36C24619R0161-001.docx

36C24619R0161 (Psychiatric Physician Services – Fayetteville VAMC)

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1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

565-20-1-017-0002 36C24619R0161 07- -2019 Larry Lapp 757-315-3988 08-1 -2019 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 X X N 561320 $27.5 Million

NET 30

N/A X Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

THE CONTRACTOR SHALL SUBMIT PAYMENT

REQUESTS IN ELECTRONIC FORM VIA VA'S

ELECTRONIC INVOICE PRESENTMENT & PAYMENT

SYSTEM. SEE WEBSITE AT

HTTP://WWW.FSC.VA.GOV/INVOICE.ASP

See CONTINUATION Page

SEE ATTACHED SCHEDULE FOR PRICING

See CONTINUATION Page X X X

MARIO L. SANTIAGO

CONTRACTING OFFICER

Table of Contents

D.5 CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT……… .57

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 00246 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

The contractor shall submit payment requests in electronic form via VA's Electronic Invoice Presentment & Payment System. See Website at http://www.fsc.va.gov/einvoice.asp

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 SCHEDULE OF SUPPLIES/SERVICES

The government is not obligated nor is the contractor guaranteed to be issued hours totaling those estimated.

Base Period: 1 Oct 2019 through 30 Sep 2020 P.O. # for billing purposes is:

COST

Travel, lodging and per diem (Lodging and Per Diem costs are authorized while working at the facility.)

Rental Car is not authorized.

Mileage when travel exceeds a 50-mile radius from the Fayetteville VAMC.

No mileage reimbursement will be authorized for personnel living within the 50-mile radius of Fayetteville, NC VAMC (See Note Below)

20,000

Weeks

Miles

NTE

$4,452.00

NTE

NTE

$155,820.00

$11,600.00

TOTAL BASE YEAR PRICE = ___________________

OPTION YEAR 1: 1 Oct 2020 through 30 Sep 2021 P.O. # for billing purposes is: PO#

COST

Travel, lodging and per diem (Lodging and Per Diem costs are authorized while working at the facility.)

Rental Car is not authorized.

Mileage when travel exceeds a 50-mile radius from the Fayetteville VAMC.

No mileage reimbursement will be authorized for personnel living within the 50-mile radius of Fayetteville, NC VAMC (See Note Below)

25,000

Weeks

Miles

NTE

$4,452.00

NTE

NTE

$231,504.00

$14,500.00

TOTAL OPTION YEAR 1 PRICE = _________________________________

NOTE: Travel, Lodging and Per Diem: Relocation Lodging, Per Diem and Travel costs are authorized for and shall be reimbursed in accordance with the Federal Travel Regulation. Payment for relocation shall be based on actual expenses incurred and shall be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations. Travel shall be approved in each case. All invoices for travel reimbursement shall be accompanied by supporting receipts. Airline tickets shall be non-refundable only.

Lodging and Per Diem costs are authorized while working at the facility.

Mileage is authorized for personnel living outside a 50-mile radius of Fayetteville VAMC in Fayetteville, NC.

No mileage reimbursement will be authorized for personnel living within the 50-mile radius of Fayetteville VAMC in Fayetteville, NC.

36C24619R0161 (Psychiatric Physician Services – Fayetteville VAMC)

B.3 PERFORMANCE WORK STATEMENT

ON-SITE PSYCHIATRIC SERVICES

1. GENERAL

0. The Department of Veteran Affairs Mid-Atlantic Health Care Network, (VISN 6) has an immediate need for the services of Six (6) Board Certified/Board Eligible Psychiatrist to work at the Fayetteville VA Medical Center (FVAMC), NC out Patient Clinic to both ongoing and newly referred veterans until able to hire permanent psychiatrist.

0. Contract psychiatrist may also be utilized at any of the four (4) Community Based Outpatient Clinics (Hamlet, Wilmington, Jacksonville and Robeson County) or at the FVAMC, Fayetteville, NC in the event a staff psychiatrist reports to duty prior to completion of the contract period.

