36C24818R0232-002.docx

36C24818R0232

PAGE 1 OF

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

36C24818R0232 04-24-2018 Shaundrica M. Close 407-646-4061 04-23-2019 4:30 p.m.

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO8) 13800 Veterans Way Orlando FL 32827 X 623220 $15 Million X N/A X 36C248 Department of Veterans Affairs Veterans Integrated Service Network 8 Veterans Affairs Medical Centers

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO8) 13800 Veterans Way Orlando FL 32827

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin TX 78714-9971 See CONTINUATION Page This is an open and continuous solicitation for Veterans Integrated Service Network 8 (VISN8) for Community Based Residential Treatment and Dual Diagnosis for Various Eating Disorders. The Government intends to award multiple contracts from this solicitation.

Indefinite Delivery/Indefinite Quantity Contracts will be issued on an as needed basis under authority 38 U.S.C. 1703.

VISN 8 Locations:

North Florida/South Georgia VA Healthcare System Orlando VA Medical Center James A. Haley Veterans Hospital (Tampa, FL) Bay Pines VA Healthcare System West Palm Beach VA Medical Center Miami VA Healthcare System VA Caribbean Healthcare System (San Juan, PR) See CONTINUATION Page X X X Shaundrica M. Close Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 PRICE SCHEDULE

The offeror shall furnish all personnel to provide services necessary to provide residential treatment and dual diagnosis for various eating disorders as specified herein which combines psychological, emotional support and nutritional guidance. All services shall be performed at the offeror’s facility. Offeror shall provide professional and technical services to include materials, supplies, equipment and qualified supervision specified herein. The contract will be in support of VISN 8, which serves veterans within the following locations:

Including community based outpatient clinics administered by the facilities listed above.

1. CONTRACT TYPE: Fixed Price, Indefinite Delivery - Indefinite Quantity (IDIQ) Contract.

2. AUTHORITY: Title 38 United States Code (U.S.C.), 1703 Contracts for Hospital Care and Medical Services in Non-Department Facilities, FAR Parts 12 – Acquisition of Commercial Items in conjunction with FAR Part 15 Contracting by Negotiation.

3. PLACE OF PERFORMANCE: Services shall be provided offsite at the Offeror’s Facility.

4. PERIOD OF PERFORMANCE: One (1) base year with four (4) – one (1) year options.

5. MINIMUM AND MAXIMUM GUARANTEED: This solicitation includes a guaranteed minimum of $250.00 of services for the base year of the contract. The maximum amount to be ordered for this solicitation for the base, and all option periods, if exercised by the Government, is $7,000,000.00. If the maximum aggregate amount of $7,000,000.00 is reached prior to the end date of the final period of performance, no further task orders will be issued on the contract.

6. TERMINATION OF SERVICES: The VA reserves the right to remove any or all VA patients from the offeror’s facility at any time and/or send patients to facilities other than the offeror, when it is determined to be in the best interest of VA or the patient(s).

a. VA acknowledges that, depending on the availability of resources at specific IDIQ holder facilities at specific times, acceptance of a referral may be commercially impracticable for the IDIQ holder. In that event, the IDIQ holder may decline to accept an authorization. If the IDIQ holder has determined that space is not available and will not accept the Veteran, Mental Health program personnel will seek another IDIQ contract and an authorization will be issued when a match is found. Designated Mental Health program personnel will issue written authorizations for Veterans to the IDIQ holder. In accordance with FAR 16.505(B)(2)(i)(A) or FAR 16.505(B)(2)(i)(B), VA has determined it is in the best interest of the Veteran to place the individual order without further competition because the need for these services are sometimes urgent, and providing the opportunity to all IDIQ holders or other offerors would result in unacceptable delays in fulfilling that need. Location primarily will be selected based on proximity to the VAMC requesting the transfer.

PRICING INSTRUCTIONS: Offerors must fill out the cells in the following columns in the Price Schedule for each Contract Line Item Number (CLIN): Unit Price, Estimated Total Price and Estimated Grand Total for pricing and evaluation purposes. Throughout the life of the contract the VA will pay the awarded fixed rate. The Offeror shall complete the price schedule below for the performance locations needed. No CLINS should be left blank.

