36C24920R0088 0002.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 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) 10-27-2020 None Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 400 Murfreesboro

TN

37129 90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 400 Murfreesboro

TN

37129 To all Offerors/Bidders

36C24920R0088 10-05-2020

X X X

The purpose of this amendment is to post follow up questions and answers. No extensions are given as a result of this amendment. The proposal due date remains the same.

Jackie L. Merriman Contracting Officer

CONTINUATION PAGE

1. Is TeleMedicine allowed for PC services for this clinic? This would allow for a credentialed provider to provide services remotely if necessary, via VVC or telephone visits.

The order of providing primary care for services is first face-to-face, followed by VVC, then telephone visits. TeleMedicine is not allowed for the provider to work remotely; However, the provider can provide TeleMedicine from the clinic as part of their workload following the order of providing primary care services as stated in the first sentence.

2. Note: Pg. 23: b. Can TelePsych be utilized for Psychiatrist, working remotely versus working on-site?

Yes, however the psychiatrist will need to follow all Arkansas state license and policies, procedures, and directives which may include having periodic meetings with any nurse practitioner he/she is listed as the supervising psychiatrist for on file with the Memphis VAMC Credentialing and Privileging office. Additionally, it is also the contractor’s responsibility to ensure there is adequate mental health coverage and the expectation that if needed, the psychiatrist does not solely work remotely and prepared to provide face-to-face care as well.

3. Pg. 45: Is POC Rapid INR testing allowed?

We do not do rapid INR at our CBOCs.

4. Section 4.6.2.11, pg. 36 states that the Contractor pays for mammography. Please give number of anticipated mammograms that will be needed in an average year.

5. Section 4.56.4.1, pg.44 states: RADIOLOGY SERVICES –The Contractor shall provide by way of contract for, diagnostic radiographs and mammography services (screening mammography, diagnostic mammography, and breast ultrasound). Please provide the average number and types of diagnostic radiographs that the Contractor will be responsible to provide in an average year.

The number of diagnostic radiographs is data that cannot be pulled by the Memphis VAMC because it is the responsibility of the contractor; Therefore, there is not a report that the facility can run to see how many the contractor has provided in the past year.

6. How many VA staffed personnel will be providing services at the CBOC? Please list job title and number of days per month.

(1) - Ophthalmology TECS Technician – 5 days per week

7. Will the VA provided staff require an office at the CBOC? If yes, what type and size?

The VA provided staff will not require a separate office at the CBOC. The staff will work and be based out of the ophthalmology room that is specified in the space requirements paragraph of the solicitation.

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

Yes

9. Will the VA require a clinic manager, if so what qualifications?

Yes. The manager may be at the contractor’s choosing either an LPN or RN. It is the Memphis VAMC’s preference that the manager has a strong primary care background yet also familiar with mental health care.

10. Thin-Prep PAP testing supplies are not available for purchase by Contractor, will the VA supply?

Yes

11. Section 4.6.7.2, pg. 59 requires Contractor to perform Tele-Retinal services. Who provides the equipment VA or Contractor?

The VA will provide all telehealth equipment for the CBOC.

12. Pg. 70: Are there specifications for designated PCMHI rooms in the floor plans?

There are not any specifications solely for the PCMHI rooms, however, please follow all facility requirements and design guidelines listed in the solicitation.

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