36C24821R0092 A0001.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 13

NONE

36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525

Tampa FL 33637

36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy

Tampa FL 33637

To all Offerors/Bidders

36C24821R0092

X

X X

**HOUR & DATE for Receipt of Offers is 05/16/2022, 3:00 PM E.S.T.

X 01

The purpose of this amendment is to address vendor's questions, to correct typo in paragraph 7.1.2. from "120 days" to "90 days”, to add Subcontracting goals as follows: 25% SDVOSB, 27% VOSB, 3% HUBZONE, 5% SDB, 5% WOSB, and 50% SB, and to add Monday thru Friday, 8:00AM – 4:30PM on section 4.6.5.3, page 85 of the solicitation.

The due date and time for receipt of proposals has been changed to 05/16/2022, 3:00 p.m. E.S.T.

Yamil O. Gomez

Contracting Officer

SOLICITATION NUMBER 36C24821R0092

AMENDMENT 0001

Q1. Please clarify how the government determines pricing to be “significantly unbalanced”. What criteria are used to determine balance or unbalanced pricing? For example, the total evaluated price for the base year and all options remains the same regardless of when costs are proposed and captured in the unit prices/

A1. Refer FAR 15.404-1 (g) Unbalanced Pricing

Q2. Please confirm that the new contractor will inherit the patient’s last vesting visit and be allowed to bill for one (1) year from that date upon contract award.

A2. Please refer to section 7.2.1.3 Monthly Billable Roster and Invoice Reconciliation

Q3. Did the VA take any steps or do any analysis to incorporate subcontracting opportunities for

VOSBs in this solicitation?

A3. That’s proprietary information and source selection sensitive. The government did the due diligence and proper steps, and this solicitation was issued as a result of it. Refer to Factor 3 (1) for

SDVOSB/VOSB and (2) for non-SDVOSB/VOSB offerors.

Q4. Can anticoagulation pharmacist be incorporated into the PACT Clinical Pharmacist Specialist duties or is this a separate dedicated pharmacist.

A4. Yes, it can be incorporated.

Q5. Can the telehealth clerk cover multiple clinics?

A5. The recommendation for TCT’s is one per CBOC in a optimal functioning Telehealth program for CVT/SFT/VVC support.

Q6. Can the health and wellness coach duties be rolled in onto a PACT RN position?

A6. No

Q7. Can the government clarify if the estimated enrollment is within 5% of the average amount of

Veterans invoiced for in the months of Jan-Mar 2022? If not, will the Government provide the average for that three-month period for each CLIN?

A7. Yes

Q8. Will the government verify that facilities/proposals that do not meet the PACT Space Module

Design Guide’s principals that take patient privacy and security, streamlined processes and enhanced teamwork through design features such as the on-stage/off-stage concept, teamwork zones and separate patient/staff corridors will be considered non-compliant?

A8. Proposals and floor plans will be evaluated in accordance with the solicitation. At the time of clinic openings, if onstage/offstage is ongoing and as long as patient safety is taken care of, there is no objection.

Q9. Previous solicitation (VA248-17-R-0955) included a 6th clinic for Delray, FL. Can the

Government confirm if its omission in this solicitation is because that clinic has been absorbed into one of the remaining 5 clinics listed in this solicitation or if that will be contracted under a separate effort?

A9. The current need is for the 5 sites listed in the solicitation.

Q10. Will the government consider proposals with separate CLIN(s) to recapture costs of clinic construction? If so, what contract types (CPFF, FFP, etc.) will the Government find acceptable?

A10. Alternate pricing that changes the LIN structure in the solicitation or any alternate form of pricing is not permitted. Submission of a proposal that includes an altered LIN structure or any other alternate form of pricing will not be considered further for award.

