36C24221R0013 0001.docx

RFP 36C24221R0013

Amendment No. 1

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) none 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

36C24221R0013 07-22-2021

X X X

Wednessday August 4, 2021 at 3:00 PM EST X one

This amendment addresses questions received through 7/22/2021.

Date and time for proposals is extended to August 4, 2021 at 3:00 PM.

ALLAN PRESTON

CONTRACTING OFFICER

CONTINUATION PAGE

1. Total Estimated Patients enrolled/assigned to site: 1865 as of January 2021.” Please provide the most recent 3-month billing figures/members/enrollees for primary care services

ANSWER: April: 1892, May: 1888, June: 1886

2. Does the PACT team total include Women’s Health exam rooms? If so, does each PACT require WH exam room?

ANSWER: Refer to 4.9.1.1.2. Women’s health exam room is not included in the PACT team total. Each PACT Team does not require a Women’s Health Exam room.

3. Question: Would the government be willing to accept email submissions of proposal rather than requiring printed copies?

ANSWER: Not at this time. Printed copies are required in the numbers listed in the RFP.

4. In section B.2 Schedule of Services on page 9 of the Solicitation states in Line Item Number 0001 the base year estimated enrollment is 1935. As the incumbent contractor, the latest billed enrollment quantity for Tompkins CBOC was 1888 which is 47 enrollees lower than the estimated enrollment stated. Secondly this shows a slight increase through Option Year 3 which in fact, the enrollment has been steadily decreasing 12% over the last 6 years.

Question: Would the VA consider reducing the estimated enrollment in the base and outlying years that more closely aligns with historical enrollment?

ANSWER: VA believes the estimate of 1935 is reasonable given historical enrollment at this clinic and also believes that there is an opportunity for outreach in the geographic region to increase enrollment.

5. On page 17 Paragraph 2.1 of the solicitation states, “The clinical pharmacy specialist (CPS) shall be provided the same support staffing given to other providers on the team when they are working in the capacity of a mid-level provider” In addition, on page 49 paragraph 4.6.3.3.1 of the solicitation states, “Contractor to provide CPS support staffing, and ancillary support”.

Question: Is it acceptable to utilize a PACT team member for CPS support or will a dedicated MSA be required?

ANSWER: PACT team ember is acceptable for CPS support.

6. On page 17paragraph 2.1 of the solicitation states, “Clinical pharmacist will be pharmacist will be provided by VA onsite or via telehealth.” On page 49 paragraph 4.6.3.2.7 of the solicitation states “the Contractor shall meet all requirements for anticoagulation management outline in VHA Directive 1033 Anticoagulation Therapy Management (or subsequent revisions thereto) as well as local policy related to the management of patients on anticoagulation. Local policy is included in the attachments section. On page 54, paragraph 4.6.4.6.3 of the solicitation states “anticoagulation services will be provided by the Syracuse VAMC”.

Question: Is the VA or the Contractor providing anticoagulation services?”

ANSWER: The responsibility for anticoagulation management is a shared responsibility between the contractor and VA. The VA provides monitoring and management services for veterans on warfarin and injectable anticoagulants, while the contractor provides those services for stable veterans on non-warfarin oral anticoagulants (so-called Novel Oral Anticoagulants).

Contractor is responsible for the following:

PCP enters electronic consult for the “Anticoagulation Clinic”.

Lab Draws as scheduled by the Anticoagulation clinic.

PCP communications with Anticoagulation Clinic regarding medicine change, notification for surgical procedure.

Documents in CPRS any calls or appointments related to Anticoagulation issues.

7. On page 26 paragraph 2.8 of the Solicitation states Telehealth Clinical Technician (TCT) FTE Raito performance standard 1.0 FTE Telehealth Clinical Technician (TCT) per estimated 5,000 patients at clinic, with a trained back-up (e.g., another TCT or a member of the PACT Teamlet (LIP, RNCM, or LPN) depending on size of clinic/clinic workload/clinic telehealth services)”

Question: Is it acceptable to utilize an MA for the TCT position? In addition, with an enrollment of approximately 1935 in the first year, is it acceptable to hire a 0.4 FTE TCT or is the Contractor required to have a fulltime TCT available Monday through Friday, 8:00 AM to 4:30 PM? As the incumbent contractor, currently the Oswego CBOC has a full time TCT in place.

