36C24218R0402-0002000.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) 04-24-2019

NONE

Department of Veterans Affairs Network Contracting Office 400 Fort Hill Ave.

Canandaigua NY 14424 Department of Veterans Affairs Network Contracting Office, Bldg 34 400 Fort Hill Ave.

Canandaigua NY 14424 To all Offerors/Bidders

36C24218R0402 04-10-2019

X X X

This amendment to the above referenced solicitation hereby addresses the remaining vendor question received through April 22, 2019, in Attachment 1 to this amendment. Additionally, the VA's response to Question 9 from Amendment 0001 is revised as described in the attachment. Replacement language for PWS paragraphs 4.6.17.9.4.15.2 and 4.7.1.9 has been issued within the attachment. The hour and date for receipt of offers remains 3:00 PM EST on May 10, 2019. There are no outstanding questions at this time.

All other terms and conditions remain unchanged and in full force and effect.

Allan M. Preston Contracting Officer Attachment 1 Amendment 0002, RFP 36C24218R0402 Effective Date: April 24, 2019

This amendment addresses the remaining vendor question that was received through April 22, 2019, and also revises the VA’s response to Question 9 from Amendment 0001, as described below.

Q12: On page 50 paragraph 4.6.17.9.4.15.2 of the RFP it states, “Office-based Buprenorphine Treatment: Buprenorphine can be prescribed as office-based treatment in non-specialty settings (e.g., primary care), but only by a “waivered” physician. Buprenorphine is not subject to all the regulations required in officially-identified OTPs, but must be delivered consistent with treatment guidelines and Pharmacy Benefits Management criteria for use.” Currently the Lockport CBOC providers are not waivered providers and refer Opiate abuse patients to pain management and/or mental health for treatment. Will the VA accept this practice for the new contract?

Response: Yes, VA will accept this practice for the new contract. PWS paragraph 4.6.17.9.4.15.2 is revised and shall now read as:

“4.6.17.9.4.15.2 Office-based Buprenorphine Treatment. Buprenorphine can be prescribed as office based treatment in non-specialty settings (e.g., primary care), but only by a “waivered” physician. Buprenorphine is not subject to all the regulations required in officially-identified OTPs, but must be delivered consistent with treatment guidelines and Pharmacy Benefits Management criteria for use. Non-waivered providers shall refer patients to VA mental health.”

The VA’s response to Question 9 from Amendment 0001 is revised as follows:

Q9: On page 68 paragraph 4.7.1.9 of the RFP states, “Space shall contain a wall mounted drinking fountain.” In other CBOCs operated by the Contractor, the OIG requested that the wall mounted drinking fountains be removed from the CBOCs due to infection control issues. Currently the Lockport CBOC utilizes a water cooler. Is it acceptable to the VA to use a water cooler in the Lockport CBOC instead of a wall mounted drinking fountain?

Response: Yes, a water cooler is acceptable. PWS paragraph 4.7.1.9 is revised and shall now read as:

“4.7.1.9 Patient Transition Area (Reception/Greeting/Check-in/Waiting Room): Contains adequate seating for patients and family. Shall have access to natural light. Wall mounted television with cable shall be located in the waiting room for patient use. One set of patient toilets shall be available in this area. Provide wall mounted TV with local news and programming. Privacy at check-in window is required. A computer area is part of the waiting room but separated and private for the My HealtheVet computer. Area must be protected from excessive cold drafts in winter. Space shall contain a water cooler station or wall mounted bottle filler with access to cups, space for information board and floor mounted kiosk (requires voice/data jacks and power). Lockable door to be provided between the waiting area and exam areas.”