Q11. Total Primary Care Estimated Patients enrolled/assigned to site: 1524 Okeechobee, FL

(2V08)(548GF), 3176 Vero Beach, FL (2V08)(548GE), 5491 Stuart, FL (2V08)(548GE), 2807 Boca

Raton, FL (2V08)(548GD), and 3898 Fort Pierce, FL (2V08)(548GA). Total Mental Health

Estimated Patients enrolled/assigned to site: 426 Okeechobee, FL (2V08) (548GF), 889 Vero Beach, FL (2V08) (548GE), 1537 Stuart, FL (2V08)(548GE), 786 Boca Raton, FL (2V08)(548GD), and 1091

Fort Pierce, FL (2V08)(548GA).” Please provide the most recent 3-month billing figures/members/enrollees for primary care and mental health services at each CBOB/site.

A11. The government provided an estimated amount listed in the solicitation.

Q12. Can the VA please provide the list of medications and vaccines the contractor will be responsible for providing? Additionally, can the VA also provide estimated utilization numbers/quantity for each medication/vaccine required (or historical information)?

A12. Patient care information cannot be disclosed

Name Estimated Quantity

HEPATITIS A & B VACCINE (TWINRIX) /

SYRINGE

HEPATITIS A 1440 UNITS / SYRINGE (Havrix)

HEPATITIS A VACCINE INJ,SUSP / SYRINGE

(Havrix)

HEPATITIS B VACCINE / SYRINGE (enerix -b)

MEASLES/MUMPS/RUBELLA VIRUS / DOSE

MENINGOCOCCAL OLIG CONJ

(MENVEO)/DOSE

PAPILLOMAVIRUS HUMAN INJ,SUSP/

ZOSTER VACCINE,RECOMBINANT / DOSE

8,108

MENINGOCOCCAL B (BEXSERO) 1

TETANUS/DIPHTHERIA TOXOID 0.5ML 179

DIPHTHERIA/TETANUS/PERTUSSIS(TDap)

INJ 830

TUBERCULIN PPD 5 UNITS/0.1ML INJ 34

Q13. Please confirm that the new contractor will inherit the patient’s last vesting visit and be allowed to bill for one year from that date upon contract award?

A13. The government provided an estimated amount listed in the solicitation. Refer to section

7.2.1.3 which is the most monthly billable rooster and invoice reconciliation.

Q14. Certificate staff have been compared to OIG list.” Please confirm the “certification” can be a statement from the offeror confirming that no staff listed are on the OIG list.

A14. Yes

Q15. Is the current facility staffed alignment with PACT staffing requirements?

A15. Yes

Q16. For any buildout/construction that might be required to prepare space for performance of this contract,” Please confirm if the current VA clinic conforms to the PACT space standards.

A16. The current spaces is not government property. Government does not have control over the current space.

Q17. The PACT Module Design Guide recommends a ratio of approximately 3 Exam Rooms per teamlet, please clarify the desired ratio for patient care exam/consult rooms per PACT teamlet for each clinic.

A17. Yes, per PACT teamlet for each clinic.

Q18. Please confirm patient care exam/consult rooms need to be at least 140 NSF to be compliant.

A18. Please refer to the solicitation section 4.9 regarding the requirements.

Q19. Is there a requirement for designated WH exam rooms, if so, how many for each clinic? Can they be included in the exam room count?

A19. Yes, one WH exam room per site. Yes, can be included in the exam room count.

Q20. Is there a requirement for designated mental health spaces (offices/consults) in addition to the

LCSW MH and LCSW CM offices? How many are needed for each clinic?

A20. No

Q21. Can offerors apply all the transition and start-up costs in the base year unit price and then propose lower unit prices starting in option year one (1)

A21. Government does not dictate how to price other than it should be a capitated rate.

Q22. There has been a significant increase in construction costs and significant challenges in supply chains for construction materials. Will the government consider sharing the risk of the construction component of the project by accepting offers with separate CLINs for construction in either a T&M, Fixed Price, or Cost-Plus format?

A22. Alternate pricing that changes the LIN structure in the solicitation or any alternate form of other alternate form of pricing will not be considered further for award

Q23. Incorporating attachment D.6 Davis-Bacon Act Wage Determination establishes the governments recognition of the increased relevance of the construction component of the project creating greater barriers for offerors to identify qualified general contractors capable of managing the increased costs and reporting requirements. Ultimately these increased costs are passed on to the government. Will the government allow contracts to recover these costs in a cost reimbursable

CLIN?

