36C24219R0013-0003000.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 ADM

INISTRATIVE 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 d ate 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 3

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) 07-30-2019

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

36C24219R0013 07-12-2019

X X X

This amendment to the above referenced solicitation hereby addresses vendor questions received through July 30, 2019 in Attachment 1 to this amendment, which begins on Page 2. The hour and date for receipt of offers remains unchanged.

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

Allan M. Preston Contracting Officer Attachment 1 Amendment 0003, RFP 36C24219R0013 Effective Date: July 30, 2019

Q1: Section 4.6.7: List the specific vaccines and medications that are required to be supplied by the Contractor.

Response: Refer to the last sentence in PWS paragraph 4.6.7: “Attachment D.9 provides historical utilization data for medications and immunizations administered in clinic for FY 18, however, patient care needs may dictate a requirement for other medications and immunizations, which will be the Contractor’s responsibility.”

Q2: Section 4.7.18: Does the government want a CCTV system set up as discussed in this section?

Response: Yes, PWS paragraph 4.7.18 defines the requirements for the CCTV system.

Q3: Is it acceptable for a provider to cover the clinic via VVC or is a provider required to be physically in the clinic all hours of operation?

Response: The provider is expected to be physically located in the clinic during the hours of operation.

Q4: What is the current billable roster?

Response: As of June 2019, there were 1,524 billable enrollees for primary care services.

Q5: Who pays for training if our staff travels to the VA, the VA or the Contractor?

Response: Refer to the last sentence in PWS paragraphs 2.9.1 – 2.9.3: “Contractor shall be responsible for all costs associated with attending training in person at the VAWNYHS.”

Q6: Who will provide the AED, the VA or Contractor?

Response: Refer to the corrected B.3 Performance Work Statement which was released as an attachment to Amendment 0001. PWS paragraph 4.6.22.7 now states “The VA will provide the Contractor with an AED and train Contractor’s staff in its use and monthly required checks of the device.”

Q7: Is industrial refrigeration required for medications?

Response: Industrial refrigeration is not required; however, dormitory-style refrigerators are not acceptable. A dormitory-style refrigerator is defined as a small combination freezer/refrigerator unit that is outfitted with one exterior door with an evaporator plate (cooling coil), which is usually located inside an icemaker compartment (freezer) within the refrigerator.

Q8: Will the VAWNYHS provide a Pyxis medication dispenser in the CBOC?

Response: No, the VA will not be supplying a Pyxis machine.

Q9: Section E.1: How much notice will the VA give the Contractor prior to a site visit to a proposed location?

Response: If a site visit will be conducted, the Contractor will be given approximately 48 hours advance notice.

Q10: Please confirm that an LMSW is acceptable for the Medical Social Worker position referenced in Paragraph 2.4.6.

Response: Yes, an LMSW is acceptable for the Medical Social Worker position.

Q11: Paragraph 4.6.7 – Pharmacy services states, “The Contractor will provide all medications, including any necessary vaccines that are to be administered to patients in the clinic.” Currently the VA supplies a PXYSIS machine as well as medications; with this change as above will the VA be removing the PXYSIS machine?

Response: See response to Q8 above.

Q12: Who is responsible for the costs of the courier for lab specimens – Contractor or VA?

Response: Refer to PWS paragraph 4.6.3: “Contractor is responsible for: …3) Paying any costs of all lab work, except for lab work sent to the VA or emergency lab work sent to another site which has been authorized by the VA Communications Center and paying any costs associated with transportation of specimens to the VA and for arranging such transportation in a proper secure method…”

Q13: Regarding wiring and jack specifications:

Q13a: Does the VA IT require wire baskets or are J-hooks OK?

Response: J-hooks are acceptable.

Q13b: Does the VA IT have any specific color combination for wiring and jacks?

Response: If this question refers to whether to use A or B, VA normally uses B on the jacks.

Q13c: Does VA IT want regular two post Rack or a locking cabinet rack in IT room?

Response: VA requires a locking cabinet rack.

Q13d: Does the VA IT have any specific requirement for Brand for jacks and rack?

Response: VA has no specific brand requirements.

Q13e: What are the jack requirements per drop location? 2 data/ 2 voice or 2 data and 1 voice?

Response: All offices and workstations (for those individuals not situated in an office) shall have two sets each containing two (2) data jacks and one (1) voice jack situated on opposite walls.

Q13f: What size CAT wiring is required?

Response: VA’s preference is CAT6.

Q13g: Is there a specific color of wire needed for data and voice wiring?

Response: VA normally uses Blue (Data), White (Voice), but as long as it’s connected correctly it doesn’t really matter.

Q14: Will the new contractor inherit the patient’s last vesting visit and be allowed to bill for one year from that date upon contract award?

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

Refer to PWS paragraph 4.6.27.3, which states: “4.6.27.3. 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…”.

Q15: PWS Please provide the most recent billing figures/members/enrollees for primary care services.

Response: See response to Q4 above.

Q16: PWS 4.6.7 – Can the VA provide the list of medications, including vaccines the contractor be responsible for providing? Additionally, can the VA also provide estimated utilization numbers for each medication/vaccine required (or historical information)?

Response: See response to Q1 above.

Q17: PWS 4.7 – Does the VA require offerors to use the on-stage, off-stage Patient Aligned Care Team (PACT) concept in accordance with the PACT Space Module Design Guide?

Response: Yes.

Q18: PWS 4.7 – Is the current facility designed to meet the VA’s standards to accommodate the PACT Model; is the current facility using the on-stage, off-stage Patient Aligned Care Team (PACT) concept in accordance with the PACT Space Module Design Guide?

Response: The current floorplan does not meet the current PACT guidelines. The VA requires the on-stage/off-stage design elements listed in the PACT Manual. The contractor is responsible for providing adequate space to meet the requirements in the solicitation and resulting contract. The space requirements in the current solicitation are different than the previous requirement.

Q19: PWS 4.7 – Is the current facility adequate to meet the size requirements for the current solicitation?

Response: See response to Q18 above.

Q20: PWS 4.6.20.2 – Please confirm the VA will provide all necessary equipment and supplies for tele-retinal services. If this equipment is the responsibility of the contractor, please provide a list of the equipment and supplies required, as well as its associated costs.

Response: Yes, VA will provide all necessary equipment and supplies for tele-retinal services. PWS paragraph 4.6.20.2 is revised and shall now read as follows:

“4.6.20.2. TELE-RETINAL SERVICES: The Contractor shall provide teleretinal imaging services for a target population of patients, to include those with Diabetes Mellitus who have not been evaluated for retinopathy within the past year. The contractor’s Primary Care Providers (PCPs) will determine, based on VA EHR eye clinic records or patient eye history documented in VA EHR, which patients need to be imaged. VA will provide all necessary equipment and supplies (cleaning supplies with instructions). The TCT will clean/maintain equipment and request maintenance/repair, beyond user-level, from VA Biomedical Repair.”