ANSWER: Primary is an LPN. Backup preferred to be an LPN but Health Tech is acceptable. Contractor is required to have a full time TCT.

8. On page 34 paragraph 3.2 of the solicitation states, “The clinic shall be accessible to VA Behavioral Health staff from 7:00 AM to 7:00 PM Monday through Friday” and on page 61 paragraph 4.6.5.3 states, “The Contractor shall provide a dedicated MSA who provides the following clerical support services for mental health providers at the CBOC”

Question: Given the Behavorial Health staff being there from 7 am to 7 pm and the requirement for a dedicated MSA, is the VA requiring more than one MSA to cover the 12 hours per day Monday through Friday?

ANSWER: The VA is not requiring the CBOC to be open for extended hours to see Veterans face to face. However, staff do need access to the CBOC for those hours as some may be on a compressed tour of duty (i.e. 8:00 AM – 6:30 PM) during which time they may be seeing Veterans via VVC. MSA support is not required for extended hours.

9. On page 35, paragraph 4.1.1 of the solicitation states, “NOTE: Patients referred for care outside the Contractor’s clinic (e.g. to VA community Care, VA facility, or similar) for care that the Contractor is required to provide under the terms of this contract will be removed from the applicable billing roster the month after the patient is referred for care.”

Question: Does this pertain to patients for example that may call the clinic at 4:15 pm (telephone triage) and the triage nurse (after discussing the issue) advises the patient that if they cannot wait until the next business day, the patient has the option to present to WellNow Urgent Care and use their VA benefits?

ANSWER: This refers to patients that are transferred permanently to Community Primary Care or transferred permanently to another VA facility. Nurse advise calls are episodic care, this section is referring to permanent transfer of primary care services.

10. On Page 45 paragraph 4.6.3.1 of the solicitation states, “The Contractor will provide all medications, including any necessary vaccines that are to be administered to patients in the clinic”.

Question: Will the VA please confirm that only the following vaccines are the responsibility of the Contractor?

ANSWER: All of the above and Covid vaccine if it becomes a common vaccine.

11. On page 46 paragraph 4.6.3.1 of the solicitation states “Urgent/Emergent medications needed will be filled via VA contracted local pharmacy for up to 10 days.”

Question: Are the urgent/emergent medications provided by the VA contracted local pharmacy provided at the VA’s expense?

ANSWER: Yes, pharmacy will be providing an emergency first fill contract at the VA expense, to allow Veterans to get up to a 10-day supply of a new start medication at a local pharmacy.

12. On page 50, paragraph 4.6.3.3 of the solicitation states, “contractor is responsible for: Storage, Security, Administration and Monitoring Requirements of COVID-19 vaccine:” In addition, it states “Security”

· Ensure a plan is in place to ensure the security of the COVID-19 vaccine….

· Ensure a plan is in place for the clinic manager to reconcile the COVID-19 vaccines administered compared to on-hand inventory to monitor for inventory shrinkage. COVID-19 vaccine inventory shrinkage shall be reported to the VA Contracting Officer that at a minimum includes the number of COVID-19 vaccine does that cannot be reconciled, a brief summary of the review and corrective actions.”

Question: How often does the reconciliation need to be done, daily/weekly/monthly? If the clinic manager is not available to complete the reconciliation, is it acceptable to have the nurses do the reconciliation?

ANSWER: At this time, we will not be having COVID-19 vaccine stored outside of the main facility. At the point that we move to storing vaccine at off-site locations additional guidance will be provided. Currently we are required to monitor supplies daily (business days).

13. On page 51 paragraph 4.6.3.3 under Administration and Monitoring in the Solicitation states,

· Ensure COVID-19 vaccine is administered to the following groups in accordance with the SAVE LIVES Act (SLA):

· Veterans who are not eligible to enroll in the VA Health Care System:

· Specified Veterans who are eligible for hospital care, medical services and nursing home care abroad;

· Beneficiaries who are eligible for care due to a specified disability or death of a Veteran;

· Family caregivers of Veterans who are participating in the VA’s Program of Comprehensive Assistance for Family Caregivers;

· Caregivers of Veterans participating in the VA’s Medical Foster Home Program, Bowel and Bladder Program, Home Based Primary Care Program, or Veteran Directed Care Program; and

· The spouses of Veterans

· The Contractor will follow this procedure for administering COVID-19 vaccine to groups covered by the SLA: Follow procedure outline by the Veterans Service Center.