0. The contract psychiatrist would assist with the enrollment of the new patients, established patients as well as insuring the ability to see all veterans within (14) days at the FVAMC.

0. The contract psychiatrist may also be utilized in the Inpatient Psychiatric Unit at Fayetteville, NC in the event a staff psychiatrist reports to duty prior to completion of the contract period. It is the VA’s intention to solicit quotes under the Federal Supply Schedule 621 and to award the contract that is determined to be the best value to the Government and pending availability of funds.

1. DESCRIPTION/SPECIFICATIONS/WORK STATEMENT – PSYCHIATRIST

Provide the services of six (6) Board Certified/Board Eligible Psychiatrist to perform all duties and responsibilities of a staff psychiatrist.

Duties will include:

· Treatment and professional direction of outpatient/inpatient care as well as outpatient/inpatient care consultations.

· Provide professional direction and participate in the treatment team to evaluate, develop and implement treatment plans.

· Develop and implement follow-up plans.

· Participate in organization meetings and duties of the VA Medical Center as required.

Clinical competence will include:

· Psychiatric Examinations

· Diagnostic Formulation

· Therapeutic Plan

· Patient Management

· Consultations

· Discharge summaries

· Record Keeping/electronic medical records

· Current practice experience with acute outpatient and inpatient treatment with working knowledge of current pharmacology

· Current practice experience in completion of involuntary commitment procedures per North Carolina state statues

· The psychiatrist may answer inpatient consultations. Other duties, as assigned by mutual agreement between the locum tenens and the Chief and/or Medical Director, Mental Health Service Line

· Contractor will act in compliance with all “Medical Staff Bylaws” of the VAMC Fayetteville. The contract physician will be required to enter all reports and incorporation into the patient’s record and will satisfy VHA and medical center policies. The psychiatrist must meet the requirements for appointment to the medical staff, VAMC Fayetteville, as outlined in the practice in one of the states or territories of the United States or Districts of Columbia. The qualifications of such personnel shall also be subject to the review by the Chief of Staff and approval by the VA Medical Center Director. Personnel must meet the credentialing/privileging requirements of the VAMC Fayetteville.

1. PERSONNEL QUALIFICATIONS

· Personnel assigned by the contractor to perform the services covered by this contract shall be licensed in a state, Territory, or Commonwealth of the United States or the District of Columbia. Qualified personnel must be American citizens (or offer evidence of a green card) and be proficient in the English language. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and approval by the VA facility Director.

· Personnel assigned by the contractor to perform the services covered by this contract must meet the credentialing/privileging requirements of the VAMC Fayetteville before commencing work.

· Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: The Contractor shall meet all VA educational requirements. All mandatory courses must be completed by each contractor by September 30th of each fiscal year or as mandated by the Education Service, Quality Management or Service Chief. Contract Providers shall maintain CME and review pertinent journals, books and publications. Health care providers registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. CME hours shall be reported to the credentials office for tracking by the Chief of Staff. Failure to provide will result in loss of privileges.

1. CONTRACT PERSONNEL QUALIFICATIONS:

1. Contractor personnel shall be Board Certified Psychiatrist proficient in the diagnosis and treatment of psychiatric conditions. All personnel shall have a full and unrestricted license to practice Psychiatry issued by the State of North Carolina, or commonwealth of the United States or the District of Columbia. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. The qualifications of such personnel shall also be subject to review and approval by the Chief of Staff and Service Chief. Personnel shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contract staff and/or agency will provide documents as needed to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.

1. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: The Contractor shall meet all VA educational requirements. All mandatory courses must be completed by each contractor by September 30th of each fiscal year or as mandated by the Education Service, Quality Management or Service Chief. Contract Providers shall maintain CME and review pertinent journals, books and publications. Health care providers registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. CME hours shall be reported to the credential’s office for tracking by the Chief of Staff. Failure to provide will result in loss of privileges.

1. CONTRACTOR RESPONSIBILITIES

1. The contractor shall perform services under the direction of the Fayetteville, VAMC Chief of Staff, Chief, Medical Care Service Line, and Chief, Mental Health Service Line.