QUANTITY

TOTAL PRICE

Contract Period: Base POP Begin: 06-01-2018 POP End: 05-31-2019

Contract Period: Base POP Begin: 06-01-2018 POP End: 05-31-2019

Contract Period: Option 1 POP Begin: 06-01-2019 POP End: 05-31-2020

Contract Period: Option 1 POP Begin: 06-01-2019 POP End: 05-31-2020

Contract Period: Option 2 POP Begin: 06-01-2020 POP End: 05-31-2021

Contract Period: Option 2 POP Begin: 06-01-2020 POP End: 05-31-2021

Contract Period: Option 3 POP Begin: 06-01-2021 POP End: 05-31-2022

Contract Period: Option 3 POP Begin: 06-01-2021 POP End: 05-31-2022

Contract Period: Option 4 POP Begin: 06-01-2022 POP End: 05-31-2023

Contract Period: Option 4 POP Begin: 06-01-2022 POP End: 05-31-2023

B.2 CONTRACT ADMINISTRATION DATA

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

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

b. GOVERNMENT: Contracting Officer (90C) Shaundrica M. Close Department of Veterans Affairs Network Contracting Office (NCO) 8 13800 Veterans Way Orlando FL 32827 Phone: 407-646-4061

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

or

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 (NOV 2012).

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

6. ATTENTION LARGE BUSINESS: Large Businesses are to submit a Subcontracting Plan, in accordance with Federal Acquisition Regulation (FAR) 52.219-8, Utilization of Small Business Concerns, FAR 52.219-9, Small Business Subcontracting Plan and Veterans Affairs Acquisition Regulation (VAAR) 852.219-9, V e t e r a n A f f a i r s (VA) Small Business Subcontracting Plan Minimum Requirement with their proposal. Refer to Attachment D.5, Subcontracting Plan Model. Goals are recommended and shall be expressed in terms of percentages of total planned dollars. Subcontracting plan is to include a description of the principal types of supplies and services to be subcontracted out and identification of the types planned for subcontracting in the area of Small, Small Disadvantaged, Woman-Owned, Hub-Zone, Service Disabled Veteran and Veteran-Owned Small Business concerns.

a. In accordance with the United States Department of Veterans Affairs Office of Small and Disadvantaged Business Utilization (OSDBU) Subcontracting Plan Model the following goals are required for each of the socioeconomic groups: Small Business (including Alaska Native Corporations (ANC) and Indian Tribes) 17.0%, Service Disabled Veteran-Owned Small Business 5.0%, Veteran-Owned Small Business 7.0%, Small Disadvantaged Business (including ANC and Indian Tribes) 5.0%, Women-Owned Small Business 5.0% and HUBzone Small Business 3.0%. The offeror agrees, if awarded a contract, to use Service-Disabled Veteran-Owned Small Businesses or Veteran-Owned Small Businesses proposed as subcontractors in accordance with 852.215-70 included herein, eligible Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, or to substitute one (1) or more Service-Disabled Veteran Owned Small Businesses or Veteran-Owned Small Businesses for subcontract work of the same or similar value.

7. CAUTION: Late submissions, modification, and withdrawals: See Provision 52.212-1.

Proposals are subject to all terms and conditions of this solicitation.

8. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation conference for contract orientation purposes as required by information letter (IL) 003A3-12-04.

http://www.va.gov/oal/docs/library/ils/il12-04.pdf

B.3 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in Federal Acquisition Regulation (FAR) 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting commitments.

B.4 SUBCONTRACTING PLAN--MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes FAR 52.219-9, Small Business Subcontracting Plan, and VAAR 852.219-9, VA Small Business Subcontracting Plan Minimum Requirement. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing the contractor's compliance with the plan, including reviewing the contractor's accomplishments in achieving the subcontracting goals in the plan. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting plan.

B.5 PERFORMANCE WORK STATEMENT

1. GENERAL:

0. Services Required - The Contractor shall provide a full spectrum community based residential treatment services and dual diagnosis for various eating disorders, including: Anorexia Nervosa Avoidant/Restrictive food intake Disorder, Bulimia Nervosa, Orthorexia Nervosa, Purging Disorder, Pica and Eating disorders not otherwise specified, which combines psychological, emotional support and nutritional guidance. Services shall be provided in accordance with the specifications contained herein to beneficiaries of the Veterans Affairs Medical Center (VAMCs) identified within section B.4 Price schedule of this document. Services shall be provided at the offeror’s facility to VA beneficiaries referred by VA Physician(s) at the various VAMC’s.

