36C25621R0004 0001.docx

Franklin CBOC Questions/Answers

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 NUMBERE

D 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 amendmen t, 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) 05-17-2021 Not Applicable

MSO-2021-COM-0024

Department of Veterans Affairs Network Contracting Office 16 Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 North Little Rock AR 72114 1706 Department of Veterans Affairs Chief, A&MM (90C/NLR) Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 North Little Rock AR 72114 1706 To all Offerors/Bidders

36C25621R0004 05-17-2021

X

X The purpose of this Amendment is to change the "Offer Due Date" from 5-18-2021 to 5-31-2021. The time due will remain as

3:00 PM CDT.

This Amendment also provides answers to questions that were received and considered timely. See pages 2-11 **No other changes are being implemented via this Amendment**

Billy R. Morris Contracting Officer

2.7.5 MH staffing

ANSWER: Yes Contactor’s Physicians performing under this contract shall be board certified (or board eligible) by the ABMS in Internal Medicine and/or Family Practice or the BOS in Internal Medicine and/or Family Practice

Physicians shall demonstrate evidence of education, training, and experience in Internal Medicine or Family Practice. Physicians performing under this contract shall be board certified (or board eligible) by the ABMS in Internal Medicine and/or Family Practice or the BOS in Internal Medicine and/or Family Practice. Authorization for prescriptive authority is required

ANSWER: No, each clinic will be a standalone service clinic set forth.

ANSWER: No, each clinic will be a standalone service clinic set forth

ANSWER: (See Highlighted Areas) DISCIPLINE SPECIFIC 2: CLINICAL PHARMACY SPECIALIST (CPS) ANTI-COAGULATION: FTE Ratio Performance Standard: 1.0 FTE per 5 PACTs. Qualifications: Required education and experience demonstrating skills and abilities to perform duties ensuring smooth site operations. CPS who is a licensed pharmacist who is a graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Phar.D.) degree and has at least 1 year of pharmacy equivalent experience at the next lower level at the time of employment. In addition to the requirements listed above, the CPS. Pharmacists must meet licensed qualification standards to include a graduate of a degree program in pharmacy from an approved college or university and have post-graduate experience performing chronic disease state and medication management services (e.g., post-graduate residency, direct patient care under collaborative practice agreement or similar equivalent experience). The degree program must have been approved by the ACPE. Current, full, active, and unrestricted license in the state in which the Outpatient Site of Care (i.e. CBOC) is located; otherwise qualifications as per VA Handbook 5005, Part 2, Appendix G15, Licensed Pharmacist Qualification Standards located at: https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=1006&FType=2 . Authorization for a VA scope of practice is required, in accordance with VHA Directives 2008-043 and 2009-014 or subsequent policy release, and must adhere to pharmacy practice acts within that state. If proposed staff do not meet VA credentialing requirements, the Contractor shall propose substitute acceptable personnel within five (5) calendar days. Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care. Clinical Pharmacy Specialists shall be scheduled to sufficiently provide the needs of enrolled patients functioning in the capacity of an advanced practice provider (under scope of practice or collaborative practice agreement) as their primary duty is to assist providers with comprehensive medication management (i.e. anticoagulation therapy management).

ANSWER: No, each clinic will be a standalone service clinic set forth

ANSWER: Yes, this will be acceptable in addition to Mental Health staff required, not a standalone practice but in addition to.

ANSWER: Radiological studies will be deferred to the VAMC unless in case of emergencies.

ANSWER: Yes, this position is a required FTE. LPN’s are allowed as contingency plans or staffing coverage temporarily such as annual or sick leave.

ANSWER: Twice a day Monday-Thursdays and once on Fridays since the lab closes at 10:00 AM on Fridays.

ANSWER: Yes, but only in addition to Mental Health in person on station. The agency requires TelePsych as a supplement, not replacement.

ANSWER: Clinic Uniques

FRA TH MHC PAT 87

FRA VVC MHC SW 69

FRA VVC MHC NP 54

FRA VVC PACT RN 15

FRA VVC PACT 1

FRA TELEDERM IMAGING 8

ANSWER: Confirmed

ANSWER: Manages coumadin but not some DOAC (direct oil anti-coag).

ANSWER: Yes, the network circuit, physical phones, and dial plan for that location. We do not provide the 1FBs / Commercial Analog lines for the site.

The clinic direct dial number is provided by the contractor/vendor.

ANSWER: If the clinic stays in the same location, OIT will not require them to make changes to the existing infrastructure since it meets OIT standards. If the location moves the contractor will be required to meet all infrastructure in accordance with all OIT standards.

ANSWER: If the clinic stays in the same location, OIT will not require them to make changes to the existing infrastructure since it meets OIT standards. If the location moves the contractor will be required to meet all infrastructure in accordance with all OIT standards.

ANSWER: If the clinic stays in the same location, OIT will not require them to make changes to the existing infrastructure since it meets OIT standards. If the location moves the contractor will be required to meet all infrastructure in accordance with all OIT standards.

ANSWER: No VA Staff will be stationed at the clinic.

ANSWER: OIT will provide certain printers, scanners or other peripheral that is approved to meet OIT standards for this location on the OIT network only.

ANSWER: The Contractor can supply a desktop color printer because there are no accessible links to patient files.

4.5.3.3 Clinical Pharmacy Services - CONTRACTOR SUPPORTED/VA PROVIDED TELE HEALTH DELIVERY Section 2.4.1 of the RFP requires the contractor to provide CPS 1.0FTE/3 PACT teams; however, Section 4.5.3.3 asks contractor to provide space and support for VA Telepharmacy support services.

ANSWER: The VA will staff a CPS (tele). Contractor not required to fill it.

four (4) L6-20 receptacles one (1) L6-30 receptacle in the closet

ANSWER: The power requirement will depend on the type of UPS system is purchased to meet OIT standards. OIT is requesting 2-separate Circuits. Ex. One power supply in UPS and the other supply into the wall that is connected to generator or outside power.

ANSWER: No. The contractor would not be required to provide infrastructure equipment.

ANSWER: No VA Staff personnel will work physically at the site. OIT staff will be provided as needed to troubleshoot IT products and services.

ANSWER: Agency does not maintain a billable roster. The VA verifies and confirms the visits.

ANSWER: No.

ANSWER: Yes.

**END OF QUESTIONS AND ANSWERS**

36C25621R0004