36C24925R0057 0003.docx

36C24925R0057 A0003 – Savannah CBOC Services

36C24925R0057 A0003 – Savannah CBOC Services

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)

A0003

MSO-2024-COM-0031

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129

90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129 To all Offerors/Bidders

36C24925R0057 12-04-2025

X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 01-14-2026 10AM CST

The purpose of this amendment is to:

1) Provide answers to vendor questions. No additional questions will be taken.

2) Extend the solicitation close date to 1-14-2026 at 10:00AM Central Time.

Please ensure all Proposals and Past Performance Surveys are emailed to olivia.cloutier@va.gov for consideration.

Carol Franklin Contracting Officer

Vendor Questions and VA Answers provided. Solicitation due date extended.

•FY 25 104 exams 5 MRI, 2 BIOPSY, 16 U/S, 81 MAMMO

•Mental Health: 507

“h. Offeror shall email the Contract Specialist, Angela Tucker, and obtain a code to be used on Offeror’s proposal in place of the Offeror’s name in all of Volume II. The Offeror is instructed to not include its name or any Offeror specific identifying information anywhere in Volume II of its proposal.”

Additionally, we respectfully note that on page 141, Olivia Cloutier is provided as individual to provide the code.

Will Government please confirm that Ms. Tucker is the correct individual to obtain a code in place of the Offeror’s name and if confirmed, provide Ms. Tucker’s email address?

All requests for information, including obtaining the code to be used in place of the Offeror’s name in Volume II, should be directed to Olivia Cloutier, olivia.cloutier@va.gov

However, we respectfully note the instructions provided on pages 140 and 141 do not provide instructions for what Evaluation Factor 1 – Past Performance is to include.

What information does the Government request to Offeror’s submit for Evaluation Factor 1 – Past Performance?

We note that page 144 includes the requirement for Evaluation Factor 1 – Past Performance.

Reference above answer to question 1 which states to include the Past Performance references and relevant information in Volume I, as Section 4.

There is no set format for Past Performance references. It is recommended to include an active point of contact. As a reminder, all Past Performance Surveys/Past Performance Questionnaires shall be submitted by the reference and not the offeror.

However, we respectfully note the instructions provided on pages 140 and 141 do not provide instructions for where Evaluation Factor 1 – Past Performance is to be submitted.

Is Attachment D.19, Past Performance Survey, required to be submitted for past performance references?

This is a determination made by the offeror. Although any completed Past Performance Survey/Questionnaire shall be submitted by the reference and not the offeror. Past Performance Survey/Questionnaire are encouraged.

“…Offeror shall also submit with proposal its overall turnover rate of professional personnel working under the same or similar contracts. (PWS Reference: 2.21)”

We would respectfully request that the Government confirm that the information requested is for the three past performance references each Offeror submits with their proposal?

It is the overall company turnover rate for same or similar contracts; you can include this information in Management Plans/Quality Control.

•Mental Health: 507

What is the reasoning behind starting the enrollment 507 when the enrollment in VSSC is only 40?

Mental Health enrollment is currently 507.

The RFP states, proposed clinic site for Savannah CBOC must be physically located in the city of Savannah, Tennessee. Preference will be given to a single-level building structure, and preference will be given to a facility that is located within 10 miles of a hospital with emergency room facilities.

Is it a requirement or a preference that the CBOC facility be within 10 miles of a local hospital?

It is a requirement.

Is the bidder required to staff a 1.0 FTE phlebotomist/lab technician to cover all clinic hours?

Yes.

Is the PCMHI staffing ratio included in this total of 9 FTE per 1000 MH enrollees?

This is in addition to the PCMHI staffing ratio. PCMHI does not count towards the general/specialty mental health staffing requirements.

VHA Outpatient Mental health staffing policy currently requires 1.0 MH administrative support staff per 1,000 MH patients. With 507 patients in MH CLIN, is it appropriate for offerors to include 0.5 MH FTE administrative support staff instead of the 1.0 FTE outlined in the RFP?

This can be shared, but there needs to be administrative support available throughout the entire day (e.g. it cannot only be on Monday, Wednesday and Friday). Patients will need to be checked in/checked out/scheduled for follow-up, etc.

In order to appropriately staff the TCTs, how many synchronous and asynchronous encounters does the Savannah CBOC anticipate per year?

Savannah completed 878 episodes of CVT, 30 Tele-eye, 0 Tele-derm. We anticipate that Savannah will have 1,000 CVT/SFT episodes this year.

