36C10X21Q0168 0001 (Final).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 3

07/27/2021

Not Applicable

36C10X

Strategic Acquisition Center - Frederick Department of Veterans Affairs

5202 Presidents Court, Suite 103 Frederick MD 21703

36C10X

Strategic Acquisition Center - Frederick Department of Veterans Affairs

5202 Presidents Court, Suite 103 Frederick MD 21703

To all Offerors/Bidders

36C10X21Q0168

07-16-2021

X

X X

The purpose of Amendment 0001 is to provide the Government’s response to offerors’ questions.

All other terms and conditions remain unchanged.

Please see CONTINUATION PAGE for specific details.

36C10X21Q0168 0001

CONTINUATION PAGE

Q# TOPR

Reference Offeror Question Government Response

1 General

a. Can you please describe the recruitment process that helps drive the orders for new providers?

b. Is there possibly an interface available with an established contracting tool, or perhaps a desire to build such an interface over time to facilitate the onboarding process?

a. Orders are based on the creation of direct agreements between Individual VA Medical Centers and community providers. The process to generate these agreements starts with the medical center’s identification of a service either not covered under the national Community Care Network contract or where there are not currently enough providers in that network. The medical centers will outreach either previously engaged providers or other known providers in the community and begin the agreement process.

b. VA does not maintain a contracting tool. A database is utilized to house provider information. The database does not have external interface capabilities at this time; it is stored behind the VA firewall, which cannot be accessed by the contractor under this contract.

2 General

Can you please describe the relationship of the Non-Community CCN Providers within the broader context of the VA/VHA to help outline any required data connections across other ancillary systems or credentialing datasets that may present an opportunity for synchronization (eg is there a requirement for these providers to also have a VA hospital affiliation and, if so is there a data sharing requirement?)

Non-CCN providers operate under a Veteran Care Agreement (VCA) or local contract which is established directly between the VA Medical Center and the provider.

3 General Can CSV file format be an alternative to exportable PSV file format?

CSV can be accepted as an alternative file format.

4 General Will alternative payment models be considered?

No, the contract will be setup as an IDIQ and payment will be invoiced through IPPS.

5 General

If available and current, can a provider’s attestation to a profile in CAQH be leveraged to support the VA application, or should this process remain entirely independent?

Yes, CAQH can be utilized however, the VA cannot confirm if any providers have CAQH files, as it is not a VHA OCC requirement.

Additionally, with the understanding repository utilization does not change the structure of the contract and would be at the discretion of the

36C10X21Q0168 0001

CVO. For example, the payment structure would not change or increase.

Section B.2

PWS, 7.3.1

and 7.3.2

a. Can you please clarify the scope of the “peer level credentialing review board” described in 7.3.1 and later defined as the “CVO Credentialing Committee” in

7.3.2 to outline the expectation of membership and function?

b. Is it intended that the contractor manage the VA Credentialing Committee with a supported process for evaluating and recommending provider applications to streamline the operations of the VA Committee (as described in item 7.3.1.b), or that the contractor establish its own committee of providers to review and approve applications on behalf of the VA?

a. A board of “like” specialists that can evaluate a credentialing file to make an educated recommendation to the VHA of approval or denial. The majority of VCAs are Nephrologists, Home Health Agencies, and Dental Offices.

b. The peer level credentialing review board required under this contract to be managed by the contractor will conduct reviews and will make recommendations to the VHA for approval or denial. VHA OCC Chair also known as Chief Medical Officer (CMO) will have the ultimate decision authority.

Section B.2

PWS,

7.2.1.2

Is it possible that the data elements described in item 7.2.1.2 to support the setup of new providers can be expanded to include elements for date of birth and social security number?

VA does not and/or cannot request or capture a provider’s SSN and DOB. The data elements provided under section 7.2.1.2 are intended to provide the contractor with information to contact the provider to acquire the needed data elements to accomplish credentialing.

Section B.3, Price Schedule

In the pricing schedule it is portrayed as many as 8,065 new providers will need to be credentialed in the first year with no recredentialing for any providers required before the 3 year cycle.

Can you please confirm if this is a new network for the CCN or if there also might be a dataset for established providers that will require migration? If so, can you also please provide a description of any existing solution and the data mapping capabilities?

This is not a new network; Veteran Care Agreements and Local Contracts are individual agreements between a VA Medical Center and a provider used to support gaps in the CCN.

There is currently a dataset of established providers under Veteran Care Agreements that need full credentialing. Information for this subset of providers will be shared in the format described in section 7.2.1.2 of the contract.