1. The Contractor shall provide all all-inclusive Psychiatric care to VA patients by Board Certified Psychiatrists proficient in the diagnosis and treatment of all psychiatric conditions in accordance with current VA and equivalent to Joint Commission (JC) or equivalent compliance guidelines. The quality of psychiatric practice shall meet or exceed reasonable standards of professional practice for psychiatric services as determined by the same authority that governs the Fayetteville VAMC medical professionals and will be audited by the processes established for that purpose.

1. Contractor shall provide a board-certified Psychiatrist for coverage of outpatient clinics, emergency department, or in-patient consultations.

1. Government Responsibilities

1. The VA Office of Security and Law Enforcement will provide the necessary forms to the contractor or to the contractor’s employees after receiving a list of names and addresses.

1. Upon receipt, the VA Office of Security and Law Enforcement will review the completed forms for accuracy and forward the forms to OPM to conduct the background investigation.

1. The VA facility will pay for investigations conducted by the Office of Personnel Management (OPM) in advance. In these instances, the contractor will reimburse the VA facility within 30 days.

1. The VA Office of Security and Law Enforcement will notify the Contracting Officer and Contractor after adjudicating the results of the background investigations received from OPM.

1. The Contracting Officer will ensure that the Contractor provides evidence that investigations have been completed or are in the process of being requested.

1. PROVIDER COVERAGE

1. Services shall include Psychiatric coverage Monday through Friday from 8:00 a.m. to 4:30 p.m. for 12-15 patients each day and to include weekends for inpatient coverage on a rotational basis.

1. A Contract Psychiatrist must be present at the VA facility and must be actually performing the required services for the period specified in the contract.

1. The contractor is required to provide coverage for all scheduled hours. Patients must be seen by the provider in a timely manner in accordance with the policy established by the Medical Center. Contract providers are to communicate with the Contracting Officer Representative (COR) at least monthly about any obstacles to meeting this performance measure.

1. CLINICAL TASKS

Contractor shall be responsible for:

1. Providing direct patient care in the outpatient mental health clinic for patients with psychiatric disorders.

1. Outpatient clinic coverage to include new evaluations, consultations, and routine follow up visits.

1. Being physically present on clinic days to see patients, providing oversight of clinical activities of psychiatric residents and co-sign notes in real time.

1. The order of diagnostic tests as appropriate.

1. Quality: Contractor shall be responsible for fully meeting professional commitments to the Fayetteville VAMC and meet all VA performance measures. Contractor shall ensure documentation in the Computerized Patient Record System (CPRS). Contractor shall ensure that patient intake assessments, progress notes, and medication reconciliation notes are written in the CPRS system within 24-hours and meet Fayetteville VAMC requirements.

1. The Contractor shall use Fayetteville VAMC computer software/program (CPRS) for entering and signing of medical orders, records and any other documentation as required.

1. The Contractor shall maintain familiarity and comply within guidelines established by Federal, State, Department of Veterans Affairs, the VAMC Medical Director (or designee), Chief of Staff and Service Chief.

1. The Contract Provider shall maintain familiarity and comply with hospital safety policies and procedures.

1. The Contract Provider will ensure a safe work environment and safe work habits.

1. OTHER ADMINISTRATIVE TASKS

1. Contract Personnel shall attend service staff meetings as required by Chief of Staff and/or Chief of Service (up to 2 hours per week).

1. Contract Personnel shall participate in VAMC quality improvement programs and activities relating to Psychiatric Services as required by the Chief of Staff and/or Service Chief.

1. GOVERNMENT RESPONSIBILITIES:

The VA administrative support personnel will be available when clinic is in session.

B.4 SPECIAL CONTRACT REQUIREMNTS

1. Under the authority of Public Law 104262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Medical Center, the services and prices specified in the Section entitled Schedule of Supplies/Services of this contract.

1. The services specified in Section B. - Schedule of Supplies/Services may be changed by written modification to this contract. The modification shall be prepared by the Contracting Officer (CO) and, prior to becoming effective, shall be signed by both parties.

