36C24219R0002-0001000.docx

Amendment 0001, RFP 36C24219R0002

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 NUMBERE

D 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 amendmen t, 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) 01-21-2020

NONE

Department of Veterans Affairs 400 Fort Hill Ave.

Canandaigua NY 14424 Department of Veterans Affairs Network Contracting Activity 400 Fort Hill Ave.

Canandaigua NY 14424 To all Offerors/Bidders

36C24219R0002 01-21-2020

X X X

X This amendment to the above referenced solicitation hereby addresses vendor questions received through January 20, 2020.

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

Allan Preston Contracting Officer This amendment to the above referenced solicitation hereby addresses vendor questions received through January 20, 2020.

Section 2 Staffing and Qualifications (page 16): The solicitation shows “Total Estimated Patients enrolled/assigned to site: 1,695.” Please provide the most recent 3 months billing figures/members/enrollee.

1,639 - September 2019 1,649 – October 2019 1,634 – November 2019

Section 6.2.1. Billable Roster (page 103): Please confirm the new contractor will inherit the patient’s last vesting visit and be allowed to bill for one year from that date upon contract award?

The Contractor will be provided a list of all enrolled patients at the beginning of the contract and will be able to bill for these patients immediately. In order to remain enrolled in the clinic, patients must be seen within 12 months of their last visit.

Refer to PWS paragraph 4.6.2.4. which states: “The Contractor shall be responsible for ensuring all Veterans assigned to Contractor’s site of care in PCMM have at least one qualifying encounter with Contractor’s PCP at least every 12 months…”

-One pharmacist providing remote consults to the clinic (as needed) and on-site clinical services one day per week (Tuesdays) -Telehealth Specialty services remotely 4-5 times per week

2 EpiPen autoinjectors

The clinic should plan to stock medications that might be required for emergency administration, such as:

-Albuterol -Ammonia inhalant -Diphenhydramine inj -Glucagon emergency kit -Nitroglycerine 0.4 mg SL -Naloxone (inj or nasal) -EpiPen

The urgently needed medications for the patient to use at home will be handled by a First Fill contract. The prescription will be sent to a local participating pharmacy. Training on how to complete this process will be provided to providers at contract CBOCs after award.

Below a list of the vaccines that the clinic may need to provide and should be able to purchase:

INFLUENZA, HIGH DOSE SEASONAL

INFLUENZA, INJECTABLE, QUADRIVALENT, PRESERVATIVE FREE

PNEUMOCOCCAL POLYSACCHARIDE PPV23

TDAP

PNEUMOCOCCAL CONJUGATE PCV 13

SHINGRIX

HEP B, ADULT

HEP A-HEP B

HEP A, ADULT

MENINGOCOCCAL B, OMV

MENINGOCOCCAL MCV4P

MMR

Diphtheria Tetanus (DT)

PPD

Gardasil

Will the Government consider extending the period to hold prices in the Contractor’s offer firm for 180 calendar days from receipt of offer instead of 30 calendar days?

See Addendum to FAR 52.212-1 on page 182 of the solicitation: “Period for acceptance of offers: FAR 52.212(c) is hereby tailored to extend the period of acceptance of offers from 30 days to 180 days.”