36C24423R0132 0005.pdf
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- Solicitation number
- 36C24423R0132
About this file
This document provides a request for proposal for community based outpatient clinic services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4 is seeking proposals to operate a CBOC located in Pottsville, Pennsylvania to provide primary care services to veterans residing in Schuylkill County. The subsequent contract will be an indefinite-delivery, indefinite-quantity contract awarded to a service-disabled veteran-owned small business. The solicitation number is 36C24423R0132, with questions due by November 6, 2023 and final proposals due by 2:00PM Eastern Time on January 31, 2024. The NAICS code is 621498 and the size standard is $22.5 million in average annual receipts. The selection process will evaluate technical capability, past performance, and price in accordance with FAR Part 15 procedures. The contractor will be responsible for supplies, staffing, facilities, and administering medications as required to provide the specified primary care services.
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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)
1 5
MSO-2023-COM-0030
00244
Department of Veterans Affairs Network Contracting Office 4
100 S. Independence Mall West Philadelphia PA 19106 thomas.cossentino@va.gov
00244
Department of Veterans Affairs Network Contracting Office 4
100 S. Independence Mall West Philadelphia PA 19106
To all Offerors/Bidders
36C24423R0132
11-06-2023
X
X X
01/31/2024 2:00PM ET
See CONTINUATION Page
The purpose of this amendment is to provide responses to questions submitted by Offerors as detailed in the continuation pages.
Kevin M. Balser Contracting Officer
36C24423R0132 0005
CONTINUATION PAGE
I. Offerors have submitted 4 follow-up questions to the Government in response to Solicitation Amendment 36C24423R0132 0003. The Government has included those questions submitted by Offerors below, verbatim, and provided responses. Offeror questions (Q#:) with numbering from Amendment 0003 and initial Government responses appear in regular font; Government responses to follow-up questions (A#:) follow in bold font.
Question 1, reference amendment 0003 A.7 & A.71/ Pgs 3, 14 & 15:
Given that the enrollment has historically decreased over the past 5 years and the enrollment as of October 2023 is 2,123: which is less than the number of enrollees listed in the RFP (2,200). Will the VA consider readjusting enrollment projections listed in the price schedule?
Answer 1: VA has reconsidered the estimated enrollment. Please see the revised estimates in the schedule below:
B.2 PRICE SCHEDULE
The quantities listed in the Price Schedule below for CBOC services located within within Schuylkill County, within the 9th Congressional District, and within 5 miles’ driving distance of the city limits of Pottsville, PA 17901 are estimates only and are not to be considered a minimum or maximum.
The Government will order the below specified minimum contract value of services and may order up to and including the below specified maximum contract value of services through task orders under this basic Indefinite Delivery Indefinite Quantity (IDIQ) contract during the duration of the contract inclusive of all option periods. The maximum amount under this contract is not guaranteed. PMPM includes cost of unassigned patient visits, contractor shall not bill separately or propose an additional LIN or bill separately for these costs. All quantities are estimated, the government will pay for services performed as certified by the COR.
Ordering Procedures: VA has the sole authority to assign Veterans treated by the contractor into the Primary Care Management Manual (PCMM) software program used to track primary care clinic veteran rosters. Specific billable processes for issuing task orders under the resultant contract are included in section 6. Refer to section 6.2.1 for billable roster information and refer to section 6.2.2 invoicing and payments for payment processing.
*Contract minimum and maximum values were developed in consideration of the Independent Government Cost Estimate. Actual minimum and maximum values may be adjusted in a contract resulting from this solicitation in consideration of the successful price proposal.
*Contract Minimum $2,000,000.00 *Contract Maximum $32,000,000.00
Base Year 1– 08/01/2024 – 07/31/2025
Line Item
Services Unit Estimated
Quantity Price per Unit
Total Estimated Cost per month
Total Estimated Cost per year
0001A A
Primary Care Services at capitation rates per member per month (PMPM) PMPM 2130
Total for Base Year 1 $________________________
Base Year 2– 08/01/2025 – 07/31/2026
Line Item
Services Unit
Estimated Quantity
Price per
Total Estimated Cost per month
Total Estimated Cost per year
0001A B
Primary Care Services at capitation rates per member per month (PMPM)
PMPM
Total for Base Year 2 $________________________
Base Year 3– 08/01/2026 – 07/31/2027
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
0001A C
Total for Base Year 3 $________________________
Base Year 4– 08/01/2027 – 07/31/2028
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
0001A D
Total for Base Year 4 $________________________
Base Year 5– 08/01/2029 – 07/31/2030
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
0001A E
Total for Base Year 5 $________________________
Option Year 1– 08/01/2030 – 07/31/2031
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
1001 Primary Care Services at capitation
Total for Option Year 1 $________________________
Option Year 2– 08/01/2031 – 07/31/2032
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
2001 Primary Care Services at capitation
Total for Option Year 2 $________________________
Option Year 3– 08/01/2032 – 07/31/2033
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
3001 Primary Care Services at capitation
Total for Option Year 3 $________________________
Option Year 4– 08/01/2033 – 07/31/2034
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
4001 Primary Care Services at capitation
Total for Option Year 4 $________________________
Option Year 5– 08/01/2034 – 07/31/2035
Line Item
Total Estimated Cost per month
Total Estimated Cost per year
5001 Primary Care Services at capitation
Total for Option Year 5 $________________________
TOTAL FOR BASE AND OPTION YEARS $___________________________
Question 2, reference amendment 0003 A.13 & A.61/ Pgs 4 & 12:
In answer 13 the VA states they need 4 offices for the full time VA staff employees. At least 3 spaces for ad hoc, touchdown or expansion. Then in answer 61 the VA is requesting 7 consultation rooms. Is the 4 offices and 3 spaces for ad hoc, touchdown or expansion different than the 7 consultation rooms? Is the VA requesting a total of 14 rooms? Or are the 4 offices and 3 spaces for ad hoc, touchdown or expansion, the same as the 7 consultation rooms?
Answer 2: The 7 consultation rooms are the same at the 4 offices and 3 ADHOC spaces.
Question 3, reference amendment 0003 A.23/ Pg 5:
The VA states the contractor is responsible for a generator for emergencies. What type of generator is the VA looking for the clinics to have? A generator to keep the entire clinic running, or a generator to keep the medication refrigerator running during power outages?
Answer 3: At a minimum, the Generator should power the medication room, IT closet, lighting for 2 to 3 exam rooms, Laboratory and emergency outlets in the reception area. This is not an inclusive list and can be expanded to other areas.
Question 4, reference amendment 0003 A.29 & A.55/ Pgs. 6, 10, 11:
In answer 29 the VA states, "Yes, the contractor is responsible for supplying Haldol for Behavioral Health Medication. Yes, Contractors are responsible for administering medication/paying for medication prescribed by non-contracted providers." Please explain the rationale for the Contractor to be responsible for administering/paying medications provided by "non-contracted" providers.
The implications are that the CBOC provider would have to provide these medications whether or not they agreed with the non-contracted provider. Additionally, there does not appear to be any provision for the adjudication of costs associated with highly expensive medications that may or may not be allowed by the VA Formulary. Is that the VA's intent?
Answer 4: The original answer to this question is incorrect. The Contractor is responsible for paying for medications stocked in the medication room and vaccines. The contractor is responsible for administering injectable medication prescribed by non-contracted providers. The prescriptions for these medications may be filled through the Lebanon VA Medical Center or Heritage Prescriptive Services.
The Government has provided responses to all follow-up questions submitted in response to Solicitation Amendment 36C24423R0132 0003.
End of Document
B.2 PRICE SCHEDULE
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