· The Contractor shall be reimbursed per the Medicare rate in effect at the time of vaccine administration for each dose of COVID-19 vaccine administered to individuals in the groups covered by the SLA. The contractor will not be reimbursed for administering COVID-19 vaccine to Veterans enrolled in care at the clinic or VA employees, or contract clinic employees that work onsite at the contract clinic location.

· The contractor shall submit a separate monthly billable roster for vaccinations administered to individuals covered by the SLA that include the following information:

· Patients name

· Date of service

· CPT code for each vaccine as delineated on the Centers for Medicare and Medicaid Services (CMS) website at cms.gov

· Other: Date of Birth

· Social security number

· Veterans Name

Question: The COVID-19 Vaccines administered to unassigned/non-enrolled patients in the clinic count towards the 40/month nurse-0nly visits? Will the VA CPS be available to draw up the COVID-19 vaccine doses for administration in the clinic? How would record keeping be accomplished for Administration of the COVID-19 Vaccine to spouses, caregivers of Veterans, etc. that are not in the VA’s healthcare system?

ANSWER: Yes, it counts towards the 40 visits per month. RNs will be able to draw up the COVID vaccine, the CPS may be virtual. At this time we are not storing vaccine outside of the main facility. If a COVID vaccine clinic is set up at a CBOC location, vaccine will be provided based on the number of Veterans scheduled. Pharmacy will either send a pharmacist to draw the doses or provide doses pre-drawn with the required paperwork to record administration of the vaccine.

14. On page 54 of the Solicitation under Ancillary Point of Care and Waived Testing Services, it states:

4.6.4.6.1 Mandated POC testing includes:

Pregnancy testing. Outpatient Site of Care must have point of care or stat pregnancy testing at the same site of care.

4.6.4.6.2 Non-Mandated POC Testing:

Glucose and fecal occult blood test.

Then on page 55 paragraph 4.6.4.6.7 of the solicitation states, “the VA will provide the test system/instruments and reagents for Contractor waived testing except for pregnancy testing, fecal occult blood testing cards and developer. The Contractor must contact the VA Ancillary Testing staff prior to purchasing test kits to ensure consistency of methodology/manufacturer.

Question: In 4.6.4.6.2 it states that Glucose and fecal occult blood tests are non-mandated test. 4.6.4.6.7 states that the VA will provide the test systems/instruments and reagents for contractor waived testing except for pregnancy testing, fecal occult blood testing cards and developer. Fecal occult blood test are non-mandated. The current process is that the Syracuse VA Medical Center sends the fecal occult blood cards to the clinics to be distributed to the patients. The patient then returns the cards back to the VA in a self-addressed stamped envelope for processing. Will this same process continue under the new contract?

ANSWER: The process will continue in regards to the FIT colorectal screening cards. The VA will send the FIT cards, envelopes, and prepaid postage stickers to the CBOC.

15. On page 60 paragraph 4.6.5.3.7 of the solicitation states, “Disaster preparedness: All contractor sites must have a designated Mental Health Disaster POC, who can serve as a member of the VA Parent facility’s Disaster Response Team”.

Question: Given that the VA provides all mental health staff, wouldn’t the Mental Health Disaster POC be a VA mental health staff member.?

ANSWER: Yes, this will be a VA staff member and is the person who sits on the Emergency management committee.

16. On page 64 paragraph 4.6.7.6 of the Solicitation states, “Contractor shall provide clerical support, including scheduling and ancillary support for VA telepharmacy services.

Question: Is it acceptable to utilize a PACT team member for support of VA telepharmacy or will a dedicated MSA be required?

ANSWER: PACT team member is acceptable. A dedicated MSA is not required.

17. VA Staffed Personnel

Question: How many VA staffed personnel will be providing services in the Tompkins CBOC and how many offices will be needed for VA provided staff?

ANSWER: Refer to space requirements for number of offices needed for VA staff. Exact number of staff assigned to the clinic is yet to be determined.

