36C25019Q0843-001.docx

36C25019Q0843-Battle Creek Outpatient, Substance Abuse Treatment

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1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C25019Q0843 08-0 -2019 Michelle C. Ford/Contract Specialist 734-222-7151 08- -2019 pm( Eastern 36C250 Department of Veterans Affairs Network Contracting Office 10 P.O. Box 492 Ann Arbor MI 48106 X Y 623220 $15 Million X N/A X 36C5250 Department of Veterans Affairs Battle Creek, VAMC 5500 Armstrong Road Battle Creek MI 49037 36C250 Department of Veterans Affairs Network Contracting Office 10 P.O. Box 492 Ann Arbor MI 48106

Department of Veterans Affairs Psychology Service (116B) 5500 Armstrong Road Attn: Stacy Hassett Battle Creek MI 49037 269-966-5600 ext 31164 269-223-6927 X Outpatient, Residential Substance Abuse Treatment and Halfway House Facility (HWH) Services for the Battle Creek, VAMC, in Battle Creek, MI. in accordance with the Performance Work Statement (PWS).

This acquisition will be conducted using the procedures in FAR Part 12, 13 and VAAR 873, utilizing the authority of

38 USC 8153.

This will be a Firm Fixed Price, Indefinite Delivery, Indefinite Quantity (IDIQ) Contract X X 1(one) Lisa Bailey Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

1. CONTRACT ADMINISTRATION: All contract administration matters will be handled by the following individuals:

Lisa D. Bailey, Contracting Officer

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with: 52.232-33, Payment by Electronic Funds Transfer – System for Award Management

3. INVOICES: Invoices shall be submitted in arrears: Monthly

4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted to the address listed on in section A.22.3. See Section A.22, Billing, of the Performance Work Statement for Invoice submission information.

All invoices shall include the following (see Section C1. 52.212-4, paragraph g, Invoice, of clause 52.212-4, Contract Terms and Conditions for additional Invoice Requirements and Supporting Documentation necessary for billing purposes).

1. Invoice Number

1. Invoice Date

1. Purchase Order Number (will always begin with 515)

5. CHANGES/MODIFICATIONS TO THE CONTRACT: The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this resultant contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer will be authorized to make commitments or issue changes that affect price, quantity, delivery or quality of performance of this resultant contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local VAMC and no adjustment will be made in the contract price to cover any increase in cost incurred as a result thereof.

The Contracting Officer’s Representative (COR) will be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

6. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

7. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

8. POST-AWARD ORIENTATION: The Contracting Officer will schedule a post-award orientation conference for contract orientation purposes.

B.2 SCHEDULE OF SUPPLIES OR SERVICES AND PRICE/COST SCHEDULE

The contractor shall provide Outpatient, Residential Substance Abuse Treatment and Halfway House Facility Services for veterans of the Battle Creek VAMC, 5500 Armstrong Road, Battle Creek, MI with particular focus on those who are homeless, in accordance with all terms, conditions, provisions and requirements listed herein. The Contract facility shall be able to serve veterans with substance diagnosis and or homeless veterans who are dually diagnosed.

Rates shall be inclusive of all services as may be necessary in the treatment of the veteran. Services shall be provided for a period of one (1) year from date of award with four (4) one-year option periods to be exercised at the discretion of the government.

The quantities stated in this price schedule represent the Government’s best estimate, based on historical usage and projected need. Please note that they are only estimates and are not a guarantee of future orders. The contract minimum of any resultant Firm Fixed Price, Indefinite Delivery, Indefinite Quantity (IDIQ) contract will be one (1) day. If no services are utilized, the one-time intake assessment minimum will be paid at the CLIN 0001 rate. The contract maximum will be 1,188 patients.

Note: This contract is firm fixed price and does not include an economic price adjustment mechanism. In lieu of an EPA clause, the following price schedule contains five distinct price list. Offerors shall price out base year and all option years.