1. Contractor shall provide scheduled services throughout the contract period. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the Contractor at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming.

1. If required providers must maintain current and active Drug Enforcement Agency (DEA) and Basic Life Support (BLS) and Advance Cardiac Life Support (ACLS) certification, and provide copy of certifications to COR as renewed.

1. The services to be performed by the contractor shall be performed in accordance with VA policies, procedures and regulations of the medical staff by laws of the VA facility.

1. The Government reserves the right to refuse acceptance of Contractor, if personal or professional conduct jeopardizes patient care. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The Contracting Officer and Contracting Officer Representative (COR) shall deal with issues raised concerning contract personnel’s conduct. The final arbiter on questions of acceptability is the Contracting Officer.

1. The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is the final authority on validating complaints. If the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.

1. Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract.

2. WORK HOURS:

1. The services covered by this contract shall be furnished by the contractor as defined herein.

1. The following terms have the following meanings:

(1) Normal working hours: Monday through Friday, 8:00 am - 4:30 pm with a 30-minute unpaid lunch break. Work will also be performed on Federal Holidays per the hours listed above.

(2) Federal Holidays: The 10 holidays observed by the Federal Government are:

New Year’s Day Martin Luther King’s Birthday President’s Day Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas

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Any other day specifically declared by the President of the United States to be a federal holiday.

When one of the holidays falls on Sunday, the following Monday shall be observed as a Federal Holiday. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

Off Duty hours: Not Applicable.

3. TERMS OF THE CONTRACT:

The contract is effective from date of award through 30 September 2020 with a one-year option period thru 30 September 2021. The contract is subject to availability of VAMC appropriations. The Contractor shall perform no services after September 30th each year until the contracting officer authorizes such services in writing.

a. The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer will be authorized to make commitments or issue changes that affect price, quantity, or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local VAMC and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

b. The COR will be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

4. KEY PERSONNEL AND TEMPORARY EMERGENCY SUBSTITUTIONS:

1. The Contractor shall assign to this contract the following key personnel:

a. During the first ninety (90) days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer, in writing, within 5 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

b. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 5 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

c. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive work days or more, the Contractor shall provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person.

5. NATIONAL PROVIDER IDENTIFIER:

The National provider identifier (NPI) is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The contractor shall ensure that the health care practitioners and/or medical center providing service under the contract obtains a NPI and provides it to the Contracting Officer.

6. CREDENTIALING AND PRIVILEGES:

Contractor’s employee(s) shall be fully credentialed and privileged by The Medical Executive Board of this VAMC prior to performing any work under this contract.

1. Prior to acceptance, all contract providers must comply with hospital credentialing guidelines, providing all required information on the timeline established by the Medical Center Credentialing Officer. Credentialing and privileging shall be completed in accordance with the provisions of VHA Handbook 1100.19 dated October 2, 2007 found at the web address: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1806.

1. This Veterans Health Administration (VHA) Handbook provides updated VHA procedures regarding credentialing and privileging, to include incorporating: VHA policy concerning VetPro; the Expedited Medical Staff Appointment Process; credentialing during activation of the facility Disaster Plan; requirements for querying the Federation of State Medical Boards (FSMB); credentialing and privileging requirements for Telemedicine and remote health care; clarifications for the Summary Suspension of Privileges process in order to ensure both patient safety and practitioner rights; and the credentialing requirements for medical personnel. The credentialing, but not privileging, requirements of this Handbook apply to physicians, dentists, and other practitioners allowed by law and the facility to practice independently who are assigned to Research or administrative positions not involved in patient care.

1. Contractor and/or applicant shall provide all necessary documents and complete the Vet Pro application process (30) days in advance for full privileges-which requires three (3) current references, plus application for VA privileges to include a copy of privileges from most recent work assignment from another hospital. Contractor shall also provide a copy of current license and malpractice insurance certificate.

1. Name of individuals providing services under the contract and their applicable licenses must be submitted to the Contracting Officer with the offer, including individual Social Security Numbers, dates of birth, place of birth (city, state and country) and addresses in order to comply with VA Credentialing and Privileging requirements.

