA |
| 0001GB |
| Requiring 6-10 DBQs |
| EA |
| 0001GC |
| Requiring 11-15 DBQs |
| EA |
| 0001GD |
| Requiring 16 or more DBQs |
| EA |
| 0002 |
| Musculoskeletal System |
| 0002D |
| Shoulder and Arm Conditions |
| EA |
| 0002E |
| Elbow and Forearm Conditions |
| EA |
| 0002F |
| Wrist Conditions |
| EA |
| 0002G |
| Hand and Finger Conditions |
| EA |
| 0002H |
| Back (Thoracolumbar Spine ) Conditions |
| EA |
| 0002I |
| Neck (Cervical Spine) Conditions |
| EA |
| 0002J |
| Hip and Thigh Conditions |
| EA |
| 0002K |
| Knee and Lower Leg Conditions |
| EA |
| 0002L |
| Ankle Conditions |
| EA |
| 0002M |
| Foot Conditions, Including Flatfoot (Pes Planus) |
| EA |
| 0003 |
| Organs of Special Sense / Eye |
| 0004 |
| Impairment of Auditory Acuity/Ear and Other Sense Organs |
| 0004A |
| Hearing Loss and Tinnitus |
| EA |
| 0004B |
| Ear (including vestibular & infectious ) |
| EA |
| 0004C |
| Loss of Sense of Smell and/or Taste (ENT) |
| EA |
| 0005 |
| Infectious Diseases, Immune Disorders and Nutritional Deficiencies |
| 0005A |
| Persian Gulf/Afghanistan Infectious Diseases |
| EA |
| 0005B |
| HIV-Related Illnesses |
| EA |
| 0005C |
| Infectious Diseases (other than HIV-Related Illnesses, Chronic Fatigue Syndrome, or Tuberculosis) |
| EA |
| 0005D |
| Systemic Lupus Erythematosus (SLE) and Other Autoimmune Diseases |
| EA |
| 0005E |
| Nutritional Deficiencies |
| EA |
| 0005F |
| Chronic Fatigue Syndrome (rheumatological) |
| EA |
| 0006A |
| Sinusitis, Rhinitis, and Other Conditions of the Nose, Throat, Larynx, and Pharynx (ENT) |
| EA |
| 0006B |
| Respiratory Conditions (other than Tuberculosis and Sleep Apnea) |
| EA |
| 0006E |
| Sleep Studies (HSAT) |
| EA |
| 0006F |
| Sleep Studies (PSG & ECG) |
| EA |
| 0007 |
| Cardiovascular System |
| 0007A |
| Heart Conditions (including IHD, Non-IHD, Arrhythmias, Vascular Disease and Cardiac Surgery) |
| EA |
| 0007B |
| Artery and Vein Conditions (Vascular Diseases including Varicose Veins) |
| EA |
| 0008A |
| Esophageal Disorders (including GERD, Hiatal Hernia and Other Esophageal Disorders) |
| EA |
| 0008B |
| Gallbladder and Pancreas Conditions |
| EA |
| 0008C |
| Intestinal Conditions (other than Surgical or Infectious), including Irritable Bowel Syndrome, Crohn's Disease, Ulcerative Colitis and Diverticulitis |
| EA |
| 0008D |
| Intestinal Surgery (Bowel Resection, Colostomy, Illiostomy) |
| EA |
| 0008E |
| (Hepatitis, Cirrhosis, and other) Liver Conditions |
| EA |
| 0008F |
| Peritoneal Adhesions |
| EA |
| 0008G |
| Stomach and Duodenum Conditions (not including GERD or Esophageal Disorders) |
| EA |
| 0008H |
| Infectious Intestinal Disorders (including Bacterial and Parasitic Infections) |
| EA |
| 0008I |
| Hernias (including Abdominal, Inguinal and Femoral Hernias) surgical |
| EA |
| 0008J |
| Rectum and Anus Conditions (including Hemorrhoids) |
| EA |
| 0009 |
| Genitourinary System |
| 0009A |
| Kidney Conditions |
| EA |
| 0009B |
| Urinary Tract (including Bladder and Urethra ) Conditions (excluding Male reproductive System) |
| EA |
| 0009D |
| Male Reproductive Organ Conditions |
| EA |
| 0010 |
| Gynecological Conditions and Disorders of the Breast |
| 0010A |
| Gynecological Conditions |
| EA |
| 0010B |
| Breast Conditions and Disorders |
| EA |
| 0011 |
| Hemic and Lymphatic Systems |
| 0011A |
| (Hairy Cell and Other B-Cell) Leukemia |
| EA |
| 0011B |
| Hematologic and Lymphatic Conditions, including Leukemia |
| EA |
| 0012B |
| Scars/Disfigurement |
| EA |
| 0013A |
| Diabetes Mellitus |
| EA |
| 0013B |
| Endocrine Diseases (other than Thyroid and Parathyroid, or Diabetes Mellitus) |
| EA |
| 0013C |
| Thyroid and Parathyroid Conditions |
| EA |
| 0014 |
| Neurological Conditions and Convulsive Disorders |
| 0014A |
| Central Nervous System and Neuromuscular Diseases (except TBI, ALS, PD, MS, Headaches, TMJ, Epilepsy, Narcolepsy, Peripheral Nerves, Sleep Apnea, Cranial Nerves, Fibromyalgia, and CFS) |
| EA |
| 0014B |
| Parkinson's Disease |
| EA |