Base Year - Period of one (1) year beginning on the date of contract award

Number of Veterans Cost

16.5

4.125

Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week 4.125 4.125 4.125

ALL PRICES ARE FIRM FIXED PRICE

Total Cost for Base Year: $____________________

Option Year One (1): - Period of one (1) year beginning on the day following the last day of the base year

Number of Veterans Cost

4.125

Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week 4.125 4.125 4.125

ALL PRICES ARE FIRM FIXED PRICE

Total Cost for Option Year 1: $____________________

Option Year Two (2) – Period of one (1) year beginning on the day following the last day of the option year one (1)

Number of Veterans Cost

4.125

Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week 4.125 4.125 4.125

ALL PRICES ARE FIRM FIXED PRICE

Total Cost for Option Year 2: $____________________

Option Year Three (3) - Period of one (1) year beginning on the day following the last day of the option year two (2)

Number of Veterans Cost

4.125

Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week 4.125 4.125 4.125

ALL PRICES ARE FIRM FIXED PRICE

Total Cost for Option Year 3: $____________________

Option Year Four (4) - Period of one (1) year beginning on the day following the last day of the option year three (3)

Number of Veterans Cost

4.125

Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week 4.125 4.125 4.125

ALL PRICES ARE FIRM FIXED PRICE

Total Cost for Option Year 4: $____________________

36C25019Q0843-Battle Creek Outpatient, Substance Abuse Treatment

Total Cost including Base and All Option Years: _____________________

B.3 PERFORMANCE WORK STATEMENT

A.1. Medication Assisted Therapy (MAT) Outpatient Addiction Services shall be furnished to beneficiaries for whom such care is specifically authorized by the BCVAMC. MAT may include induction and the use of Methadone or Buprenorphine as a replacement medication tool used in the treatment and recovery of opioid dependence to prevent withdrawal symptoms and opioid cravings while blocking the euphoric effects of opioid drugs. Methadone or Buprenorphine is used to stabilize the individual, so the treatment and recovery experience can be maximized. Methadone or Buprenorphine treatment services provide detoxification services to remediate the effects of opiate addiction as well as time-limited daily medication administration in the case of Methadone and periodic therapy intended to eliminate illicit opiate and other drug use and to wean persons from Methadone or Buprenorphine. To accomplish this, the service shall address major lifestyle, attitudinal and behavioral issues that have the potential to undermine the goals of treatment or to inhibit the individual's ability to cope with major life tasks without the non-medical use of alcohol or other drugs. Providers should be able to maintain and meet the needs of diverse populations. Outpatient Addiction services are designed to engage individuals in recovery which may result in, but not limited to: a reduction of maladaptive behaviors, maximize behavioral self-control, or restore normalized psychological functioning, reality orientation, re-motivation, and emotional adjustment, thus enabling improved functioning and more appropriate, interpersonal and social relationships. Outpatient Addiction therapy services may be provided to individual beneficiaries or to groups of beneficiaries for whom such care is authorized by the BCVAMC, 5500 Armstrong Road, Battle Creek, MI 49037.

A.2. Non-attendance at VA approved outpatient services, in excess of two (2) missed visits shall require notification to the Contracting Officer Representative (COR) by the Contractor. Veterans shall be advised regarding absence policy by facility, which shall require re-authorization by the COR. Continuation in the outpatient program shall be determined by the COR. The COR shall be advised within two (2) business days of Veteran withdrawal or termination.

A.3. The facility agrees to accept referral of and to provide all services specified in this contract, for any person determined eligible by the Chief, Medical Director or his designee, regardless of the race, color, religion, sex, or national origin of the person for whom such services are ordered. In addition, the facility warrants that subcontracting shall not be resorted to as a means of circumventing this requirement.

A.4. It is agreed that the VA may readily have access to all medical records concerning the Veteran's care. Upon discharge or death of the Veteran, medical records on all VA beneficiaries shall be provided to VA to maintain for a period of at least three (3) years following termination of care.

A.5. It is understood that the Veteran may be provided care at the expense of the VA for a period not in excess of that stated in the length of treatment contracted, unless an extension of the authorization is provided in writing by the VA.

MINIMUM STANDARDS FOR CONTRACTS FOR BENEFICIARIES OF THE DEPARTMENT OF VETERANS AFFAIRS.