7. CONTRACTING WITH PARTIES LISTED ON THE OIG LIST OF EXCLUDED INDIVIDUALS/ENTITIES:

a. In accordance with The Health Insurance Portability and Accountability Act (HIPAA) and the Balanced Budget Act (BBA) of 1977, the Office of Inspector General has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

b. Therefore, all offerors shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov/oig to ensure that the proposed candidate(s) and/or firm(s) are not listed. Offerors should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a minimum and maximum Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person or entity was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against health care providers and entities that employ or enter into contracts with excluded individuals or entities to provide items or services to Federal program beneficiaries.

By signing the offer, the Contractor certifies that he/she has reviewed the OIG List of Excluded Individuals/Entities and that the proposed candidate(s) and/or firm are not listed as of the date the offer was signed.

8. MANAGEMENT AND SUPERVISION:

a. The Contractor shall be responsible for supervising the daily services provided under this contract by the Contractor’s staff.

b. The Contractor shall have written policies and procedures regarding staff credentials.

c. The VAMC will provide to the Contractor policies, procedures and processes necessary to allow cooperative functioning between the agency and VAMC. Updates and refreshers will be provided to the Contractor upon request and when policy procedures or process changes.

d. The Contractor shall complete background investigations to ensure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse; and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

9. RECORD KEEPING:

a. Contractor’s employee(s) shall report to the COR or Administrative Officer, Medicine Service, upon arrival at the VA Medical Center. VAMC personnel shall brief Contractor employee(s) on VAMC policies and procedures on the first scheduled duty day.

b. The VAMC, Medicine Service, shall establish and maintain a record keeping system that will record the services performed by the Contractor’s employee(s). This recordkeeping system shall consist of time and attendance reports to ensure that required services have been received by the VA Medical Center. Any incidents of Contractor non-compliance as evidenced by the monitoring procedure shall be forwarded immediately to the Contracting officer.

c. Documentation of services performed shall be reviewed prior to certifying payment. Contractor shall be present at the VAMC and shall be performing the required services as specified in the contract in order to receive reimbursement. The VAMC shall pay for services performed and in strict accordance with Section B, Schedule of Supplies/Services above. Contract monitoring and record keeping procedures shall be sufficient to ensure proper payment and allow audit verification that services were provided.

d. Should the VAMC, in case of emergency, require services to be performed by the Contractor during non-work hours or on a federal holiday as described above, the VAMC shall be responsible for payment to the Contractor in accordance with the prices outlined in the Schedule.

10. QUALITY ASSURANCE:

The Department of Veterans Affairs is allowed according to public law 99-272 and 101-508, to seek reimbursement from health insurance carriers for the cost of medical care and treatment provided to veterans for their non-service connected conditions. The contractor may not bill any veteran or their health insurance carrier for care provided to a veteran while employed by or working under contract with the Department of Veterans Affair

11. TORT CLAIMS:

Individual(s) providing the services under the contract are not covered by the Federal Tort Claims Act. When an individual(s) providing the services has been identified as a provider in a tort claim, the individual(s) providing the services is responsible for notifying the Contractor’s legal counsel and/or insurance carrier. Any settlement or judgment arising from an individual(s) providing the services action or non-action is the responsibility of the Contractor and/or insurance carrier.

12. ADP SECURITY RESPONSIBILITIES:

In performance of official duties, the Contractor’s employee(s) have regular access to printed and electronic files containing sensitive data, which must be protected under the provisions of the Privacy Act of 1974 (5 U.S.C. 552a), and other applicable laws, Federal Regulations, Veterans Affairs statutes and policies. The Contractor’s employee(s) are responsible for (1) protecting that data from unauthorized release or from loss, alteration, or unauthorized deletion and (2) following all applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in a computer access agreement which the Contractor’s employee(s) signs.