In the Instructions to Offerors, it states Proposals will consist of submitting two separate proposal volumes: Volume I - Price and Volume II - Technical Capability, Business Operations, and Small Business Participation. There is no mention of providing Past Performance information.

In Attachment D.6 Deliverables / Reports, it states, a minimum of three (3) past performance references, utilizing the Past Performance Questionnaire.

Attachment D.19 Past Performance Survey was provided.

There is no mention of Past Performance in the Instructions for the Preparation of Proposal. Given that Volume II can not contain any vendor (Offeror) specific information, rather the Vendor will obtain a code from the Contract Specialist, Angela Tucker, and that code shall be utilized in Volume II in place of Vendor's name, would the Past Performance references be located in Volume I Price?

Is there any information or format the VA would like to see in the Past Performance references?

Reference above answer to question 1 which states to include the Past Performance references and relevant information in Volume I, as Section 4.

There is no set format for Past Performance references. It is recommended to include an active point of contact. As a reminder, all Past Performance Surveys/Past Performance Questionnaires shall be submitted by the reference and not the offeror.

Please contact Olivia Cloutier, olivia.cloutier@va.gov to obtain a code for Volume II.

Plan B is not listed in Attachment D.15 Annual Vaccine and Medication History. Is the bidder responsible for the cost to provide Plan B? And what is the historical monthly and annual usage at the Savannah CBOC for the past 3 years?

Yes, contractor shall provide all medications, including any necessary vaccines that are to be administered to patients in the clinic. To date, Savannah clinic has not had to prescribe any.

Will the VA provide a complete list of medications and vaccines to include all injectable medications that the Contractor is expected to provide? And, will the VA provide historical monthly and annual usage at the Savannah CBOC for the past 3 years?

Attachment D.15 Annual Vaccine and Medication History includes usage for the past 12 months. Routine prescriptions will be dispensed by the VA and mailed via VA Centralized Mail Out Pharmacy (CMOP). All other medications including vaccines that are to be administered to patients are to be provided by the contractor.

Who pays for the cost of these contracted local pharmacy medications?

If the Veteran uses a non-VA pharmacy or out-of-contract pharmacy (ie, Heritage contract), then they (the Veteran) will incur all charges.

If the VA is providing the Clinical Pharmacy Services, wouldn't the VA be responsible for the anticoagulation management and providing anticoagulation quality assurance summaries?

Yes, VA provides the AC services listed.

Is it acceptable for the PACT Team staff to provide support for the VA provided CPS?

For the PACT CPP, we do not need ancillary support at the site (i.e. MSA, lab and occasionally nursing).

Does the VA have historical data on general x-rays, diagnostic radiographs and mammograms completed by the Savannah CBOC?

FY24 85 exams 1 MRI, 13 U/S, 71 MAMMO FY 25 104 exams 5 MRI, 2 BIOPSY, 16 U/S, 81 MAMMO

Does the VA require any other POC testing? For example, INR, Glucose, HbA1C and if so, will the VA provide the equipment for the same?

Covid testing.

Does the VA want 1 or 2 additional rooms? Would the VA be willing to receive alternative proposals for offerors to provide these 2 clinic services instead of the VA?

VA doesn't currently need space for Audiology at this time. Tele-audiology services will be provided by VA.

Is one of the 3 exam rooms required to be a women's exam room and if so, does each PACT Team need to have a women's exam room?

Yes, one of the exam rooms can be a women's health room. We are required to have at least women's health providers at all times so at least 2 rooms are required.

Where in the proposal should the EOC be located? Given that our EOC management plans are close to 100 pages long, is it acceptable to provide this as an attachment, or would it be acceptable to provide this information within 15 days after contract award?

It is acceptable to provide this information within 15 days after contract award.

Will the VA please clarify what is considered "identifying information"? Does this include any names of organization leadership/management team members, using bidder's CBOC contract names or leaders in company's experience/ performance, email addresses that include company name in it and phone numbers for contact information, etc.?

Identifying information is considered the name of the Offeror, any logos, or email addresses. There should really not be any reason to include an email address or phone number in Volume II.

Please contact Olivia Cloutier, olivia.cloutier@va.gov to obtain a code for Volume II.

In addition to unique reimbursement models to account for construction cost recovery, is VA willing to consider pricing that includes specific value-based care payment model that lowers PMPM but allows for quarterly incentive payments for contractor performance in areas such as eQM, reduced emergency department visits and reduced hospitalizations?

Offerors may make the proposal but it is suggested to also submit an alternate proposal with standard PMPM pricing.