A.6. COMMUNITY AGENCY: An agency licensed by the state to provide treatment services to individuals, because of their alcohol or drug dependent condition.

A.7. ACCREDITATION/LICENSING: Standards are to reflect the provision of outpatient substance abuse counseling. Since Federal Standards for such agencies are minimal and broadly defined, the facility shall meet the following additional VA standards:

A.7.1. The facility conforms to the standards of the Life Safety Code (National Fire Protection Association #101) in effect on the date of award of this contract. The facility shall conform to the fire and safety code imposed by State law, which adequately protects participants attending services, and meets all city, state, and Federal requirements concerning licensing and health codes. In all cases, the VA requires a level of safety which conforms to NFPA 101. All contract facilities shall be under State or Federal authority.

A.8. Accreditation and licensing by the State: Accreditation by Commission on Accreditation of Rehabilitation Facilities (CARF) or Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is evidence of internal quality assurance mechanisms and is desirable but is not required. The agency shall be licensed to provide substance abuse services by the State of Michigan Office of Recovery Oriented Systems of Care (OROSC). The agency shall be a licensed methadone program in the state of Michigan.

A.9. BASIC SERVICES: Basic services shall ordinarily include:

A.9.1. OUTPATIENT Services: Outpatient care is treatment provided in a setting other than the Veterans place of accommodation or residence housing. Services provided consist of Individual Counseling, Group Counseling, Intensive Outpatient Treatment, and Substitution therapy. Each Veteran shall have a record maintained by the agency. Each record shall contain an assessment obtained from interviews with the Veteran or from the referring VA facility. Each Veteran shall have a level of care determination based on the current version of American Society of Addiction Medicine’s (ASAM) Veteran Placement Criteria that shall be supplied to the COR. Formal contact between the agency and the Veteran shall be documented in the record. The Veteran shall need to sign a release of information form consistent with Federal confidentiality rules (42 CFR part 2) http://www.gpo.gov/fdsys/search/searchresults.action;jsessionid=1TfWSyQHhJFrxK4DnHSBp0pQ1dLsKxJ122nZsH1yHLhGTT0phCjn!-1564493401!-513242956?st=42+CFR+Part+2) and regulations regarding sharing information about substance abuse issues. The release shall be kept in the Veteran’s record and a copy provided to the COR. Each record shall have a written treatment plan outlining goals and plans to achieve them along with estimated dates of completion. At the termination of treatment each Veteran shall have a completed discharge plan that outlines directions and resources for further follow up. Treatment authorized by the VA shall be time limited and shall be included on the authorization sent to the Contractor.

A.10. Core Service elements include:

a. A diagnostic impression (including provisional impressions) for all five axis’s of the DSM IV.

b. Services are based on individualized determination of need.

c. Services are cost effective and are the least restrictive treatment option.

d. Completed Brief Addiction Monitor (BAM) a 17 item-measure of addiction problem severity that is designed to support measure-based treatment in substance use disorder care settings. The BAM may be used to determine Veteran’s strengths, indicate the areas of need and provide evidence of goal achievement.

e. The American Society of Addiction Medicine (ASAM) Patient Placement Criteria are used to determine substance abuse treatment placement/admission and/or continued stay needs.

The six assessment dimensions of the current ASAM Patient Placement Criteria include:

i. Withdrawal potential

ii. Medical conditions and complications

iii. Emotional, behavioral or cognitive conditions and complications

iv. Readiness to change

v. Relapse continued use or continued problem potential

vi. Recovery/living environment

f. Secure a signed Take-Home Contract for all persons who are on a take-home dose; Sundays and holidays the program is closed, constitutes a day the person is on a take-home dose.

g. The physician shall be available during medication dispensing and clinic operating hours, either in person or by telephone.

h. Random drug screens.

i. Documented attempts to taper from methadone using a clinical readiness tool.

j. Ability to conduct or arrange for appropriate laboratory and toxicology tests.

k. Linkage with the full continuum of substance abuse treatment services that promote ongoing recovery from addiction.