13. COMPUTERIZED PATIENT MEDICAL RECORD SYSTEM:

a. Contractor’s employee(s) shall document all patient services through Electronic Medical Record, and scanned into the VA Computerized Patient Record System (CPRS). All documentation must be accurate, complete, signed by attending physicians and submitted within 24 hours of electronic approval by the physicians. The record consists of a paper legacy system, with new records being scanned into CPRS by designated Contractor’s employees. Contractor shall designate a primary and alternate person who shall be scanning records into the CPRS system. Contractor shall provide the full names of those persons to the Contracting Officer for training and background investigation purposes.

b. The Contractor's employee(s) shall be required to utilize the VA CPRS system to obtain all necessary medical records of the Veterans authorized for treatment (including lab reports, imaging reports, pathology, demographics and prior medical history) to determine appropriate course of treatment. Contractor’s employees shall be required to enter prescriptions, additional diagnostic imaging, and/or laboratory orders necessary for patient’s treatment plan into VA’s CPRS, and shall instruct patients to report to the VAMC for any written orders/requests.

14. CONFIDENTIALITY OF PATIENT RECORDS:

15. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA):

In accordance with 45 CFR 164.502(e), the Privacy Rule includes exceptions to the Business Associate standard. This contract and its requirements meet the following exception and do not require a Business Associate agreement for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a Business Associate agreement is not required for this contract. The Contractor must adhere to all VA security policies and applicable confidentiality statutes, include 38 U.S.C. 5701, 38 U.S.C. 5705, 38 U.S.C. 7332, 5 U.S.C. 552a (Privacy Act), as well as 45 U.S.C. Parts 160, 162 and 164 (Health Insurance Portability and Accountability Act).

16. CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM

(CPARS):

FAR 42.1502 directs all Federal agencies to collect past performance information on contracts. The Department of Veterans Affairs has implemented use of the Contractor Performance Assessment Reporting System (CPARS) to comply with this regulation. One or more past performance evaluations will be conducted in order to record your contract performance as required by FAR 42.15

1. The past performance evaluation process is a totally paperless process using CPARS. CPARS is a web-based system that allows for electronic processing of the performance evaluation report. Once the report is processed, it is available in the Past Performance Information Retrieval System (PPIRS) for Government use in evaluating past performance as part of a source selection action.

1. Please furnish the Contracting Officer with the name, position title, phone number, and email address for each person designated to have access to your firm’s past performance evaluation(s) for the contract no later than 30 days after award. Each person granted access will have the ability to provide comments in the Contractor portion of the report and state if the Contractor agrees with the evaluation, before returning the report to the Assessing Official. The report information must be protected as source selection sensitive information not releasable to the public.

1. When your Contractor Representative(s) (Past Performance Points of Contact) are registered in CPARS, they will receive an automatically-generated email with detailed login instructions. Further details, system requirements, and training information for CPARS are available at www.cpars.gov. The CPARS User Manual, registration for online training for Contractor Representatives may be found at this site.

1. Within 60 days after the end of a performance period, the Contracting Officer will complete an interim or final past performance evaluation and the report will be accessible at www.cpars.gov Contractor Representatives may then provide comments in response to the evaluation, or return the evaluation without comment. Comments are limited to the space provided in Block 22. Your comments should focus on objective facts in the Assessing Official’s narrative and should provide your views on the causes and ramifications of the assessed performance. In addition to the ratings and supporting narratives, blocks 1-17 should be reviewed for accuracy, as these include key fields that will be used by the Government to identify your firm in future source selection evaluations. If you elect not to provide comments, please acknowledge receipt of the evaluation by indicating, “No Comment” in Block 22, and then signing and dating Block 23 of the form. Without a statement in Block 22, you will be unable to sign and submit the evaluation back to the Government. If you do not sign and submit the CPAR within 30 days, it will automatically be returned to the Government and will be annotated: “The report was delivered/received by the contractor on (date). The contractor neither signed nor offered comment in response to this assessment.” Your response is due within 30 calendar days after receipt of the CPAR.

1. The following guidelines apply concerning your use of the past performance evaluation:

(1) Protect the evaluation as “source selection information.” After review, transit the evaluation by completing and submitting the form through CPARS. If for some reason you are unable to view and/or submit the form through CPARS, contact the Contracting Officer for instructions.