A23. Alternate pricing that changes the LIN structure in the solicitation or any alternate form of other alternate form of pricing will not be considered further for award.”

Q24. Can the government please specify or provide an example of what would satisfy the Life

Safety Standards Compliance Documentation requirement?

A24. The CBOCs should meet the expectations of VHA,TJC, OIG and the Latest NFPA standards which include maintenance, training and documentation to name a few. Some examples of this would be to provide documentation of monthly and annual testing of emergency lighting, documentation of fire drills in accordance with NFPA standards showing the drills meet all expectations as stated above.

Q25. Can Discipline-specific providers at one of the CBOCs (sections 2.4.1 – 2.4.4) provide services via telehealth to patients at another CBOC?

A25. Yes.

Q26. Who provides the PCMHI staffing required by paragraph 2.4.5 – VA or Contractor?

A26. Contractor

Q27. If the Contractor is to provide PCMHI staffing, please clarify the statement at the end of this paragraph: “Staffing ratio outlined is “minimum” and may be adjusted by the VA to provide appropriate mental health care.” Will the Contractor be able to request a price adjustment in the event that the VA increases the PCMHI staffing requirement post award?

A27. It will be determined at the time should the VA request additional staffing.

Q28. Paragraph 2.6.2 “PHLEBOTOMIST/LABORATORY TECHNICIAN: This position can be provided by PACT Teamlet staff member.” Please confirm that no specific phlebotomist staffing is required for these services.

A28. It is the VA’s intent to have a Phlebotomist/Laboratory Technician per clinic location.

Q29. Who provides the Health and Wellness Coach required by paragraph 2.10.5 – VA or

Contractor?

A29. Contractor

Q30. Are board-eligible physicians acceptable?

A30. No

Q31. Are the on-stage/off-stage design features of the PACT Space Module Design Guide required for these CBOCs?

A31. According to the PACT design guide the on-stage/off-stage concept is a requirement.

Q32. If on-stage/off-stage design is not required – is there a preference for on-stage/off-stage design?

A32. N/A

Q33. If on-stage/off-stage design is required – is there a preference for sliding doors on the patient side of exam rooms?

A.33. Contractors discretion as long as patient care safety is met.

Q34. Who is responsible for courier services – VA or contractor?

A34. VA

Q35.Will the VA provide the lab specimen tubes?

A35. No, the VA does not provide supplies to the CBOCs.

Q36. Will the clinics provide COVID vaccinations?

A36. No, the VA will provide COVID vaccines.

Q37.What is the current size of the vested patient roster for each clinic?

A37. Please refer to estimated quantities listed in the solicitation.

Q38. Do the current clinic locations meet the space requirements of this solicitation?

A38. The current spaces is not government property. Government does not have control over the current space.

Q39. Will the VA conduct a site visit of proposed sites?

A39. This is at the Governments discretion.

Q40. Paragraph 7.1.2 states, “The Contractor shall have 120 days from contract award to commencement of the provision of medical care to local Veterans.” However, page 181 requests “A detailed description of the offeror’s capability and/or mechanisms to be used to begin contract performance within 90 days after contract award…” In consideration of the supply chain disruptions that have continuously occurred over the past year and the fact that this contract requires the simultaneous buildout of five (5) clinics, we respectfully request a start-up time frame of 180 days to meet all Solicitation requirements.

A40. 120 days is a typo. The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans.

Q41. Can the VA provide the number of labs complete at each clinic over the last year?

A41. No, cannot provide this information.

Q42. Would the VA consider Veteran Participation?