l. Providing at least minimal standard health information including education about human immunodeficiency virus (HIV), tuberculosis (TB) and sexually transmitted diseases (STD), and referral if necessary.

m. Coordinating treatment with the primary health care provider and other community resources.

n. Psychosocial treatment sessions.

o. Availability of physician(s) to evaluate, prescribes, and monitor(s) use of Methadone and Buprenorphine.

p. Licensed medical, nursing or pharmacy staff is available to administer medications in accordance with the physician’s prescriptions or orders.

q. Providing or arranging for psychological, medical, and psychiatric consultation.

r. Ability to conduct or arrange for appropriate laboratory and toxicology tests.

A.11. DISCHARGE from services: Individuals shall be discharged, and transitioned from outpatient services when:

a) The individual no longer meets the severity of illness criteria and has demonstrated the ability to meet all major role functions for a period of time sufficient to demonstrate clinical stability. If an individual requests transition to other service(s) because they believe they have received maximum benefit, consideration for the transition shall be reviewed during the individual treatment planning process. If clinical evidence supports the individual’s desire to transition, this evidence and the transition plan shall be detailed in a revised treatment plan. The plan shall identify what supports and services shall be made available.

b) Engagement of the individual in outpatient services is not possible, and the individual is unwilling to participate in treatment.

c) Referral to a more intensive treatment modality is justified by assessment.

d) The individual has moved outside of the geographic area and contact continues until services have been established in the new location.

e) Other factors influencing discharge:

f) An individual has exhausted the yearly benefit and does not meet criteria for extension of benefits.

i. The individual does not demonstrate capacity to benefit from outpatient services and may be offered alternative community based or referred back to the VA.

ii. There is a significant change in the individual’s psychiatric illness, and the individual would be more appropriately served by another treatment modality.

iii. An individual is incarcerated in long term treatment or criminal justice facility.

A.12. Outpatient Service Intensity Levels of Care for Substance Abuse Services include:

a) Individual therapy consists of meeting at the frequency agreed upon between the Veteran and a credentialed mental health provider and are clinically appropriate lasting at least 45 minutes focusing on issues contained in the agreed upon treatment plan contained in the Veteran record.

b) Supportive therapy consists of individual treatment sessions aimed at providing follow-up and support after other treatment is completed. Supportive Therapy consists of individual sessions that meet on a bimonthly basis or less and meeting for at least 45 minutes at a time.

c) Group Therapy consists of weekly meetings of at least 3 people at a time led by a credentialed mental health provider lasting at least 60 minutes focusing on issues in an agreed upon treatment plan contained the Veteran record.

d) Intensive Outpatient Treatment is three (3) to four (4) days per week program lasting at least three (3) hours at a time that involves group and individual therapy along with Veteran education in issues surrounding alcohol and other drug abuse and dependence. Treatment is conducted and supervised by a credentialed mental health provider.

e) Methadone maintenance is a daily use of a prescribed synthetic opiate to curb or satiate the craving for opiates and opiate derivatives. This service is provided by a duly licensed provider prescribed by a licensed physician and administered by licensed nurse. The medication is a daily administration and is supported by twice monthly counseling provided by a credential substance abuse counselor. This service shall be provided by a duly licensed Drug Enforcement Agency provider.

f) Buprenorphine therapy, Buprenorphine semi-synthetic partial opioid agonist that is used to treat opioid addiction. There are three phases of Buprenorphine maintenance therapy: induction, stabilization and maintenance. The induction phase is the medically monitored startup of Buprenorphine therapy. Induction is typically initiated as observed therapy in the physician’s office. The Veteran may be prescribed one-month supply for self-administration on the condition that the patient receives other dependence therapy. The stabilization phase has begun when a patient has discontinued or greatly reduced the use of his or her drug of abuse, no longer has cravings, and is experiencing few or no side effects. The Buprenorphine dose may need to be adjusted during the stabilization phase. The maintenance phase is reached when the patient is doing well on a steady dose of Buprenorphine. The length of time of the maintenance phase is individualized for each patient and may be indefinite. The alternative to going into (or continuing) a maintenance phase, once stabilization has been achieved, is medically supervised withdrawal.