0. Authority – Title 38 United States Code (U.S.C.), 1703 Contracts for Hospital Care and Medical Services in Non-Department Facilities, FAR Parts 12 – Acquisition of Commercial Items in conjunction with FAR Part 15 Contracting by Negotiation.

0. Policy/Handbooks - The contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

2. 42 Code of Federal Regulations (CFR) Part 482 Conditions of Participation Hospitals, including Sub-Part E Requirements for Specialty Hospitals. http://ecfr.gpoaccess.gov/cgi/t/text/text- idx?c=ecfr;sid=aceca18b9fbe0110ffa37c08075c2b0e;rgn=div5;view=text;node=42%3A5. 0.1.1.1;idno=42;cc=ecfr

2. VA Directive and Handbook 0710: Personnel Suitability and Security Program - https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=832&FType=2

2. VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347

2. VHA Handbook 1100.17: National Practitioner Data Bank Reports - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

2. VHA Handbook 1100.18 Reporting and Responding to State Licensing Boards - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

2. VHA Handbook 1605.1, Privacy and Release of Information http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1423

2. VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

2. VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

2. VHA Directive 2009-038: VHA National Dual Care Policy http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2058

2. VA Directive 6300 Records and Information Management: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2766

2. VHA Directive 6300.01 Records Management Compliance Monitoring: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5450

2. VA Handbook 6500.1, Electronic Media Sanitization: https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=416&FType=2

2. VA Handbook 6500.2, Management of Breaches involving security and privacy incidents: https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=843&FType=2

2. Health Insurance Portability and Accountability Act of 1996 (HIPAA) http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative- Simplification/HIPAAGenInfo/downloads/hipaalaw.pdf

2. Patient Self Determination Act of 1991: http://www.gpo.gov/fdsys/search/pagedetails.action?st=citation%3A42+USC+1395dd&gr anuleId=USCODE-2010-title42-chap7-subchapXVIII-partE- sec1395cc&packageId=USCODE-2010-title42&bread=true

2. Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.hHm

2. VHA Handbook 1160.01: Uniform Mental Health Services in VA Medical Centers and Clinics as amended – reference attachment identified in section D of this solicitation https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1762.

2. VA Publications: https://www.va.gov/vapubs/

2. VHA Publications: https://www.va.gov/vhapublications/publications.cfm?pub=2

1.4. Definitions/Acronyms: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the definitions and other sections of this contract, the language in this section shall govern.

1.4.1. ACLS: Advanced Cardiac Life Support

1.4.2. ANCILIARY COSTS: Ancillary costs are pre-approved costs for supplies or services not identified as included in the all-inclusive rate, any other pre-authorized rate, schedule or payment for items or services provided under this agreement. Ancillary costs such as medications, and special equipment, may not be added to any invoice without written permission of the VAMC placing the veteran. If permission is received, the residential treatment facility must also submit the physician's order for the medication/supply, dispensing log, supplier and the cost charged by the supplier to the residential facility, and what the residential facility is charging the VA.

1.4.3. APA: American Psychological Association

1.4.4. BAA: Business Associate Agreement

1.4.5. BBA: Balanced Budget Act

1.4.6. BLS: Basic Life Support

1.4.7. C&A: Certification and Accreditation

1.4.8. CAMBHC: Comprehensive Accreditation Manual for Behavioral Health Care Organizations

1.4.9. CARF: Commission on Accreditation of Rehabilitation Facilities

1.4.10. CBI: Compliance & Business Integrity

1.4.11. CSCA: Contractor Security Control Assessment

1.4.12. CDC: Centers for Disease Control and Prevention

1.4.13. CFR: Code of Federal Regulations

1.4.14. CLIN: Contract Line Item Number

1.4.15. CMP: Civil Monetary Penalty

1.4.16. CMS: Centers for Medicare & Medicaid Services

1.4.17. COMM: Communications

1.4.18. Contracting Officer (CO): The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.4.19. Contracting Officer’s Representative (COR): A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.4.20. COS: Chief of Staff

