36C24722Q0065 0001_1.docx

SUBJECT*

VISN-7 Artificial Prosthetic Limbs Multiple Award BPA(s)

GENERAL INFORMATION

SET-ASIDE

VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker GA 30084

POINT OF CONTACT*

Contracting Officer Joseph Horn Joseph.horn@va.gov 404-321-6111 x4043

PLACE OF PERFORMANCE

Alabama, Georgia, South Carolina

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

Amendment to a Previous Combined Solicitation Amendment to a Previous Combined Solicitation

DESCRIPTION

Page 1 of

Amendment to a Previous Combined Solicitation

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 f or 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 HO

UR 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. I

f 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 OFFIC

ER

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 offi ce, 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) 36C247 Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker GA 30084 36C247 Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker GA 30084 To all Offerors/Bidders

36C24722Q0065 04-07-2022

X X x

X The Purpose of Amendment 0001 is to amend the pricing methology for NOC items.

1). Edit B.3 Schedule of Items, Remove Section "Reimbursement of Items Not having a Dedicated Code:"

No additional changes have been made and all other terms andconditions remain in full force and effect.

Joseph E. Horn Contract Specialist Page 1 of Page 1 of

CONTINUATION PAGE

REMOVE B.3 SCHEDULE OF ITEMS, Section “Reimbursement for Items Not Having a Dedicated Code”:

Section B.3 Schedule of Items; shall read as follows:

B.3 SCHEDULE OF ITEMS

Description:

The Department of Veterans Affairs (VA), Veterans Integrated Service Network (VISN) 07 has an ongoing program to furnish artificial limbs and related services to those veterans that require them and are eligible for assistance. The contractor shall provide artificial limbs and related services in accordance with the specifications outlined in the Statement of Work as well as the terms and conditions of this agreement.

It is VA’s intention to solicit quotes and award multiple Blanket Purchase Agreements (BPAs) on a competitive basis to preferred providers within a VA Medical Center’s (VAMC) and/or Community Based Outpatient Clinic’s (CBOC) jurisdiction under the authority of 38 U.S.C. § 8123. The ordering period is for five (05) years beginning from the Date of Award through 60 months thereafter, unless terminated earlier pursuant to the terms of the agreement.

Authorized Limits:

The maximum total value of each agreement shall not exceed $10,000,000.00. The authorized Ceiling Limit of the Agreement is set at over the period covered by the Agreement; this ceiling is not a guarantee. The Ceiling Limit may also be raised in association with Order Limit increases or other conditions which, by mutual agreement of the parties, maybe considered necessary. Authorization for individual orders above the stated order and/or Ceiling Limits must be coordinated through the Contracting Officer before larger valued orders can be issued and prior to commencement of work. All unauthorized work, regardless of amount, will be processed through the ratification process.

Obligation of Funds:

Each awarded BPA will not obligate any funds. The Government is obligated only to the extent of authorized orders issued under the awarded BPAs by the Contracting Officer. Only the Contracting Officer may authorize purchases above the micro purchase threshold and must determine prices to be fair and reasonable.

Purchase Limitations:

Each individual purchase under the BPA shall not exceed $250,000.000.

Pricing Schedule:

For fabrication and repair of artificial limbs, pricing shall not exceed the established L-Code prices applicable to the geographic area. Current L-CODE pricing can be obtained via http://www.cms.gov/. It should be noted that repair rates for 15-minute increments are now part of the L-CODE pricing schedule.

Please apply the best percentage discount that you offer against the L-Code fee schedule baseline. Offerors are to propose a discount on all L-Codes applicable to this solicitation such as prosthetic limbs, prosthetic limb devices/components and labor rates for repairs and devices.

Participating VA Facilities

Ordering Period (1) L-Code Pricing Less_______% discount Period of one (1) year commencing on the date of the contract award.

Ordering Period (2) L-Code Pricing Less_______% discount Period of one (1) year commencing on the day following the last day of Ordering Period (1)

Ordering Period (3) L-Code Pricing Less_______% discount Period of one (1) year commencing on the day following the last day of Ordering Period (2)

Ordering Period (4) L-Code Pricing Less_______% discount Period of one (1) year commencing on the day following the last day of Ordering Period (3)

Ordering Period (5) L-Code Pricing Less_______% discount Period of one (1) year commencing on the day following the last day of Ordering Period (4)

NOTE: ** It should be further noted that L-Code pricing is subject to annual adjustments made by Centers for Medicare and Medical Services (CMS). L-Code pricing shall be defined as CMS Healthcare Common Procedure Coding System (HCPCS). Should the structural basis for L-Code pricing be revised, changes in the discount pricing reflected above may be renegotiated.

“Not Otherwise Classified (NOC) orthotic and prosthetic limb components: Orthotic and prosthetic components that do not have or have not been assigned an L Code are defined as Not Otherwise Classified (NOC) devices. If a NOC code has been determined appropriate by the Coding Guidance Counsel (CGC), only a single NOC code is to be utilized for the component. No other L Code will be accepted in conjunction with the NOC code.

The CMS HCPCS contains two (2) NOC L-Codes for prosthetic limbs, L5999 and L7499. VA recognizes only these NOC L-Codes for use with lower and upper extremity prosthetic limbs and modification of the NOC L-Code language is not permissible:

The NOC L-Code is all-inclusive and therefore, only one NOC L-Code is authorized per device. Multiple NOC L-Codes may be utilized per prosthetic limb. For example, if a lower extremity prosthetic limb is being ordered with a NOC L-Code prosthetic knee and a NOC L-Code prosthetic foot, it is permissible to use a NOC L-Code for each device, prosthetic knee and foot, and be authorized. However, no other L- Codes will be authorized with these NOC L-Codes. The Contractor understands that VA retains sole discretion to determine whether a device would classify for a NOC L-Code designation.

For NOC L-Codes that do not have L-Code fee schedule published by CMS HCPCS, the Contractor shall be paid subject to the following guidelines:

a. For an item or service that is classified in the CMS HCPCS, the Contractor shall be paid the lesser of the L-Code amount or the Contractor’s billed amount.

b. For an item or service that is not otherwise classified in the CMS HCPCS, VA will temporarily assign an existing similar CMS HCPCS L-Code that best matches the description of the NOC item or VA may assign L5999 or L7499 until CMS assigns a HCPCS L-Code with fee schedule. The Contractor shall be paid the lesser of the amount for the L-Code temporarily assigned by VA or the Contractor’s billed amount.

c. For an item or service that is not otherwise classified in the CMS HCPCS, and for which VA assigns any miscellaneous or Not Otherwise Classified (NOC) code, the contractor shall submit a quote. Quotes must be received no later than two (2) business days after receipt of VA’s request for quote. The Contracting Officer or Prosthetics and Sensory Aids Service (PSAS) Official will issue a fixed price order based on the quote, negotiated if necessary, or based on the government estimate if a quote is not received. The Contracting Officer or PSAS Official may request additional supporting documentation as needed.

Price Quote Reviews:

The Contractor understands that all price quotations for services and labor will be reviewed by the VA. It is understood that in instances of double coding and unnecessary uses of codes the vendor shall be asked to re-quote with appropriate codes or document the need for additional coding.

THE PURPOSE OF AMENDMENT 0001—SEE SF30 AMENDMENT 0001 FOR 36C24722Q0065-VISN 07: ARTIFICIAL LIMBS