A.13. RECORDS AND REPORTS: An individual Veteran record shall be maintained on each Veteran admitted under this agreement, which shall include, in addition to reasons for referral:

a. All essential identifying data relevant to the Veteran and his/her family including a socio-cultural assessment.

b. Data relating to the Veteran's admission.

c. Copies of any medical prescriptions issued by physicians, including orders, if any, for medications to be taken.

d. Reports of periodic Veteran re-evaluation.

e. Final summaries on each Veteran who leaves the program, to include reason for leaving, the Veteran's future plans, and follow-up locator information.

f. Individual case records shall be maintained in confidence as required by title 42, U.S.C., Part II, "Confidentiality of Alcohol and Drug Abuse Veteran Records," (http://www.gpo.gov/fdsys/pkg/CFR-2000-title42-vol1/content-detail.html). Records shall be accessible to the evaluation study required by Congress.

g. Periodic Reports shall be provided to the VA (i.e. Fiscal Accountability) as required.

h. Monthly listing of Veterans discharged, and date of discharge be submitted to the VA.

i. Facilities providing substitution therapy shall provide the Community Halfway House (CHWH) coordinator a weekly dosage level on all Veterans contracted by the VA.

j. If facilities store Veteran information on computer storage devices, facilities shall maintain contracted Veteran information separate from non-Veteran patient information with the use of secure files (e.g. encrypted or password protected).

k. Veteran information and records shall be secured with a double lock system.

A.14. STAFFING. Sufficient staff in number and position qualifications to carry out the policies, responsibilities, and programs of the facility.

A.14.1. The Staff qualification requirements for providing substance abuse services to Veterans are as follows: Clinicians shall at a minimum possess a Masters’ Degree from an accredited college or university with specialization in clinical psychology, social work, or counseling. Staff are required to have a State of Michigan Temporary Limited Licensed Psychologist license (TLLP), Limited Licensed Masters Social Worker license (LLMSW), or Limited Licensed Professional Counselor (LLPC); and be eligible to obtain State of Michigan Limited Licensed Psychologist (LLP) license or obtain a Licensed Masters Social Worker-Clinical license or Licensed Professional Counselor within time limits outlined by the State of Michigan licensing board. Certification as an Addiction Counselor (CAADC) credential or ability to file and have approved your developmental plan is preferred. Clinical experience in treating substance abuse preferred. The Masters Level Clinician, under general supervision (as required by licensure), is able to perform evidence-based practice according to nationally-recognized standards to reduce symptoms and maximize recovery for individuals receiving services. The Masters Level Clinician shall ensure that all documentation of client contact, and treatment services is complete, thorough and accurate, to meet all agency, state and professional standards. This individual shall be able to write initial assessments that accurately build on strengths and deficits resulting in a DSM IV multi axil diagnosis. The Masters Level Clinician shall be able to develop individualized treatment plans that are written in the language of the Veteran and reflect the Veteran's goals and measurable objectives. The agency shall also have on staff a physician licensed to induct, monitor and prescribe both Buprenorphine and Methadone. The physician shall meet all applicable state and federal licensing requirements. Each Federally approved physician is allowed to manage only 30 patients on Buprenorphine for opioid addiction as outpatients.

A.15. SCOPE OF CARE. The care provided shall include:

A.15.1. Opportunities for immediate learning/development of responsible living.

A.15.2. Support for the individual desire of sobriety (alcohol/drug abuse-free life style).

A.15.3. Opportunities for learning, testing, and internalizing knowledge of illness/recovery process, and to up-grade skills and improve personal relationships.

A.16. INSPECTION. It is agreed that the VA shall have the right to inspect the facility by authorized representative(s) designated by the VA. Prior to the award of a contract and annually during the contract term, a multi-disciplinary VA team consisting at a minimum of a physician, a social worker, psychologist, or nurse, and a Quality Management Safety Officer shall conduct a survey of the outpatient addictive services facility. The Safety Officer shall inspect the facility for conformity to the current Life Safety Code.