18. On page 74 paragraph 4.7.7 of the solicitation states, “Work Related Incident Treatment: When treating the Veteran for injuries sustained because of a work-related incident or an accident, the Contractor must complete the appropriate forms to allow the VA to assert a Federal Medical Care Recovery Act (FMCRA) or a Workers Compensation Claim.”

Question: What types of forms will the Contractor be required to fill out for Workers Compensation Claims?

ANSWER: NYS Workman’s Comp provider form (C4)

19. On page 77 paragraph 4.9.10 of the Solicitation states, “At the Contractors expense, the VA reserves the right to require documentation of proper operations, inspection, testing, and maintenance of fire protection systems, such as, but not limited to, fire alarm, fire sprinkler, standpipes, fire pump, emergency lighting, illuminated exit signs, emergency generator, prior to occupancy to ensure proper operation.”

Question: Is the VA looking for an emergency generator for the entire CBOC facility or for medication refrigerators?

ANSWER: The medication refrigerators need to be on a generator.

20. On page 85 paragraph 4.9.19 of the Solicitation states “Closed Circuit Television (CCTV) shall be provided by the contractor to monitor building entrances, restricted areas, mission critical asset areas, and alarm conditions. CCTV system shall be used for surveillance and observations of defined exterior areas, such as site and roadway access points, parking lots, building perimeter, and interior areas such as hallways, common areas and waiting areas, CCTV System will be viewed from a VA location within the clinic determined by the VA physical security officer. The design, installation and use of CCTV cameras shall support the visual identification and surveillance of persons, vehicles, assets, incidents and defined locations. The Contractor shall contact the VA Physical Security Officer at 315-425-4336 prior to installation of CCTV system to ensure proper placement.” The requirement for the VA to be able to monitor the CCTV activities remotely appears to be intended for a VA leased and operational facility as opposed to a contractor operated and leased facility. Our current contracted CBOC facilities across the U.S. utilize high resolution CCTV security cameras for both interior and exterior monitoring and routinely have recording capability of up to 30 days. This is the only specification that request the VA to monitor these cameras which require cellular based services and special equipment to accomplish.

Question: Was it the VA’s intent to utilize this level of monitoring by the VA, as opposed to the contractor responsibility, to monitor the camera activities at the privately leased contract facility? Or is the contractor required to record activity at the CBOC location that is made available for playback by the CBOC in the event of any criminal activity?

ANSWER: The VA does not need to monitor the CCTV activities remotely. The system is only required to record activity at the CBOC facility that is available for playback at the CBOC in the event of any criminal activity.

21. On page 87 paragraph 4.11.2 of the Solicitation states “Each IT and Telcom closet is required to have a card reader and motion alarm per VA Handbook 0730, Appendix B.” Then on page 87 paragraph 4.11.2.1.4 states “Primary lock, and a deadbolt (this can be one combined unit). If separate the locks will be keyed the same”.

Question: Is primary lock and deadbolt sufficient, or is there a card reader requirement? If a card reader is required, is that something the VA supplies or the Contractor? If the contractor supplies, what are the specs and do they need to connect to the VA somehow? Could not find the card reader requirements in the Handbook 730 appendix B.

ANSWER: Card reader is required and is supplied by the contractor.

SPECS:

Electronic Physical Access Control System (PACS). For monitoring and controlling access to areas identified as requiring high or medium levels of assurance. PACS systems are not used for recording employee time and attendance.

Access Safeguard. To prevent learning condes through keypad observations or use of stollen or found access cards.

Time Sensitive. The ability to program access by user, by shift and day.

Area Sensitive. The ability to program access by door and area for each individual user.

Fail Safe. The ability to maintain access security if the system goes down (i.e. bypass key).

Access Record/Audit Trail. The ability to provide for periodic or on demand print-out of names and time/dates of individual accessing. Records of access or audit trails will not be used for employee time and attendance purposes.

User Coverage. The number of individual access codes that the system will accommodate.

22. On page 88 paragraph 4.11.3 and 4.11.3.1 of the solicitation states, “The VA will be responsible for: providing PC workstations, software, telephones, primary telecommunications lines and networking equipment required to access the VA EHR.