(a) In accordance with VAAR 852.215-70, this factor will take into consideration an offeror’s status as an SDVOSB, VOSB and/or its proposed use of eligible SDVOSB and/or VOSB as subcontractors. This factor will give credit in the following order of descending importance:

(i) Service-Disabled Veteran-Owned Small Business (SDVOSB). Provide SDVOSB status if applicable to the offer. The greater the equality of offers within the non-price factors and price, the more important this status becomes in selecting the best value to the Government. Preference will be given to Service-Disabled Veteran Owned Business whose offer is equal to or exceeds all other offers in non-price and price factors and provides the best value to the Government. Furthermore, preference will be given to the Service-Disabled Veteran Owned Small Business whose offer is equal to or exceeds the proposals of any Veteran Owned Small Business and provides the best value to the

Government.

A42. For this specific factor it is requesting if the Contractor is SDVOSB or VOSB. For participation, large business should submit a subcontracting plan. Subcontracting goals are as follows: 25% SDVOSB, 27% VOSB, 3% HUBZONE, 5% SDB, 5% WOSB, and 50% SB.

Q43. Would the VA consider multiple awards for the five (5) CBOCs?

A43. No, it is the governments intent for a single award per the solicitation.

Q44. Would the VA consider lowering the estimated quantities for Stuart and Boca Raton to be more in line with current enrollment for a more accurate estimated cost.

A44. No

Q45. Will the VA please explain the rationale for the higher starting mental health estimated quantities given the history of enrollment in the CBOCs? Would the VA consider lowering the mental health Estimated Quantities in the CBOCs to be more in line with current enrollment for a more accurate estimated cost?

A45. No, WPBVA used future projections to estimate mental health enrollees per CBOC. The projections are in line with the estimates in the RFP.

Q46. Will the VA accept Doctor of Osteopathy Physicians? No

Will the VA a6ccept Board Eligible MD and DO Physicians? No

A46 No

Q47. As the incumbent contract as well as with all our CBOCs, we found that having designated

Phlebotomist is necessary, especially in larger CBOCs such as the Stuart and Fort Pierce CBOCs.

Is it the VA’s intent for the PACT team members to provide the phlebotomy services or will a designated phlebotomist/laboratory technicians be required in each CBOC?

A47. Yes, it is the VA’s intent to have a Phlebotomist/Laboratory Technician per clinic location.

Q48. Does the VA require 1.0 FTE TCT per clinic location or can this position be shared?

A48. The recommendation for TCT’s is one per CBOC in a optimal functioning Telehealth program for CVT/SFT/VVC support.

Q49. We are not able to purchase Thin Preps. Will the VA provide the Contractor with Thin Preps for the CBOCs

A49. Yes. Currently, lab provides thin preps to the CBOCs.

Q50. What hours will the VA utilize Telehealth Primary Care at each site?

A50. Monday thru Friday 8:00am – 4:30pm, future hours may be necessary upon discretion from the VA.

Q51. Do the clinic layouts require on stage/off-stage design?

A51. According to the PACT design guide the on-stage/off-stage concept is a requirement.

Q52. Are Women Health Exam rooms required in the clinics? If so, how many and can they be accounted for in the Patient Care Room numbers identified in the RFP?

A52. Yes, one women health exam room is required at each site. Yes, it can be accounted for in the patient care rooms identified. Please refer to directive attached

1330_01(4)_D_2021-

01-08.pdf

Q53. Will the government please confirm the Power Requirements and if two 20- amp dedicated receptacles are acceptable?

A53. We would recommend at least 3 dedicated circuits to 3 double Duplex receptacles

Q54. Will the government please confirm if shelves are required?

A54. Yes.

Q55. Will the government please confirm if a comparable brand to Leviton is suffice?

A.55. Comparable brands are acceptable as long as functionality and compatibility is the same.

Q56. Is the start-up 90 or 120 days after contract award?

Given that the contractor will be starting up five CBOCs, will the VA consider a 180-day start-up period?

A56. 120 days is a typo. The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans

Q57. Are there any email size restrictions when submitting the proposal electronically to Ms.

Reaser?

A57. The maximum is 5MB per email.

Q58. Does the VA want Factors 1-3 (Technical Capability, Past Performance and SDVO/SDVOSB) in the same document/volume or should each Factor be in a separate document/volume?

A58. No preference for submission; however, price should be submitted as a separate document.

Q59. Does the VA want all of these documents to be included in our response for Factors 1-3?