A.17. FIRE, SAFETY AND SANITATION PRACTICES. Acceptable safety and sanitation practices shall be observed throughout the facility. The building shall conform to the standards of the Life Safety Code (National Fire Protection Association #101) in effect on the date of award of the contract.

A.18. PRIVACY. All medical record documentation, and any VA sensitive information, accessed or created by any Contractor personnel, is strictly confidential, and all contract personnel shall maintain confidentiality of all such information, including sensitive Veteran data, shall secure sensitive printed information in approved storage containers, e.g. locked cabinets, when not in use, practice good housekeeping with equipment and work areas, refrain from the illegal reproduction or use of copyrighted and licensed software, and utilize the data only to the extent necessary to perform the requirements of this contract.

A.18.1. Documentation and record keeping shall be in accordance with VAMC policies and procedures. All time frames for documentation and authentication shall be adhered to.

A.18.2. All medical record documentation reviewed or created by contract personnel are confidential and protected under the Privacy Act of 1974, the Healthcare Insurance Portability and Accountability Act of 1996 (HIPPA), as well as all applicable VA laws and regulations. Any individual making unauthorized disclosure may be criminally liable for violations under the Act. Contract personnel shall adhere to HIPAA regulations.

A.18.3. All records created or received by Contractor, or any contract personnel, for purposes of this contract, shall be and remain the exclusive property of the VA, shall not be removed or transferred, and shall be maintained in accordance with the Privacy Act, 5 U.S.C. 552a, 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records), 38 U.S.C 7332 (Confidentiality of certain sensitive medical records), Standards for Privacy of Individually Identifiable Health Information (HIPAA Privacy Rule, (45 CFR Parts 160 and 164)), and other applicable federal laws, rules, and regulations, all which can be found on http://www.gpo.gov/ site. It is not anticipated that any of these authorities shall permit removal, transfer, or copying, or that Contractor shall otherwise obtain a property interest in any such records. All such records shall be returned to VA in accordance with authorized direction at contract expiration, however that may occur.

A.18.4. Any sharing or disclosure of sensitive information with persons other than those who may be expressly authorized under the terms of the contract shall sign a Release of Information on VA Form 10-5345 (provided in Section D), or other legal authority.

A.18.5. Responsible to maintain information security as outlined in the next section following the Performance Work Statement (PWS).

A.19. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY

IMPROVEMENT(QI)

Quality Management/Quality Assurance Surveillance: Contractor (s) shall be subject to Quality Management measures, such as patient satisfaction surveys, staffing and supportive services, timely completion of records and reports, and Social Work Reviews. Methods of Surveillance: Direct observation shall be performed periodically or through 100% surveillance. There shall be periodic inspections to evaluate outcomes on a periodic basis. Inspections may be scheduled Daily, Weekly, Monthly, Quarterly, Annually or unscheduled, as required. There shall be progress or status meetings.

Contractor performance shall be monitored by the government using the standards as outlined in this PWS and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP).

a. Measure: Accreditation/Licensing Performance Requirement: (100%) Contractor shall possess Accreditation by the Commission on Accreditation of Rehabilitation Facilities (CARF) or Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Contractor shall be licensed to provide substance abuse services by the State of Michigan Office of Recovery Oriented Systems of Care (OROSC). Contractor shall be licensed to provide Methadone and Buprenorphine in the State of Michigan.

Standard: 100% Acceptable Quality Level: (100%) during annual rating period Surveillance Method: Random Inspection of records. VA team Inspection Frequency: Yearly or Randomly

b. Measure: Training and Certification of Staff Performance Requirement: Staff shall have appropriate level of education as documented in the

PWS.

Standard: Passing random inspection and documentation of meeting the performance standards listed above Acceptable Quality Level: 100% of randomly inspected files Surveillance Method: Inspection of record.VA Team inspection Frequency: Yearly or Randomly

c. Measure: Billing Performance Requirement: 100 % Authorizations and payments shall match corresponding dates of service and services performed.

