Attachment M - VIT Coverage (Robustness)_13.xlsx

XLSX spreadsheet 445 KB Posted

Attached to
Q201--Amendment 7- Integrated Critical Staffing Program (ICSP)- File Size Update Federal contract opportunity
Solicitation number
36C10X23R0058
Issued by
Department of Veterans Affairs Strategic Acquisition Center Frederick

About this file

This document contains a geographic and occupational coverage template for the Department of Veterans Affairs' Integrated Critical Staffing Program solicitation. The template requires offerors to identify their name, SAM registration information, socioeconomic status, and partners for which they have signed letters of commitment. Offerors must indicate the VA networks and states in which they can provide coverage, as well as the clinical, non-clinical, and program support occupational categories they can fulfill. No information is populated in the template, suggesting it is to be completed by offerors in response to the referenced solicitation from the VA Strategic Acquisition Center for critical staffing services.

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Other files for this federal contract opportunity

Other files attached to Q201--Amendment 7- Integrated Critical Staffing Program (ICSP)- File Size Update, newest first.
File Type Posted
36C10X23R0058_8.docx DOCX document
Phase_II_Contact_Information (Final).docx DOCX document
36C10X23R0058_7.docx DOCX document
Attachment L - Phase II Proposal Forms_12 (Updated for Amendment 0004).pdf PDF
ICSP Questions and Answers - Phase II.xlsx XLSX spreadsheet
Phase II Contact Information.docx DOCX document
Attachment G - Representative Task Order ICSP - Centralized Staffing_7 (Updated for Amendment 4).docx DOCX document
Attachment O - RTO Pricing Spreadsheet _15 (Updated for Amendment 4).xlsx XLSX spreadsheet
Attachment N - IDIQ Pricing Spreadsheet_14 (Updated for Amendment 4).xlsx XLSX spreadsheet
RFP 36C10X23R0058 ICSP - (Updated for Amendment 0004).docx DOCX document
36C10X23R0058_6.docx DOCX document
Attachment L - Phase II Proposal Forms_12 (Updated for Amendment 0003).pdf PDF
Attachment M - VIT Coverage (Robustness)_13 (Updated for Amendment 2).xlsx XLSX spreadsheet
36C10X23R0058_4.docx DOCX document
Attachment M - VIT Coverage (Robustness)_13 (Updated for Amendment 1).xlsx XLSX spreadsheet
Amendment Attachment A- ICSP Questions and Answers.xlsx XLSX spreadsheet
36C10X23R0058_3.docx DOCX document
Form 2A (Alternate for Attachment L).docx DOCX document
Attachment O - RTO Pricing Spreadsheet _15 (Updated for Amendment 1).xlsx XLSX spreadsheet
Attachment K - Phase I Submission Forms_11 (Updated for Amendment 1).pdf PDF
Attachment A - VHA ICSP Labor Categories_1 (Updated for Amendment 1).docx DOCX document
RFP 36C10X23R0058 ICSP - (Updated for Amendment 1).docx DOCX document
Attachment N - IDIQ Pricing Spreadsheet_14 (Updated for Amendment 1).xlsx XLSX spreadsheet
Attachment I - Business Associate Agreement_9.pdf PDF
36C10X23R0058_2.docx DOCX document
Attachment N - IDIQ Pricing Spreadsheet_14.xlsx XLSX spreadsheet
Attachment H - Onboarding Task Order ICSP_8.docx DOCX document
Attachment L - Phase II Proposal Forms_12.pdf PDF
Attachment J - RFP Question Form_10.xlsx XLSX spreadsheet
Attachment G - Representative Task Order ICSP - Centralized Staffing_7.docx DOCX document
Attachment F - Occupational Categories_NAICS Code Crosswalk_6.xlsx XLSX spreadsheet
Attachment E - Facility Listings_5.xlsx XLSX spreadsheet
Attachment A - VHA ICSP Labor Categories_1.docx DOCX document
Attachment O - RTO Pricing Spreadsheet _15.xlsx XLSX spreadsheet
Attachment G - Representative Task Order ICSP - Centralized Staffing.docx DOCX document
Attachment D - Integrated Team Model Definitions.docx DOCX document
Attachment B - Contract Discrepancy Report.docx DOCX document
Attachment H - Onboarding Task Order ICSP.docx DOCX document
Attachment K - Phase I Submission Forms.pdf PDF
Attachment N - IDIQ Pricing Spreadsheet.xlsx XLSX spreadsheet
Attachment O - RTO Pricing Spreadsheet .xlsx XLSX spreadsheet
RFP 36C10X23R0058 ICSP - Final.docx DOCX document
Attachment I - Business Associate Agreement.pdf PDF
Attachment A - VHA ICSP Labor Categories.docx DOCX document
Attachment J - RFP Question Form.xlsx XLSX spreadsheet
Attachment L - Phase II Proposal Forms.pdf PDF
Attachment E - Facility Listings.xlsx XLSX spreadsheet
Attachment M - VIT Coverage (Robustness).xlsx XLSX spreadsheet
Attachment C - VA Information and Information System Security and Privacy Requirements.docx DOCX document
Attachment F - Occupational Categories_NAICS Code Crosswalk.xlsx XLSX spreadsheet
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Text version