1.4.21. CRNA: Certified Registered Nurse Anesthetist

1.4.22. CPA: Canadian Psychological Association

1.4.23. CPARS: Contractor Performance Assessment Reporting System

1.4.24. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.4.25. CTS: Care, Treatment, and Services

1.4.26. DEA: Drug Enforcement Agency

1.4.27. DSN: Defense Switch Network

1.4.28. DSS: Defense Security Service

1.4.29. DY: Days

1.4.30. EDI: Electronic Data Interchange

1.4.31. EFT: Electronic Funds Transfer

1.4.32. EIN: Employer Identification Number

1.4.33. ESRS: Electronic Subcontracting Reporting System

1.4.34. EST: Eastern Standard Time

1.4.35. Estimated Quantities: The quantities or dollar threshold listed in the Price Schedule, effective for the periods stated are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the VA’s requirements do not result in orders in the quantities or dollar amount described, that fact shall not constitute the bases for an equitable price adjustment.

1.4.36. FAPIIS: Federal Awardee Performance and Integrity Information System

1.4.37. FAR: Federal Acquisition Regulation

1.4.38. FIPS: Federal Information Processing Standards

1.4.39. FSC: Financial Service Center

1.4.40. HHS: Department of Health and Human Services

1.4.41. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of fourteen (14) external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.4.42. HIPAA: Health Insurance Portability and Accountability Act

1.4.43. ID: Identification

1.4.44. ISA: Interconnection Security Agreement

1.4.45. ISO: Information Security Officer

1.4.46. IT: Information Technology

1.4.47. LT: Lot

1.4.48. MD: Medical Doctor

1.4.49. MOU: Memorandum of Understanding

1.4.50. NARA: National Archives and Records Administration

1.4.51. National Provider Identifier (NPI): NPI is a standard, unique ten (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).

1.4.52. Not to Exceed: Contractor shall not exceed estimated quantities or dollar threshold without the express or written consent of the CO. Adjustments made without approval will be considered an Unauthorized Commitment; violation under FAR 1.602-3.

1.4.53. NFPA: National Fire Protection Association

1.4.54. NICE: National Institute for Health and Care Excellence

1.4.55. NISP: National Industrial Security Program

1.4.56. NIST: National Institute of Standards and Technology

1.4.57. NPPE: National Plan and Provider Enumeration

1.4.58. OIG: Office of Inspector General

1.4.59. OSHA: Occupational Safety of Health Administration

1.4.60. PCSAS: Psychological Clinical Science Accreditation System

1.4.61. PHD: Doctor of Philosophy

1.4.62. PII: Personally Identifiable Information

1.4.63. PPIRS: Past Performance Information Retrieval System

1.4.64. PWS: Performance Work Statement

1.4.65. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

1.4.66. QA: Quality Assurance

1.4.67. QASP: Quality Assurance Surveillance Plan

1.4.68. QI: Quality Improvement

1.4.69. RFP: Request for Proposal

1.4.70. SF: Standard Form

1.4.71. SP: Special Publications

1.4.72. TIN: Tax Identification Number

1.4.73. TJC: The Joint Commission

1.4.74. TMS: Talent Management System

1.4.75. U.S.: United States

1.4.76. U.S.C: United States Code

1.4.77. VA: Veterans Affairs

1.4.78. VAAR: Veterans Affairs Acquisition Regulation

1.4.79. Veterans Affairs Medical Center (VAMC): The Veterans Health Administration is the component of the United States Department of Veterans Affairs (VA) led by the Under Secretary of Veterans Affairs for Health that implements the medical assistance program of the VA through the administration and operation of numerous VAMC’s, Outpatient Clinics, Community Based Outpatient Clinics, and VA Community Living Centers (VA Nursing Home) Programs.

1.4.80. Veterans Health Administration (VHA): The central office for administration of the VA medical centers throughout the United States. The VHA is in Washington, D.C.

1.4.81. VISN: Veterans Integrated Service Network

1.5 BILLING DEFINITIONS

1.5.1. LENGTH OF STAY (LOS): The LOS is the period covered by the individual Unit Price. The LOS begins on the date of admission at the Contractor’s facility and will end upon the date of discharge from the Contractor’s facility. Approved additional days beyond the LOS for each CLIN will be reimbursed at the daily rate prescribed on the Price Schedule for each CLIN.