Question: please confirm the VA will supply the telephone system, telephones and that the contract is no longer required to supply these.

ANSWER: The VA is providing PC workstations, Software, telephones, primary telecommunication line and networking equipment required to access the VA EHR. The contractor shall provide phones or PCs that cannot be connected to the VA Network. For example, PCs that will be connected to the Contractor network.

23. On page 89 paragraph 4.11.3.6 of the solicitation states, “the VA will be responsible for: Multi-function device for printing, copying, scanning and faxing.”

Question: Please confirm the VA will also supply the communication lines required for the multi-function machine for faxing.

ANSWER: VA provides the telephone lines and network access and cabling from the switch to the patch panels. The contractor provides the data lines running from the patch panels to the wall jack.

24. On page 101 paragraph 6.1.2 of the solicitation states, “The Contractor shall have 120 days from contract award to commencement of the provision of medical care to local Veterans.”

Question: Based on the size scope and logistics of drawings, permits and realistic construction timeframes, would the VA consider a 180 day start-up period for the cost effectiveness and efficiency for all systems start-up components.?

ANSWER: The contractor is required to begin providing services to Veterans 120 days after contract award.

25. Page 9, The CLINS reflects base year of 1935 primary care patients; the final sentence of section 2.1 states the Total Estimated patients enrolled are 1865 as of January 2021.

Question: will the government please provide historical year over year growth?

ANSWER:

October 2016 – 2241 October 2017 - 2042 October 2018 – 1982 October 2019 – 1959 October 2020 – 1844

26. Page 36, 3.2, Required to have clinic available to be open for mental health from 7 AM – 7 PM Monday – Friday.

Question: What contractor staff will be required to be on site during these hours?

ANSWER: See response to question 8.

27. Page 42, 4.6.2.1.4, Outsourced mammography reports received as hardcopy must be scanned into VA Electronic Health Record Imaging.

Question: will the government please confirm who is responsible for scanning the documents into CPRS – Contractor or Government?

ANSWER: Contractor

28. Page 46, 4.6.3.1, The Contractor will provide all medications, including any necessary vaccines, with the exception of vaccines for COVID-19 that are to be administered to patients in the clinic.

Question: Will the government please list all medication and injectables that will be required to be kept on site and administered by the contractor:

ANSWER: See question 10 above and Attachment D.34.

29. On page 65 paragraph 4.6.7.6 of the Solicitation states, “Contractor shall provide clerical support, including scheduling and ancillary support for VA telepharmacy services.

Question: Does the government require an additional FTE for admin as well as LPN or are PACT Admin/LPN sufficient to meet the need?

ANSWER: PACT team member is acceptable. A dedicated MSA is not required.

30. On page 77, 4.9.1 of the solicitation Contractor shall provide space that meets the standards outline in the PACT space Module Design Guide.

Question: Will the please confirm if VA will provide the phone circuit and physical phones.

ANSWER: The Government is responsible for the phone circuit and physical phones. Contractor is responsible for the wiring.

31. Page 85, 4.9.19 CCTV

Question: Could the government please confirm if there is any preference in using Dome and Bullet Cameras versus Fisheye or 360 Cameras.

ANSWER: VA usually use bullet type cameras plan view or 180 degrees. Contractor shall ensure that replacement parts are readily available.

32. Page 86, 4.11 The contractor is unable to network contractor owned equipment to VA network if it is not owned and operated by VA.

Question: Will the Government please provide a list of the equipment the VA will supply the contract such as copiers, fax, printers, scanners, or other peripheral office equipment or lab label printers.

ANSWER: VA OIT supplies printers, label printers, scanners. VA logistics provides a multi function device. Any contingency stand alone fax machine would be provided by the contractor.

33. Page 86, Section 4.11.1.1.CAT 6 wiring

Question: Will the Government please confirm if CAT 6 wiring is preferred and not CAT 6A?

ANSWER: Cat 6 is the minimum required.

34. Page 87, 4.11.1.9 – One fac machine in the event the multi-function device provided by the VA is not operational.

Question: Will the Government please confirm if the additional Fax machine is required.

ANSWER: yes, it is required.