VIT Geographic Coverage

INSTRUCTIONS: 1. Enter Name and UEI, and select (drop-down) Socio-economic status for VITAL and all proposed partners. 2. Place "x" under respective column to reflect geographic coverage of entity. 3. Under Letter of Commitment? column, enter 'yes' if you have a signed, exclusive teaming agreements or letter of commitment from that partner.
<Offeror Name>STATE/ TERRITORY (note: VISN encompasses identified states. Some portions of states identified may, however, fall within neighboring VISN.)MaineVermontNew HampshireMassachusettsConnecticutRhode IslandNew YorkNew JerseyPennsylvaniaDelawareMarylandWest VirginiaVirginiaNorth CarolinaWashington DCAlabamaGeorgiaSouth CarolinaFloridaPuerto RicoUS Virgin IslandsKentuckyTennesseeMichiganIndianaOhioWisconsinIllinoisKansasMissouriArkansasLouisianaMississippiTexasOklahomaColoradoUtahWyomingMontanaWashingtonOregonIdahoAlaskaCalifornia (Northern)Nevada
VISN 1VISN 2VISN 4VISN 5VISN 6VISN 7VISN 8VISN 9VISN 10VISN 12VISN 15VISN 16VISN 17VISN 19VISN 20VISN 21
Example-- XYZ Staffing, LLCAS1WMN0657A7SBA-certified SDVOSB (VITEP)YesXXXXX
Offeror/ Partner NameSAM UEISocio-EconomicLetter of Commitment?
1<Offeror Name>Select One
2<Partner Name>
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VIT LCAT Coverage

Occupational CategoryInstructions: 1. Place an "x" within the columns to the right for all LCATs provided by the VITAL and identified partners. 2. Partner information below (first three columns) is auto populated from Geographic Coverage worksheet.
Clinical Occupational Series (OC1)
Non-Clinical Occupational Series (OC2)
Program Support Service Categories (OC3)
<Offeror Name>Labor Category (LCAT)PsychologistClinical PSychologyCounseling PSychologyGenetics CounselorLicensed Professional Mental Health Counselor (LPMHCs)Social WorkersPhysician Services ( PS) 👇🏻PS: Emergency Medicine (Includes: Trauma I, II, III, IV & V)PS: Internal Medicine (Cardiovascular Diseases; Gastro; Pulmonary DiseasesPS: OncologyPS: NephrologyPS: HospitalistPS: Invasive Internal MedicinePS: Critical CarePS: RheumatologyPS: EndocrinologistPS: Infectious DiseasePS: AllergistPS: OB/GynecologistPS: Women’s Health Primary Care ProvidersPS: Reproductive EndocrinologistsPS: AnesthesiologistPS: Cardiology (Includes: General; Invasive and Non-invasive; Surgery and No Surgery)PS: DermatologistPS: HematologistPS: OphthalmologistPS: OptometristPS: Orthopedic (General and Surgery)PS: Physical Medicine and Rehabilitation Services (PM&R) (Includes Physiatry)PS: Otolaryngologist (Ear/Nose/Throat - ENT)PS: Pathology (Includes: CytopathologistPS: Dermatopathologist; Hematologist; Neuropathologist; Pathologist)PS: PSychiatrist (Includes: General; ; Adult and Geriatric)PS: PSychologistPS: PodiatristPS: Radiology (Includes: Diagnostic; MRI/Mammogram; Interventional and Oncology)PS: Surgery-Other (General; Colon and Rectal; Plastic; Thoracic/Vascular; Neurosurgery; Cardiothoracic)PS: Nuclear MedicineRegisterd Nurses (RN) 👇🏻RN: Med SurgRN: GeriatricRN: PSychiatricRN: NurseryRN: OB/GynecologistRN: Women’s Health Advanced Practice Nurse Practitioners
Series180180180180180185602603602602602602602602602602602602602602602602602602602602602602602602602602602602602602602602610611610610610610610
Social Science, PSychology & Welfare (0100-0199)Medical, Hospital, Dental and Public Health (0600 – 0699)
Clinical Occupational Series (OC1)
Example-- XYZ Staffing, LLCAS1WMN0657A7SBA-certified SDVOSB (VITEP)yesxxxxxxx
Offeror/ Partner NameSAM UEISocio-EconomicLetter of Commitment?
1<Offeror Name>0Select One0
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