0. HCFA: Health Care Financing Administration

0. RESIDENTIAL CARE (FACILITY) AND PROFESSIONAL (PHYSICIAN) FEES: All professional, technical, institutional and ancillary charges necessary to cover all services associated with residential care during the LOS.

0. SELF-REFERRAL: Referring patients to Contractor’s facility for follow-up care. Contractor Personnel are prohibited from referring VA patients to their own practice(s).

1. QUALIFICATIONS

0. Staff/Facility

0. License: Contractor personnel assigned by the Contractor to perform services covered by this contract shall have a current license to practice medicine, psychology, social work and nursing, in any State, Territory, or Commonwealth of the United States or the District of Columbia. Contractor personnel must have a medical license and be individually registered with the DEA in the state where they will provide services under the contract. All licenses held by contractor personnel working on this contract shall be full and unrestricted licenses. Contractor personnel who have current, full and unrestricted licenses in one (1) or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application shall not be considered for the purposes of this contract.

0. Accreditation by the TJC or equivalent is required. CARF is evidence of internal quality assurance mechanisms and is desirable, but not required. Where applicable, the residential treatment setting must have a current occupancy permit issued by the authority having jurisdiction.

0. The Contractor shall be duly licensed by the Department of Health of the State of Florida to operate a facility.

0. The facility must meet the following requirements:

3. Standards of the Life Safety Code NFPA # 101

3. Fire and safety code imposed by State law

3. City, State and Federal requirements concerning licensing and health codes

3. All residential treatment settings must be licensed as required for the setting under state and federal authority

0. Board Certification/Staffing Credentials: All psychiatrists must have a degree of Doctor of Medicine or osteopathy resulting from a course of education in medicine or osteopathic medicine. All social workers must have a Master’s degree in social work from a school of social work fully accredited by the Council of Social Work education. They must be licensed or certified by a state at the advanced practice level, which includes Association of Social Work Boards advanced generalist or clinical examination, to independently practice social work at the master’s degree level. All psychologists must have a doctoral degree in psychology from a graduate program in psychology accredited by APA, PCSAS, or the CPA at the time the program was completed. They must hold a full, current and unrestricted license to practice psychology at the doctoral level in a State, Territory, Commonwealth of the United States (e.g., Puerto Rico), or the District of Columbia. All other required disciplines must hold and maintain certifications throughout the duration of the contract period of performance. Contractor clinical personnel must be currently certified in BLS, ACLS or equivalency. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR when requested.

0. Credentialing and Privileging: All Contractor Personnel who shall provide services under this contract must be appropriately credentialed and privileged, if required, according to the Bylaws and Rules of the contractor’s facility. If Contractor Personnel are not credentialed and privileged or have credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

0. Technical Proficiency: Contractor 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. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor Personnel when requested.

0. Training: Contractor shall meet all VA educational requirements. Contractor Personnel must meet mandatory course requirements as required by the Contractor’s facility.

0. Standard Personnel Testing/Infection Control: Contractor shall provide a statement with the proposal that all required infection control testing is current and that the contractor is compliant with OSHA regulations concerning occupational exposure to blood borne pathogens. The Contractor shall also notify the VA of any significant communicable disease exposures and the VA will also notify the contractor of the same, as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Tests shall be current within the past year.

0. National Provider Identifier (NPI): NPI is a standard, unique ten (10) - digit numeric identifier required by HIPAA. The VHA must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the CMS NPPE. The information shall be provided to the CO with the proposal.

0. Conflict of Interest: The Contractor is responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor shall provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

7. Citizenship related Requirements: The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patients.

0. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation of their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

0. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S. Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patients; or other place where the Contractor provides services to Veterans who have been referred by VA physician(s) and shall form the basis for termination of this contract for breach.

0. 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.

0. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.9. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the BBA of 1977, the HHS and OIG 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. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that proposed Contractor Personnel are not listed. Contractor 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 CMP for each item or service furnished during a period that the person 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 the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractor is and/or Contractor Personnel are not listed as of the date the offer was signed.