35. Section 4.11.2.5 Power Requirements, four (4) L6-20 receptacles and one (1) L6-30 receptacle in the closet.

Question – Could the Government please confirm the power requirements and if two 20-amp dedicated receptacles are acceptable?

ANSWER: that is acceptable.

36. Page 89, 4.11.2.6.6 Racks – both racks will have 2 shelves on the bottom installed to hold IT computers.

Question: Could the government please confirm if shelves are required?

ANSWER: They are required

37. Page 89, 4.11.2.2.7, Cable Management – APC smart-UPS 2200VA LCD RM 2U 120V – standard 120V plug.

Question: Could the Government please confirm if an APC is required.

ANSWER: APC is required

38. GENERAL

Question: Are existing employees under a collective bargaining agreement.

ANSWER: Unknown.

39. Will the new contractor inherit the patient’s last Primary Care visit and be allowed to bill for a year from date upon contract award.

ANSWER: Contractor will inherit the patients last primary care visit. Patient must be seen within 12 months of last vesting visit.

40. In paragraph 4.6.3.1 it states that the contractor will provide all medication, including any necessary vaccines that are to be administered to patients in the clinic.

Question: Will the vaccines be provided to the clinic at the cost of the contractor or the VA.

ANSWER: The contractor is responsible for procuring the vaccines at their cost. The VA will not be providing the medications or vaccines.

41. If the cost of vaccines discussed in question 37 above are the responsibility of the Contractor, please confirm that the following list of Vaccines are the responsibility of the contractor.

Answer: Refer to question 10.

42. If the cost of vaccines is the responsibility of the contractor… Question: Please list any additional vaccines required to be supplied by the contractor other than those listed in question 3 above.

ANSWER: Refer to question 10.

43. If the cost of vaccines is the responsibility of the contractor…. What is the number of Vaccines, by type as listed in question 3 and any additional Vaccines added by the government pursuant to question 4, that was provided to the Tompkins County CBOC Enrolled Veterans in the last 12 months?

ANSWER: Attachment 1 shows the medications and Vaccines contractor is responsible to provide for the clinic.

44. Pursuant to paragraph 4.6.3.1, please provide a list of medications the government expects the contractor to dispense (at the cost of the Contractor) from the clinic that would not be a routine medication dispensed through the VA or an urgent/emergent medication dispensed through the VA Contracted local pharmacy.

ANSWER: See Attachment 1

45. Does the government prefer the contractor provide on-site x-ray with an on-staff x-ray tech or for the contractor to refer routine x-ray exams to qualified radiology facility in the community at the contractors cost?

ANSWER: Either is acceptable however, the contractor is also responsible for interpretation by a qualified radiologist.

46. Will the Contractor’s proposed space be required to meet the on-stage/off-stage design with the PACT Zone.

ANSWER: yes.

47. How many Veterans are currently on the Tompkins County CBOC Primary Care Invoice (most recently billed by the current contractor?

ANSWER: Refer to questions 1 and 25

48. Can the government provide a breakdown showing the number of enrollees by the enrollees home zip code?

ANSWER: See attachment D.29

49. What is the address of the VA Core Laboratory used to support the Tompkins County CBOC?

ANSWER: 800 Irving Avenue, Syracuse, NY 13210, Core Laboratory, C375, 3rd floor, phone 315-425-6525

50. In paragraph 4.9.1.1.1 it states that “it is anticipated that there will be 3 Teams however the actual number of teams are subject to change based on actual enrollment.

Question: Does the Government require the facility to be configured to support 3 teams or to support the number of PACT teams required to support the anticipated volume as shown in the LIN’s listed in section B.2?

ANSWER: Support the number of PACT teams to support the anticipated volume. (i.e. 2 MD teams would support 2400).

51. Please list all positions the VA will staff onsite at the CBOC by title and number of hours per week/month those employees will be onsite.

ANSWER: Staff will the therapists, psychiatry staff (MDs or NPs), “Doctors on the Move”. Exact number of staff assigned to the clinic and hours per week is yet to be determined. Mental Health Staff may work extended hours between 7 am – 7 pm.

52. Is the current facility and existing layout of the clinic acceptable to the VA?

Answer: Current layout does not follow the PACT design.

See attached document: Attachment 1 - Ward Stock and last 12 months of orders.

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