36C24919R0190-0002000.docx

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 ADM

INISTRATIVE 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 d ate 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 3

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) 08-14-2019 None 90C Department of Veterans Affairs Network Contracting Office 9 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129 90C Department of Veterans Affairs Network Contracting Office - 9 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129 To all Offerors/Bidders

36C24919R0190 08-14-2019

X X 4:00 pm Central Time 8-19-19 Amendment number 0002 is issued to answer potential offeror questions. The due date for proposals has been extended until August 19, 2019 at 4:00 pm Central Time.

Dana Dixon Contracting Officer

CONTINUATION PAGE

COMBINED SYNOPSIS #36C24919R0190

QUESTIONS AND ANSWERS

QUESTION 1. - Is the Psychiatry position for outpatient only or a combination of inpatient and outpatient?

ANSWER - Combination of both. Depending on the needs of the service.

QUESTION 2. - If inpatient is involved, what is the average daily census?

ANSWER - Approximately 30 QUESTION 3. - How many other psychiatrists are on staff?

ANSWER - 12 outpatient, 4 inpatients QUESTION 4. - Is call required? If so, how often? What is the call rotation?

ANSWER - No call required.

QUESTION 5 - Page 9 reads: 2.1.2. Board Certification - All contractor’s physician(s) shall be Board Certified /Board Eligible by the American Board of Psychiatry http://www.abpn.com, The American Board of Psychiatry and Neurology (ABPN) “does not recognize or use the term “Board Eligible” and does not issue statements concerning “Board Eligibility.” This is pulled directly from their website: https://www.abpn.com/faqs/. How does a vendor confirm board eligibility to meet this requirement?

ANSWER - Board Certification is not required for our providers, but preferred. See the below guidance from the American Board of Medical Specialties https://www.abms.org/media/195020/abms-board-eligibility-policies-faq-april-2019.pdf Board Eligibility Policy ABMS defines board eligibility as the period of time between when a physician completes an ACGME-accredited residency program and when initial certification in a specialty or subspecialty is achieved.

The ABMS Board Eligibility Policy for Specialty Certification (effective January 1, 2012) and the ABMS Eligibility Policy for Subspecialty Certification (effective January 1, 2018) places limits on this time period. These policies enable the ABMS Member Boards to set parameters for how candidates can use the term board eligible as a way to signal their preparations for certification while at the same time closing off the potential for abuse through using the term indefinitely.

Policy in Practice A candidate's eligibility for board certification (board eligible period) expires on a date determined by the ABMS Member Board. Individual Member Board requirements must be met, including time in practice required (if any) for admissibility to the qualifying or certifying examination.

When a candidate’s board eligibility lapses, and certification is not achieved, the physician must cease and desist from making any representations of board eligibility. The Member Boards also determine whether a candidate can re-establish board eligibility one additional time. If granted, the candidate must complete all requirements set by the particular ABMS Member Board. The new board eligibility period typically is of the same duration as the original time period set by each Member Board.

NOTE: While some Member Boards may not recognize the term “board eligible,” their policies appropriately limit the time that may elapse before a physician becomes board certified. See the ABMS Board Eligibility Policies FAQs[PDF] QUESTION 6.- Will the VA consider removing “the contractor shall provide a replacement physician coverage within 2 hours” from section 2.9.3 as this requirement is almost impossible to meet.

ANSWER - No, the contractor must provide a substitute provider with comparable qualifications to perform in the physician’s stead if he/she is unable to report to duty. During an emergency or unplanned absence, the contractor will provide a substitute physician within two hours of being notified.

During a planned absence, the contractor is required to notify the Mental Health service 45 days in advance if a substitute physician is not available.

QUESTION 7. - Section 4.5.2.1.1 states the position is for “inpatient care” but section 3 focus on ‘clinic’ hours. Will the psychiatrist be asked to work in both an inpatient and outpatient setting?

ANSWER - Yes. Depending on the needs of the service. The Psychiatrist will fill an inpatient or outpatient vacancy and may be asked to provide coverage.

QUESTION 8. - Regarding the psych solicitation for Memphis, can you please confirm that there is no call requirement?

ANSWER - No call is required.

QUESTION 9. - Will this solicitation cover Inpatient or Outpatient services?

ANSWER - Both QUESTION 10. - As a follow on to the previous question, if the contract calls for both Inpatient and Outpatient services, can the contracting team please speak to what the percentage / mix is anticipated to be?

ANSWER - The provider will be assigned to an inpatient or outpatient vacancy. The provider will not be asked to alternate between inpatient and outpatient however, if coverage is needed, the provider will need to be flexible.

Example: Dr. “A” is contracted. He is assigned to the inpatient unit. He will report to the inpatient unit where he will be expected to work 100% of the time (40 hours weekly). If Dr. “B” who works in the outpatient clinic calls in sick, Dr. “A” may be asked to see some of Dr. “B’s” patients.

QUESTION 11. - Can the contracting team please comment on how many patients per day can be anticipated?

ANSWER - Six patients for an hour appointment or roughly 12 patients for half-hour appointments; or any combination of one-hour and half hour appointments per day totaling six to six- and one-half bookable patient hours per day."

QUESTION 12. - Can the contracting team address call? Will there be call, and if so, can the we get an understanding as to what the rotation is?

ANSWER - No call is required.

QUESTION 13. - On the RFP it says restricted to " Service Disabled Veteran Owned Small Business/Veteran Owned Small Business (SDVOSB/VOSB)" Is that to imply either a SDVOSB or a VOSB firm can bid?

ANSWER - Yes, either SDVOSB or VOSB QUESTION 14. - I am inquiring about 36C24919R0190 - BC/BE Psychiatrist for the Memphis, TN VA.

Can you provide any information on the incumbent or previous spend?

ANSWER - This is a new requirement QUESTION 15. - Is this a new contract or is work currently being performed under a related contract today?

ANSWER - This is a new requirement QUESTION 16. - Related to the above question, if there is an existing contract currently in force to cover the services outlined in this solicitation, has the scope of work changed, and if so, how?

ANSWER - This is a new requirement NOTE: Period of performance is per amendment 0001