A59. No preference for submission; however, price should be submitted as a separate document.

Q60. What is the VA looking for in a Service Plan?

A60. Refer to evaluation factor 1, subfactor C which includes detailed description in regards to service plan

Q61. Medical liability insurance is a type of professional liability insurance. What kind of professional liability insurance is being requested in item (e) that is different from medical liability insurance?

A61. In regards to contract providers they are not covered under the Federal tort act and therefore would have to show proof of coverage regarding malpractice insurance.

For professional liability insurance is to show documentation that provides proof of coverage and summarizes the most important information about the providers professional liability insurance policy.

Medical malpractice insurance provides coverage to physicians and other medical professionals for liability arising from disputed services that result in a patient’s injury or death.

Q62. Who does the VA consider as Key Personnel?

A62. All clinical staff (including Physician, NP, PA, RN, LPN, etc.)

Q63.The transition plan described in #1 and the mechanisms used to begin contract performance in

#2 appear to be requesting the same information except for the staffing for the first 90 days of the clinic operation. Will the VA please clarify what the contractor should address in #1 versus what should be addressed in #2?

Additionally, this solicitation is for 5 distinct locations and the level of effort to gather all the applicable information is increased significantly, unlike a typical single clinic CBOC solicitation, especially regarding location, floorplans, and leasing information. Would the VA consider providing an additional two weeks to ensure contractors have adequate time to prepare a better proposal?

A63. On #1, A transition plan is regarding the phase-in plan prior to assuming responsibility under the contract. This plan This plan should address specific steps and key milestones necessary to assume full responsibility and #2 is regarding the capability and mechanism including staffing to be used (Please Refer to Factor 1, Subfactor (c) Transition/Start up Plan for full description).

Due date will be extended to May 16, 2022. Refer to SF30, Block 14.

Q64. Did the VA conduct a full Rule of Two analysis with regard to this solicitation? What was the result?

A64. That’s proprietary information, source selection sensitive. The Government did the due diligence, and this solicitation was issued as a result of it.

Q65. Did the contracting officer search the VIP database for VA-verified SDVOSB concerns?

What did the market research show?

A65. That’s proprietary information, source selection sensitive. The Government did the due

Q66. How many responses did the government receive from SDVOSBs and VOSBs for the sources sought notice for this solicitation?

A66. That’s proprietary information, source selection sensitive. The Government did the due

Q67. Did the VA do a bundling analysis regarding the purchase of services for 5 CBOCS in one solicitation, rather than issue separate solicitations for each of the 5 CBOCs, to determine if there was a way to avoid unnecessary and unjustified bundling of contract requirements that preclude small business participation in procurements as prime contractors?

A67. That’s proprietary information, source selection sensitive. The Government did the due

Q68. Did the VA get the approval or consent of each of the VA OSDBU and the SBA to issue this solicitation as a full and open solicitation that consolidates the purchase of 5 separate CBOCs into one solicitation?

A68. That’s proprietary information, source selection sensitive. The Government did the due

Q69. Did the VA take any steps or do any analysis to incorporate subcontracting opportunities for

VOSBs in this solicitation?

A69. That’s proprietary information, source selection sensitive. The Government did the due

Q70. Does the VA require a regional operations director or a regional medical director for oversight in the CBOCs?

A70. Yes

Q71. Is the LCSW listed on page 29 included or part of the required 0.67 FTE as stated in 2.7.1.?

A71. The LCSW listed on page 29 is part of PACT. The MH LCSW is separate.

Q72. Does the VA have an estimate of the number of vaccines provided in each of the CBOCs in the previous year?

A72. Vaccine Name Estimated Quantity

HEPATITIS A 1440 UNITS / SYRINGE (Havrix)

HEPATITIS A VACCINE INJ,SUSP / SYRINGE

(Havrix)

(MENVEO)/DOSE

PAPILLOMAVIRUS HUMAN INJ,SUSP/

ZOSTER VACCINE,RECOMBINANT / DOSE

8,108

MENINGOCOCCAL B (BEXSERO) 1

TETANUS/DIPHTHERIA TOXOID 0.5ML 179

DIPHTHERIA/TETANUS/PERTUSSIS(TDap)

INJ 830

TUBERCULIN PPD 5 UNITS/0.1ML INJ 34

Q73. Will the VA be supplying the GE 5500 EKG?