Will the VA permit tables, graphics, labels, footnote, org chart, etc. to have a font size smaller than 11 point? Is it acceptale to use other font types in graphics?

Yes, a font size no smaller than 8 may be used. Times New Roman or Arial are to be used.

Is the overall turnover rate that the VA is referencing in Evaluation Factor 1 - Past Performance, referring to the overall turnover rate for the reference contract provided by the bidder, or is it referring to the bidders overall company turnover rate for same or similar contracts? If it referring to the bidders overall company turnover rate, is it to be provided in the Past Performance section of the proposal or in the Management Plans/Quality Control section of the proposal?

It refers to the overall turnover rate under the same or similar contracts. Please provide in the past performance section.

If the bidder plans to buildout a new facility, is it acceptable if the bidder provides the state or local inspection of the facility upon completion of the construction?

Is the bidder to demonstrate that the proposed building will meet the codes for building, fire, and safety in our proposal or after contract award?

Yes.

Which section should the back up staffing plan for absences short or long term/scheduled or unscheduled vacancies be located in the proposal, Sub-Factor C or Sub-Factor E?

Sub-Factor E.

Would the VA like to see the Recruitment and Retention Plan in Sub-Factor C or Sub-Factor E?

Sub-Factor E.

Given that we are not the incumbent contractor with an existing facility, we can't obtain a CLIA certificate until after contract award once we have credentialed the clinic physician director. Is it acceptable to the VA if the contractor provides the CLIA certificate after contract award and prior to providing patient care?

In order to provide services for the VA, the contractor must have an active CLIA, If awarded, service cannot commence until the Contractor meets the 1106.01 requirement.

Given that this is a firm fixed price contract, why would time and attendance logs be required?

Time and attendance logs are not required.

Is the bidder required to provide all their past performance references with the Past Performance Survey to complete and have them submit to directly to the VA?

This is a determination made by the offeror. Although any completed Past Performance Survey/Questionnaire shall be submitted by the reference and not the offeror. Past Performance Survey/Questionnaire are encouraged.

The following updates are incorporated via this amendment:

1. RFP E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES – INSTRUCTIONS FOR THE PREPARATION OF PROPOSAL. Changes are in red, bold italics.

FROM:

h. Offeror shall email the Contract Specialist, Angela Tucker, and obtain a code to be used on Offeror’s proposal in place of the Offeror’s name in all of Volume II. The Offeror is instructed to not include its name or any Offeror specific identifying information anywhere in Volume II of its proposal.

TO:

h. Offeror shall email the Contract Specialist, Olivia Cloutier, olivia.cloutier@va.gov, and obtain a code to be used on Offeror’s proposal in place of the Offeror’s name in all of Volume II. The Offeror is instructed to not include its name or any Offeror specific identifying information anywhere in Volume II of its proposal.

2. Add a Section for Past Performance in Volume I - RFP E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES – INSTRUCTIONS FOR THE PREPARATION OF PROPOSAL. Changes are in red, bold italics.

FROM:

1) Email one (1) copy of Volume I. Volume I shall be separated into sections as follows:

· Section 1 – Signed 1449 and Signed Amendments; B.1 Contractor Administration Information

· Section 2 – Completed B.2 Schedule of Price and Services

· Section 3 – All RFP attachment documents requiring signatures

TO:

1) Email one (1) copy of Volume I. Volume I shall be separated into sections as follows:

· Section 1 – Signed 1449 and Signed Amendments; B.1 Contractor Administration Information

· Section 2 – Completed B.2 Schedule of Price and Services

· Section 3 – All RFP attachment documents requiring signatures

· Section 4 – Past Performance

3. E.6 52.212-2 EVALUATION— COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) (DEVIATION AUG 2025); SUB-FACTOR B; Bullet 4. Changes are in red, bold italics.

FROM: Within ten (10) days after award, Offeror shall provide a copy of the latest State or local inspection of the facility that substantiates appropriate codes for building, fire, and safety are met. The Offeror shall also demonstrate that the proposed building meets the codes for building, fire, and safety to ensure the VA that veteran patients are in a safe environment. (PWS Reference: 8) TO: Within ten (10) days after award or upon completion of construction, Offeror shall provide a copy of the latest State or local inspection of the facility that substantiates appropriate codes for building, fire, and safety are met. The Offeror shall also demonstrate that the proposed building meets the codes for building, fire, and safety to ensure the VA that veteran patients are in a safe environment. (PWS Reference: 8)