36C24419R0074-0002000.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 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) 10-08-2019 00244 Department of Veterans Affairs Network Contracting Office 4

00244 Department of Veterans Affairs Network Contracting Office 4

To all Offerors/Bidders

36C24419R0074 10-08-2019

X X 11/05/ 2019 @

4:00 PM EST

1. Issuance of Amendment A0002 See Continuation Page for complete details on Questions and Answers.

2. Solicitation is hereby extended, proposal due date is November 05, 2019 at 4:00 PM ES T.

3. All Other terms and conditions remain unchanged.

Mark Knorr Contracting Officer Set 2, Questions and Answers: (numbering Continued from Amendment A0001)

31. Amendment 0001/Question/Answer 3 says 447 Choice/Mission Act referrals occurred in the past 12 months for McKean enrollees. Please specify how many of the 447 referrals were for primary care patients? Of the 447 none of the referrals were for Primary Care services, they were all for specialty services.

32. Pg. 12/Amendment 0001/Question/Answer 17 – The VA appears to be recommending a one-provider clinic. Is this correct? Yes

33. However, Pg. 49- 4.6.21.4.4 says all CBOCs must have at least two Women’s health PCPs. Please clarify. This section should have specified that any back up or per diem providers that cover for sick and vacation periods should be a Women’s Health PCP to ensure proper coverage for the female patients. This does not mean there needs to be two permanent WH-PCPs. Section 4.6.21.4.4. will be revised to read as

“The Contractor must develop a plan to assign women preferentially to the VA certified Women’s Health PCPs at the contracted site. All CBOCSs must have a WH-PCPs. (Because of small populations of women at most CBOCs, CBOC WH-PCPs will usually have mixed gender panels). The contractor shall provide backup WH-PCPs for full coverage for women during provider sick leave and vacation at this location. All newly enrolling women should be assigned to a Women’s Health PCP. Women in panels of non-women’s health PCPs should be offered the opportunity to request transfer to a Women’s Health PCP at the same site of care. It is recommended that women Veterans be clustered in teams where the provider and all team members have experience, knowledge and established systems of care to provide equitable, high-quality care to women Veterans. It is recommended that Women’s Health PACT teamlets are assigned a panel size of at least 100 women Veterans, thus allowing all teamlet members to care for a volume of patients to support maintenance of expertise in the care of women.”

34. Amendment 0001 Question/Answer 11 – Please clarify. Is the correct answer that an RN Administrator is not needed? Or an RN administrator is needed. The RFP seems to state that an RN administrator is needed. Correct a RN Administrator is not needed. As per page 13, section 2.2.3.2 a RN Care Manager is needed. The VA RN Supervisor (Administrator) for the Warren and Venango CBOCs will be the RN Supervisor for the McKean CBOC.

35. Amendment 0001/Question/Answer 14c – Please clarify. Are “part-time providers not acceptable at this location” because the VA is seeking only one PACT team? This original question was misunderstood. The primary provider must be full time, two part time providers cannot be used to cover one PACT as this does not create continuity of care. If the need arises, due to an increase in patients enrolled, a part time provider can be utilized.

36. Pg. 18- Can the Telehealth back-up be an MSA ? Yes, in a very limited capacity, such as scheduling as needed. Any coverage will the Telehealth Technician providers must be requested and approval by the Telehealth Technician’s Supervisor in advance. The Telehealth Technicians must run Telehealth clinics and will be in a different section of the clinic. They will not be able to cover the front desk.

37. Pg. 15/150 section 2.5.1- How many active podiatry patients will be seen at the McKean County CBOC? For FY 2019 there were 53 active podiatry patients assigned to the McKean CBOC with a total of 92 visits.

38. Pg. 15/150 section 2.5.1/ Amendment 0001/Question/Answer 9 states that services will be provided by Erie VAMC located at the Erie VAMC. Does this mean the contractor does not need to supply a podiatry exam room or nail technician, and all patients will be referred and travel to Erie VAMC for podiatric care? Correct, a podiatry room and nail technician will not be needed in the clinic. All patients will travel to the Erie VA for this service or will receive it in the community through the Mission Act.

39. Pg. 25 refers to new PT handbook- Where can we obtain these? This has been provided in the solicitation in Section D, Attachment D.4 – New Patient Orientation (NPO) Booklet.

40. Who supplies AED for the clinic? As per page 28, section 4.6.3.7 the VA will provide the Contractor with an AED and train Contractor’s staff in its use and checks of the device.

End of Document