36C24821R0092 A0002.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 3

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

05-12-2022

X

X X

**HOUR & DATE for receipt of offers is 05/23/2022,3:00 ET

X 01

The purpose of this amendment is to provide clarification/correction to the following questions (refer to attached) and extend the due date of the solicitation to May 23, 2022.

**TIME FOR QUESTIONS IS CLOSED**

Yamil O. Gomez

Contracting Officer

Q1. Questions 86, 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).

A1. Please refer to the solicitation Factor 1, subfactor (b): management, experience, and Staffing, number 5, letters a and b, page 180.

a. Key Personnel List. Provide a list of the names of the qualified physicians, physician assistants, nurse practitioners, and other primary care provider staff intended to be utilized in the performance of this contract and/or describe the mechanism used to provide qualified physicians, physician assistants, nurse practitioners, and primary care provider staff to perform the contract work.

b. List the number of administrative support staff and describe the level of training and experience that will be utilized to meet the administrative support functions of this contract, including such functions as patient scheduling, medical record documentation, record processing and reporting

Q2. Questions 17, 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.

A2. Please refer to the solicitation section 4.9, page 97 regarding the requirements.

Q3. Question 2, the government referred to section 7.2.1.3. Section 7.2.1.3.4 clearly states that “This list will include the names of all Veterans who are assigned to the Contractor’s site of care in PCMM and have had at least one (1) qualifying encounter with

Contractor’s PCP within the previous 12 months.” This means that if the incumbent is unsuccessful, the new contractor will NOT have seen ANY patients in the last 12 months and that the new contractor will have to vest every existing enrollee starting day one.

--We do not think that is the VA’s intention, so please confirm the VA’s intention.

--If the new contractor does not inherit the previous contractor’s last vesting visits, please confirm the contractor will not be held to Mission Act appointing standards until the VA’s newly created backlog in appointing is cleared.

--If the new contractor does not inherit the previous contractor’s last vesting visits, please confirm that the VA will handle all medication management for patients until patients are vested by the new contractor.

A3: Yes, the new contractor will inherit the billable roster, and then each month the contractor is to send an updated roster identifying any new additions or removals to the COR who will verify.

Q4. In the answer to Question 11, the government was asked to provide the most recent three months’ billing enrollment numbers for each clinic, but specifically did not answer, instead referring bidders to the estimated amount. The actual billing enrollment numbers is traditionally answered during Q&A and serves to level the playing field among all bidders. Without this information the incumbent has an unfair advantage, because it knows the actual numbers rather than the estimates, which may or may not be accurate.

Please provide the most recent three months’ billable enrollment numbers for each

CBOC.

A4: Primary Care:

Boca Raton: 2219

Delray Beach: 4290

Fort Pierce: 3824

Okeechobee: 1453

Stuart: 4626

Vero Beach: 3128

Mental Health:

Boca Raton: 173

Delray Beach: 185

Fort Pierce: 212

Okeechobee: 63

Stuart: 209

Vero Beach: 144

Q5. In A79, the government clarified that the startup period is 90 days. Given the nationally acknowledged supply chain issues, this is a completely unrealistic expectation for anyone but the incumbent, which can continue seeing patients in existing clinics until construction is complete. Please allow contractors to present a six month rolling start-up plan for the clinics so that the RFP does not unfairly favor the incumbent and shut out competition.

A5: Start-up is 90 days

Q6. The government has separate CLINs for Primary Care and Mental Health.

a. Can the same patient be billed for each line item if they are using both services?

A6. Refer to solicitation section 7.2.1 Billable Roster.

b. Is a mental health patient automatically placed on the mental health roster?

A6. Refer to solicitation section 7.2.1 Billable Roster.

Q7. In the answer to Q46, the Government states that a Doctor of Osteopathy is not acceptable for the role of a physician under this contract. This decision significantly reduces the availability of qualified physicians who are universally accepted at other

CBOCs and by the VA itself (see 38 USC Sec. 7402(b), which states that to be eligible to be appointed to a physician position with the VA, a person must hold a degree of doctor of medicine or of doctor of osteopathy . . .”). Restricting the physician position to only doctors of medicine seems like an unnecessary restriction that will limit the pool of eligible caregivers, which could both reduce the level of care and increase the cost of hiring physicians, and also has the impact of limiting competition. Please confirm that

Doctors of Osteopathy are eligible to be used in these CBOCs, just as they are eligible for physician positions with the VA itself.

A7. Yes.

Q8. With regard to the answer to question 70, if the VA is requiring a Regional Operations

Director or a Regional Medical Director, please provide the qualifications for these positions.

A8. Qualifications for Regional Medical Director or Physician Director, please Refer to

Section 2.2 of the Solicitation, pages 23-24. For Regional Operations Director or

Administrative Associate, please refer to Section 2.3.4 of the solicitation, page 28.

Q9. In order to give contractors time to update pricing and their proposals, please extend the proposal due date for 30 days after all questions have been answered.

A9. Solicitation was extended until May 16th and on this amendment is hereby extended until May 23rd.

Q10. The Answer to Q64 regarding the Rule of Two analysis and its result states that the answer is “proprietary information, source selection sensitive. The Government did the due diligence, and this solicitation was issued as a result of it.” The VA (not any private company) is required to conduct a Rule of Two analysis, so the answer of whether the VA did so cannot be proprietary. Also, as the VA is required to conduct the analysis, the answer as to whether such analysis is done does not seem to be protected source selection sensitive information. Please confirm that the VA conducted a Rule of

Two analysis with regard to this solicitation.

A10. Yes

Q11: Yes. The Answer to Q65 regarding the review of the VIP database and its result states that the answer is “proprietary information, source selection sensitive. The

Government did the due diligence, and this solicitation was issued as a result of it.” The VA (not any private company) is required to review the VIP database, so the answer of whether the VA did so cannot be proprietary. Also, as the VA is required to do the review, the answer of whether or not the review was done does not seem to be protected source selection sensitive. Please confirm that the VA reviewed the VIP database for VA-verified SDVOSB concerns with regard to this solicitation.

A11: Yes.

Q12. The Answer to Q67 regarding the bundling analysis and its result states that that the answer is “proprietary information, source selection sensitive. The Government did the due diligence, and this solicitation was issued as a result of it.” The VA (not any private company) is required under FAR 7.107-2(a) to conduct a consolidation analysis, so the answer of whether the VA did so cannot be proprietary. Also, as the VA is required to conduct the analysis, the answer as to whether such analysis is done is unlikely to be protected source selection sensitive. Please confirm that the VA did the steps required by FAR 7-107-2(a) with regard to this solicitation.

A12. Yes

Q.13. Given the significance of continuing questions and the need for contractors to update their locations and proposal information based on those answers, please extend the proposal due date to 30 days after final questions are answered.

A13. Solicitation was previously extended until May 16th and on this amendment is hereby extended until May 23rd. Time for question are already closed on April 25th.