(2) Strictly control access to the evaluation within your organization. Ensure the evaluation is never released to persons or entities outside of your control.

(3) Prohibit the use of or reference to evaluation data for advertising, promotional material, pre-award surveys, responsibility determination, production readiness reviews, or other similar purposes.

1. If you wish to discuss a past performance evaluation, you should request a meeting in writing to the Contracting Officer no later than seven days following your receipt of the evaluation. The meeting will be held in person or via telephone or other means during your 30-day review period.

1. A copy of the completed past performance evaluation will be available in CPARS for your viewing and for Government use supporting source selection actions after it has been completed.

17. CONTRACTOR CERTIFICATION

Citizenship-related requirements. Contractor must return a signed certification as found in Section D of this solicitation. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

18. INFECTION CONTROL REQUIREMENTS:

Contractor shall provide proof of the following tests within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to Purified Protein Derivative (PPD) testing. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

1. RUBELLA TESTING: Contractor shall provide proof of immunization for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the Contracting Officer’s Representative (COR).

1. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

d. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. The Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (AJIC 1998; 26:289-354) for disease control. The Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

19. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS:

All contractor employees who require access to the Department of Veterans Affairs’ computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Security Investigations Center prior to contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. If the investigation is not completed prior to the start date of the contract, the contractor shall be responsible for the actions of those individuals they provide to perform work for the VA.

(1) The VA Security Investigations Center will provide the necessary forms to the contractor or to the contractor’s employees after receiving the required information.

(2) Upon receipt, the VA Security Investigations Center will review the completed forms for accuracy and forward the forms to OPM to conduct the background investigation.

(3) The VA facility will pay for investigations conducted by the Office of Personnel Management (OPM) in advance. The contractor will reimburse the VA facility. The cost of investigation(s) will be $333.00 for each provider and will be held from the first invoice submitted by the contractor. In the event a provider has a reciprocal background investigation on file, the contractor will reimburse the VA facility $27.00 per provider for processing of Special Agreement Checks (SAC) (fingerprinting).

(4) The VA Security Investigations Center will notify the contracting officer after adjudicating the results of the background investigations received from OPM.

Further Instructions regarding the background investigation process and procedures will be provide at time of award.

20. CONTRACTOR SECURITY REQUIREMENTS:

All Contractors and Contractor personnel shall be subject to the same Federal laws, regulations, standards and VA policies as VA, and VA personnel, regarding information and information system security. Contractor must follow policies and procedures outlined in VA Directive 6500, Information Security Program and its handbooks to ensure appropriate security controls are in place.

http://www.iprm.oit.va.gov/docs/VA_Handbook_6500_6_Contract_Security_030210_Final.pdf

21. BADGES:

Contractor is required to wear I.D. badge during the entire time he/she is on VAMC grounds. I.D. badges MUST have an identification picture and shall be issued by VAMC.

22. NO SMOKING POLICY:

Except in designated areas, smoking is strictly prohibited.

23. CONTRACT ADMINISTRATION DATA:

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes that shall affect price, quantity or quality of performance of this contract.

The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is final authority on validating complaints. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof.

24. ALL CONTRACT ADMINISTRATION FUNCTIONS WILL BE RETAINED BY THE DEPARTMENT OF VETERANS AFFAIRS.

After award of contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to:

Contract Specialist : Larry D. Lapp (Contractor) VAMC Hampton/VISN6/ NCO6 Building 27, Averill Drive Hampton, VA 23667 Telephone #: 757-315-3988 E-mail: larry.lapp@va.gov

Contracting Officer : Mario L. Santiago VAMC Hampton/VISN6/ NCO6 Building 27, Averill Drive Hampton, VA 23667 Telephone #: 757-251-4251 E-mail: Mario.Santiago@va.gov

25. CONTRACTING OFFICER REPRESENTATIVE (COR):

The Contracting Officer Representative (COR) for this contract shall be:

COR: TBD

Department of Veterans Affairs Medical Center Phone:

Email:

B.5 IT CONTRACT SECURITY

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

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