36C24119Q0041-0001000.docx

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) 11-23-2018 None Department of Veterans Affairs VAMC Manchester 718 Smyth Road Manchester

NH

03104 Department of Veterans Affairs VAMC Manchester 718 Smyth Road Manchester

NH

03104 To all Offerors/Bidders

36C24119Q0041 11-06-2018

X X X

12/14/2018 at 4:00 PM EST X The purpose of this amendment is to :

1) Answer questions asked by industry to help clarify the requirement. Please see attached list of questions w with answers

2) Extend the solicitation response date to 12/14/18 at 4:00PM EST.

*******************************************************END**************************************************************

Jacob Linxweiler Contracting Officer

CONTINUATION PAGE

1. Section B; B2 Price/Cost Schedule - Item Number 0001 – the government lists the Quantity/Unit as 60.0/EA

0. Does the government estimate that the total number of Medicaid applicants each year will be 60? Yes

1. Current state, how many FTEs does the government currently have providing the services listed in the PWS? We currently have no dedicated staff to this. Social Work staff assist as they can.

1. Does the government expect that a full FTE will be required to perform these services? No.

1. Can the government provide an estimated amount of total hours required for each of the four stages per applicant? Each case can be very different. Some are straight forward, others have taken hours over several weeks/months. If a veteran has the needed supplemental information, it’s straight forward. It’s the finding of the supplemental documentation that is more challenging and will take more time

1. Will the contractor be expected to travel to applicant’s home to obtain information and signatures? Yes (however, not all cases may require this)

1. Does the government have any requirements on contractor’s education, certifications/licenses, and work experience? Knowledge of Medicaid products, applications and process is preferred.

1. Of the potential numbers of screenings is there a breakdown of how many are expected for each state? 85% or more for MA, 10% for NH, 5% for RI, ME, VT, CT combined.

1. Will there be office space provided at each campus for this/these individuals? We do not currently have office space dedicated.

1. Will this/these individuals have access to VA systems and patient charts for the veterans being screened? No.

1. Will the contractor be assessing these referrals for eligibility, or will be accomplished by the government? VA will screen and refer to the contractor

1. Is there a restriction as to what Medicaid programs these veterans will be applying for? For example if there is a waiver program that will allow the veteran to receive care for a specific disability, is this an option for the individual? The primary goal is Long Term Care Medicaid to assist with admission into a nursing facility.

1. Post acceptance in a Medicaid program, is there any action from the contractor to refer to the veteran to care coordination at any level? If not, will this be completed by the government? No. Once the acceptance is done, VA staff would facilitate care coordination.

1. What type of system will be utilized for tracking of these applicants within the VA system? (Assuming CPRS, will access be provided to the contractors) We will be establishing a spreadsheet to track applications

1. Is there a requirement of the timeframe for completion of each CLIN in the process? No

1. If the process leads to a denial on services from Medicaid, is there an opportunity to resubmit should the reason for the denial become overturned? If so, does the CLIN reimbursement structure account for resubmissions? It’s the expectation that the contractor will follow the referral until it is approved, through an appeals process if necessary. Repetitive payments for a single application initiation that was denied for not containing required information will not be authorized.

1. Is the contractor responsible for an appeals process for denials? Would the current cost structure account for this activity taking place? Yes – the current cost structure accounts for this.

1. How will it be determined who is to be screened? VA staff will send referrals to the contractor

1. Could the government please expand on the workflow or referral flow of applicants to the contractor? (how often and where the referrals will come from) The referrals will come primarily from the social work team in acute care at West Roxbury VAMC. Additional referrals may come from inpatient mental health and/or the CLC in Brockton VAMC. We anticipate approx. 60 a year, or just over 1/week initially.

1. What is the current turnaround time on a screening conducted by the VA staff from when it is requested? Currently SW complete initial admission assessments within 24 hours of admission M-F.

1. What type of reporting is required for performance? The monthly invoice, as well as updates on individual referrals back to the referring SW as the process moves forward.

1. Will there be a scenario where this/these individuals would screen veteran’s dependents/survivors? No

1. If a veteran is inpatient at a non-va facility is the expectation that the individual will screen the veteran at this facility? No