A73. No

Q74. What training will the Government provide to the CBOCs staff members prior to opening day at the CBOC?

A74. Please refer to section 7.35 training.

Q75. Please explain why the CLINs are flat and the government does not expect an increase in enrollees, despite the Veteran population growing in Florida over the life of the contract.

A75. The estimated quantity listed in the solicitation is based on historical data. There has not been a significant increase. Payment will be made based on billable rooster, please refer to section 7.2.1.3 which is the monthly billable rooster and invoice reconciliation.

Q76. Please provide most recent billable enrollee count for each CBOC

A76. The government provided an estimated amount listed in the solicitation.

Q77. Do the current CBOCs meet the government’s space requirements, and if not, will the existing locations be “grandfathered in” and available for rebid “as-is”?’

A77. The current spaces are not government property. The government does not have control over the current space.

Q78. The government has laid out minimum room requirements, is the “on-stage/off-stage” configuration with a shared teamwork zone required?

A78. Yes

Q79. Given the current supply chain issues, will the government consider a rolling startup of the clinics or at least increase the 180 day start up time frame?

A79. No, the startup is 90 days.

Q80. Please clarify the place of performance. Is each location to be in the city limits, or the zip listed with those cities in section 1.2? (Some cities have more than one zip code).

A80. Please refer to factor 1 subfactor d, geographic location.

Q81. Please list all VA staff that will be onsite at the clinic and the approximate number of days per week they will be there.

A81. No VA staff onsite

Q82. Will the new Contractor inherit the patients’ last vesting visit and be allowed to bill for one year from the date upon contract award?

A82. The government provided an estimated amount listed in the solicitation. Refer to section

7.2.1.3 which is the monthly billable rooster and invoice reconciliation.

Q83. Will the government be doing site visits prior to award? If so, how much advance notice will the contractor be given?

A83. On evaluation factors, there is no site visit requirement. Contractor should provide copies of the floor plans of proposed space (Reference Factor 1, subfactor (d): Geographic Location.

Q84. Please provide a count for each CBOC on how many Mission Act referrals, for Primary Care, were made the past 12 months for enrolled veterans at each of the clinics.

A84. West Palm Beach VAHCS does not have this information.

Q85. Please extend the due date of the proposal for 60 days beyond the date final questions are answered.

A85. Due date of proposals received will be due by May 16 , 2022.

Q86. In Factor 1 Subfactor (b) 5, Please confirm that a CV or resume is all that is required of proposed staffing (not licenses or transcripts).

A86. Yes, CV or resume.

Q87. Please list the vaccines the contractor is responsible for purchasing and provide information on how many of each vaccine were used at each clinic in the past year.

A87. Can not disclose how many were at each site.

SYRINGE

HEPATITIS A 1440 UNITS / SYRINGE (Havrix)

HEPATITIS A VACCINE INJ,SUSP / SYRINGE

(Havrix)

(MENVEO)/DOSE

PAPILLOMAVIRUS HUMAN INJ,SUSP/

SYRINGE

ZOSTER VACCINE,RECOMBINANT / DOSE

MENINGOCOCCAL B (BEXSERO)

TETANUS/DIPHTHERIA TOXOID 0.5ML

DIPHTHERIA/TETANUS/PERTUSSIS(TDap)

INJ

TUBERCULIN PPD 5 UNITS/0.1ML INJ

Q88. Will VA be converting to use the Prevnar 20 vaccine?

A88. Yes

Q89. Can the tele-health tech be a medical assistant?

A89. No

Q90. Will the VA be using Kiosk machines the waiting rooms?

A90. No

Q91. Please list all of the printers, scanners, and fax machines that VA will provide, since the VA will not connect non-VA equipment to their network.

A91. Please refer to section 4.17 of the solicitation.