36C24220R0147 0003.docx

36C24220R0147 Amendment #3

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) 5/18/2021 00000 Department of Veterans Affairs Network Contracting Office 02 1304 Buckley Road Suite 101 Syracuse

NY

13212 Department of Veterans Affairs Network Contracting Office 02 1304 Buckley Road Suite 101 Syracuse

NY

13212 To all Offerors/Bidders

36C24220R0147 05-12-2021

X X X

Attached are responses to questions received through May 18, 2021.

Date and Time for receipt of proposals remains June 1, 2021 at 3:00 PM EST.

Allan Preston Contracting Officer

1. Per the NYS WCB (Workers' Compensation Board), it is anticipated that all versions of the C-4 medical billing forms will be replaced by the required XML submission of the CMS-1500 form on or about July 1, 2021. Providers need to complete required training specific to their professions and then complete the New Provider Authorization Request online application. New and existing authorized providers will be expected to re-register with the Board every two-three years, consistent with the renewal of their New York State license.

QUESTIONS:

· Will all providers need to be NYS Workers Compensation Board Authorized?

ANSWER: No, As the VA, we are a federal entity and our providers are not required to by NYS Workers Compensation Board Authorized.

· If the C-4 Form is completed by an Oswego CBOC provider, does the Oswego CBOC provider forward this form to the VA (as noted on page 69 paragraph 4.7.7 of the Solicitation) to allow the VA to assert a Federal Medical Care Recovery Act (FMCRA) or a Workers Compensation Claim, or do they hand the forms back to the patient?

ANSWER: Any and all release of information should be routed through that department.

· Who would be responsible for follow-up once the C-4 Form is completed?

ANSWER: The VA is responsible for follow-up.

2. It has been our experience that providers spend hours weekly completing forms for Disability and Workers Compensation which takes away from actual “hands-on” patient care. And there were times when the provider is required to complete several forms for one patient.

QUESTIONS:

· Is there a limit on the number of forms the provider is required to fill out per patient or the amount of time he or she needs to spend per week on filling out these forms?

ANSWER: There is no limit to the number of forms. It would be ongoing if required for the patient.

· Is it the VA’s expectation for the Oswego CBOC providers to complete the forms one time only for the patient, or would this be an ongoing requirement?

ANSWER: It would be an requirement for as long as the Veteran needs the forms completed.