Standard: Passing random inspection and documentation of meeting the performance standards listed above Acceptable Quality Level: 95% of randomly selected cases Surveillance Method: Periodic Inspection of Records Frequency: Periodically

d. Measure: Documentation Performance Requirement: 100% Veteran files at Contractor location shall be kept separate from other files at Contractor location. All information contained in Veteran files shall be kept confidential except if Veteran provides authorized release.

Acceptable Quality Level: 95% Surveillance Method: Periodic sampling of selected cases/files Frequency: Yearly and Randomly

A.20. RECORD MANAGEMENT. Citations to pertinent laws, codes and regulations such as 44 U.S.C Chapter 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

A.20.1. Contractor shall treat all deliverables under the contract as the property of the U.S.

Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

A.20.2. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government ‘IT’ equipment and/or Government records.

A.20.3. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

A.20.4. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

A.20.5. The Government Agency owns the rights to all data/records produced as part of this contract.

A.20.6. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor shall deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

A.20.7. Contractor shall comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

A.20.8. No disposition of documents shall be allowed without the prior written consent of the Contracting Officer. The Agency and its Contractors shall be responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

A.20.9. Contractor shall obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-Contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under or relating to this contract. The Contractor (and any sub-Contractor) shall abide by Government and Agency guidance for protecting sensitive and proprietary information.

A.21. BILLING

A.21.1. INVOICES: Invoices shall be submitted promptly to the authorizing facility by the 15th calendar day following the end of the month in which services were rendered. All invoices shall include the full name and address of the facility and shall reflect the Veteran's name, social security number, number of days billed, level of care category, and per diem rate. Failure to include this information may result in delayed payments.

A.21.2. PAYMENTS: It is understood that payment made by the VA under this agreement shall constitute the total cost of the facility care. The Contractor agrees that no additional charges shall be billed to the beneficiary or his family, either by the facility or any third-party furnishing services or supplies required for such care - unless and until specific prior authorization in writing is obtained from the VA that authorized payment.

A.21.3. PAYMENT DUE DATE: Payments under this contract shall be done on the 30th calendar day after acceptance of all requirements for the contract and receipt of a proper invoice to:

Stacy Hassett, Psychology Service (116B), Department of Veterans Affairs Medical Center, 5500 Armstrong Road, Battle Creek, Michigan 49037, phone 269-966-5600 extension 31164 and fax 269-223-6927.

The date of the check issued in payment shall be considered to be the date of payment made.

A.22. SPECIAL CONTRACT REQUIREMENTS

A.22.1. TERMINATION OF SERVICES: VA reserves the right to remove any or all VA Veterans from the facility at any time, when it is determined to be in the best interest of the VA or the Veteran, without additional costs to the Government.

A.22.2. 90 DAY MUTUAL TERMINATION: This agreement shall remain in force during the period stated, unless terminated at the request of either party after 90 days’ notice in writing. To the extent that this agreement is so terminated, VA shall be liable only for payment under the provisions of this agreement for services rendered prior to the effective date of termination.

A.22.3. Acceptable safety and sanitation practices shall be observed throughout the facility. The building shall conform to the standards of the Life Safety Code (National Fire Protection Association Standard #101) in effect on the date of contract award.

A.22.4. JCAHO Guidelines. Where the contract does not require JCAHO accreditation or other regulatory requirements regarding worker competency, the Contractor shall perform the required work in accordance with JCAHO standards. The Contractor is required to develop and maintain the following documents for each Contractor employee working on the contract: credentials and qualifications for the job; a current competence assessment checklist (an assessment of knowledge, skills, abilities and behaviors required to perform a job correctly and skillfully; includes knowledge and skills required to provide care for certain Veteran populations, as appropriate.); a current performance evaluation supporting ability of the Contractor employee to successfully perform the work required in this solicitation; and listing of relevant continuing education for the last two years. The Contractor shall provide current copies of these records at the time of contract award and annually on the anniversary date of contract award to the VA COR, or upon request, for each Contractor employee working on the contract.

B.4 IT CONTRACT SECURITY

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

1. GENERAL

Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS

a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

b. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.

d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.

e. The contractor or subcontractor must notify the Contracting Officer…