| 0014C |
| Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) |
| EA |
| 0014D |
| Diabetic Sensory-Motor Peripheral Neuropathy |
| EA |
| 0014G |
| Headaches (including Migraine Headaches) |
| EA |
| 0014H |
| Multiple Sclerosis (MS) |
| EA |
| 0014I |
| Initial Evaluation of Residuals of Traumatic Brain Injury (I-TBI) |
| EA |
| 0014J |
| Review Evaluation of Residuals of Traumatic Brain Injury (R-TBI) |
| EA |
| 0014K |
| Cranial Nerve Conditions |
| EA |
| 0014L |
| Peripheral Nerve Conditions (not including Diabetic Sensory-Motor Peripheral Neuropathy) |
| EA |
| 0014M |
| Seizure Disorders (epilepsy) |
| EA |
| 0015A |
| Mental Disorders (other than PTSD) |
| EA |
| 0015B |
| Mental Disorders (other than PTSD) - Telehealth examination |
| EA |
| 0015C |
| Initial Post Traumatic Stress Disorders (PTSD) |
| EA |
| 0015D |
| Initial Post Traumatic Stress Disorders (PTSD) - Telehealth examination |
| EA |
| 0015E |
| Review Post Traumatic Stress Disorders (PTSD) |
| EA |
| 0015F |
| Review Post Traumatic Stress Disorders (PTSD) - Telehealth examination |
| EA |
| 0015G |
| Eating Disorders |
| EA |
| 0015H |
| Eating Disorders - Telehealth examination |
| EA |
| 0016 |
| Dental and Oral Conditions |
| 0016A |
| Oral and Dental Conditions, including Mouth, Lips, and Tongue (other than Temporomandibular Joint Conditions) |
| EA |
| 0016B |
| Temporomandibular Joint (TMJ) Conditions |
| EA |
| 0017 |
| Ancillary Diagnostic Tests (The percentage proposed listed shall be applied to the current National Medicare baseline using the applicable Current Procedural Terminology (CPT) code to determine the “unit price” at the time of invoice.) |
| 0018 |
| Camp Lejeune Contaminated Water (CLCW) Subject Matter Expert (SME) Opinions |
| 0018A |
| CLCW SME Opinions |
| EA |
| 0019 |
| Record Review Medical File & Medical Opinions |
| 0019A |
| Record Review Medical File |
(<1" or <250 pgs)
EA
| 0019AA |
| Record Review Medical File w/ Medical Opinion |
(<1" or <250 pgs)
EA
| 0019B |
| Record Review Medical File |
(1"-3" or 250-749 pgs)
EA
| 0019BB |
| Record Review Medical File w/ Medical Opinion |
(1"-3" or 250-749 pgs)
EA
| 0019C |
| Record Review Medical File |
(> 3" or >749 pgs)
EA
| 0019CC |
| Record Review Medical File w/ Medical Opinion |
(> 3" or >749 pgs)
EA
| 0020 |
| No Shows (If Veteran or Servicemember does not appear for appointment or does not contact vendor within the acceptable timeframe to reschedule but does request a rescheduled appointment, No show is charged on initial appointment but at a lower price since administrative prep work is eventually used by examiner) |
| 0020A |
| Complete No Show (Veteran or Servicemember does not appear) |
| EA |
| 0020B |
| Partial No Show (Veteran or Servicemember requests to reschedule appointment within less than 24 hours notice) |
| EA |
| 0021A |
| Detailed PMP (with QAP) and Briefing in accordance with Section 8.6 of the Performance Work Statement (PWS) |
| Not Separately Priced (NSP) |
| 0021B |
| Training Plan in accordance with Section 8.6 of the PWS |
| NSP |
| 0021C |
| Monthly Status Reports in accordance with Section 8.6 of the PWS |
| NSP |
| 0021D |
| Annual Statement of ADA & OSHA Compliance in accordance with Section 8.6 of the PWS |
| NSP |
| 0021E |
| Quarterly Reports of ADA & OSHA Compliance in accordance with Section 8.6 of the PWS |
| NSP |
| 0022A |
| Travel Mileage for examination of Incarcerated or Housebound Veteran |
| Not to Exceed (NTE) |
| 0022B |
| Travel Time for Performing examination of Incarcerated or Housebound Veteran |
| NTE |
| 0022C |
| Monetary Incentive may be awarded quarterly in accordance with Section 12.0 of the PWS |
| Per Quarter |
| 0022D |
| Veteran Mileage Reimbursement |
| 0023 |
| Acceptable Clinical Evidence (ACE) exam Exam Discount Percentage: |
The listed percentage is the discount to be applied in accordance with PWS Section 10.23 and the performance of ACE qualified examinations.
EA
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