2.10 Non-Personal Healthcare Services: The parties agree that the Contractor and all Contractor Personnel shall not be considered VA employees for any purpose.

2.11 Inherent Government Functions: Contractor and Contractor Personnel shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.12 No Employee status: The Contractor shall be responsible for protecting Contractor Personnel furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.12.1. Workers’ compensation

2.12.2. Professional liability insurance

2.12.3. Health examinations

2.12.4. Income tax withholding, and

2.12.5. Social security payments

2.13 Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor Personnel. When a Contractor or Contractor Personnel has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or Contractor Personnel) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.14 Contingency Plan: Because continuity of care is an essential part of VISN 8, the Contractor shall have a contingency plan in place to be utilized if Contractor Personnel Leave Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. HOURS OF OPERATION:

3.1. WORK SCHEDULE: Services shall be available from the contractor twenty-four (24) hours per day, seven (7) days per week, including weekends and federal holidays. Contractor shall provide coverage for all required shifts, including nights, weekends and holidays.

3.2. In residential treatment settings, there must be, at a minimum, a full-time staff member or designee available for emergencies 24 hours per day, seven (7) days per week.

3.3. Onsite supervision of residential settings is required 24 hours per day, seven (7) days per week. An employee of the contractor must be physically present in the unit, at all times, Veterans are in the unit. In buildings with multiple floors, a staff member must be physically present on each floor in the building, at all times, Veterans are present on the floor.

3.4. FEDERAL HOLIDAYS: The following holidays are observed by the Department of Veterans Affairs:

New Year’s Day President’s Day Martin Luther King Jr’s Birthday Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas Any day specifically declared by the President of the United States to be a national holiday.

4. CONTRACTOR RESPONSIBILITIES

0. Management and Supervision:

0. The Contractor shall be responsible for supervising the daily services provided under this contract by Contractor Personnel.

0. Sufficient staff must be provided (i.e. in numbers, positions and qualifications.)

0. VISN 8 will provide to the Contractor policies, procedures and processes necessary to allow cooperative functioning between the agency and VISN 8 facilities. Updates and refreshers will be provided to the Contractor upon request and when policy, procedures or process changes.

0. The Contractor shall be the primary medical and mental health provider during the patients stay and is responsible for writing or approving admission and all other orders as soon as the veteran arrives at the facility. The contractor shall be responsible for general medical care, general mental health care, urgent evaluation and intervention. Provider visits will be according to the CMS guidelines. The contractor shall provide timely care following the most current CMS guidelines; arranging 24/7 access for patient care; arranging easy access to VA staff for consultation; providing timely response to calls and arranging for timely provider back-up according to contractor’s facility bylaws or policy.

0. Standards of Care: The Contractor’s personnel care shall cover the range of residential eating disorder services and dual diagnosis as would be provided in a state-of-the-art civilian eating disorder treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

1. The American Psychiatric Association Standards: https://www.psychiatry.org/

1. The professional standards of the TJC or equivalent http://www.jointcommission.org/standards_information/hap_requirements.aspx. Even if the facility is not accredited by TJC, the TJC standards for Behavioral Health Care for Eating Disorders must be met or exceeded.

1. CARF http://www.carf.org/Programs/BH/

1. NICE guidelines https://www.nice.org.uk/

1. The requirements contained in this PWS

0. MEDICAL RECORDS

4.3.1. Authorities: Contractor Personnel providing healthcare services to patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

4.3.2. An individual medical record will be developed with the assistance of VA staff and maintained by Contractor Personnel staff on each Veteran receiving healthcare treatment. All medical records concerning the Veteran’s care will be readily accessible to the VAMC facility. The medical record maintained by the contractor shall include the following:

4.3.2.1. Reason for referral.

4.3.2.2. Essential identifying data relevant to the Veteran and Veteran’s family.

4.3.2.3. Data relating to the Veteran’s admissions to include the targeted individual goals for constructive changes which are to be attained during the Veteran’s stay at the contractor’s facility.

4.3.2.4. Record or log of medical prescriptions issued by physicians.

4.3.2.5. Reports of periodic re-evaluation by program staff, to include any measures of movement towards rehabilitation goals.

4.3.2.6. Discharge summaries on each Veteran…