36C25621R0041 0003.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)

629-22-3-179-0018

MSO-2021-COM-0043

10N16 Department of Veterans Affairs Network Contracting Office (NCO 16)

715 A. Pear Orchard Rd.

Ridgeland MS 39157

10N16 Department of Veterans Affairs Network Contracting Office (NCO 16)

715 S. Pear Orchard Rd Ridgeland MS 39157 To all Offerors/Bidders

36C25621R0041 12-04-2021

X

X

See CONTINUATION Page

One (1)

1. The purpose of this amendment is to provide response to all questions received from potential offerors.

2. See continuation pages for the Q&A.

3. Where applicable, the RFP document is amended to make the change/correction as annotated in the Q&A.

4. All other terms and conditions shall remain as stated.

5. END OF AMENDMENT

Toni A. Clendenen Contracting Officer

VA-VHA-2021-EABD9C35

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Base POP Begin: 04-01-2022 POP End: 03-31-2023 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers PRODUCT/SERVICE CODE: Q201 - Medical - General Health Care Estimated number of Enrolled Veterans per month is 988 x 12 mos = 11,856 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Base POP Begin: 04-01-2022 POP End: 03-31-2023 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 469 x 12 mos = 5628

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 1 POP Begin: 04-01-2023 POP End: 03-31-2024 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1017 x 12 mos = 12,211 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 1 POP Begin: 04-01-2023 POP End: 03-31-2024 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 501 x 12 mos = 6012

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 2 POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1047 x 12 mos = 12,570 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 2 POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 521 x 12 mos = 6252

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 3 POP Begin: 04-01-2025 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1078 x 12 mos = 12,941 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 3 POP Begin: 04-01-2025 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 541 x 12 mos = 6492

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 4 POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1110 x 12 mos = 13,324 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 4 POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 561 x 12 mos = 6732

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 5 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1143 x 12 mos = 13,719 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 6 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 581 x 12 mos = 6972

Primary Care Services at capitation rates per member per month (PMPM)

POP Begin: 04-01-2028 POP End: 03-31-2029 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1146 x 12 mos = 13,752 annually

Mental Health Services at capitation rates per member per month (PMPM)

POP Begin: 04-01-2028 POP End: 03-31-2029 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 601 x 12 mos = 7212

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 7 POP Begin: 04-01-2029 POP End: 03-31-2030 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1166 x 12 mos = 13,992 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 7 POP Begin: 04-01-2029 POP End: 03-31-2030 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 621 x 12 mos = 7452

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 8 POP Begin: 04-01-2030 POP End: 03-31-2031 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1186 x 12 mos = 14,232 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 8 POP Begin: 04-01-2030 POP End: 03-31-2031 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 641 x 12 mos = 7692

Primary Care Services at capitation rates per member per month (PMPM) Contract Period: Option 9 POP Begin: 04-01-2031 POP End: 03-31-2032 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of Enrolled Veterans per month is 1206 x 12 mos = 14,472 annually

Mental Health Services at capitation rates per member per month (PMPM) Contract Period: Option 9 POP Begin: 01-01-2031 POP End: 12-31-2031 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers

Estimated number of enrolled veterans is 661 x 12 mos = 7932

End of Document Bogalusa, LA, CBOC RFP No. 36C25621R0041 Questions and Answers:

1. Incumbent Contractor. Is there an incumbent contractor for this requirement? If so, what is the name and DUNS number of the incumbent contractor?

Valor Healthcare - DUNS - 614770357

2. Incumbent Contract. Is there currently a contract for this service? If so, what is the contract number? What is the total value of the contract?

Contract # VA256-16-D-0004 - $6,103,421.00

3. FAR 52.212-1. Is the completed information from FAR 52.212-1 to be included in the “Business Proposal” or the “Technical Proposal”? (Ref: RFP Page 82) Business Proposal should include your proposed pricing, signed documents (SF 1449, SF 30(s), QASP) and subcontracting plan.

Technical Proposal should include all non-price criteria, socioeconomic program participation and past performance references.

Technical Proposal and Business Proposal (pricing) must be submitted separately via email to the CO toni.clendenen@va.gov. Title of email must include the RFP number 36C25621R0009 Bogalusa CBOC, Technical Proposal or Business Proposal.

4. D19 - Past Performance Questionnaire (PPQ). Do the 3 past performance references in the Technical Proposal need to match the same 3 references submitted on the PPQ forms?

They are the same. Section E, FAR 52.212-1 Addendum, Instructions to Offerors explains what is to be provided to the CO. Section D, Attachment D19 is the document that your references will be asked to complete and provide to the CO.

5. Technical Proposal. Is there a page limit? If so, please specify. (Ref: RFP Pages 86 and 87) Yes. Technical Proposal includes all non-price evaluation criteria as provided in FAR 52.212-2, Section E of the RFP and shall not exceed 30 pages. The Technical Proposal must be sent to the contracting officer (toni.clendenen@va.gov).

6. Business Proposal. Is there a page limit? If so, please specify. (Ref: RFP Page 87) Yes. The Business Proposal includes the proposed pricing and is included within Section B of the RFP. Contractor is to sign the SF 1449, complete all of the Line Items within the Price Schedule in Section B, sign all SF 30 Amendments, sign the QASP and provide the EFT information via email it to the contracting officer. The proposed Subcontracting Plan has a page limitation of no more than 10 pages and must be emailed to the contracting officer as part of the business proposal. Email to the CO toni.clendenen@va.gov

7. Financial Capacity. This is listed as a required submittal for the Business Proposal. However, there are no instructions on the type of “financial capacity” information the Government wants from offerors, e.g., balance sheets, profit & loss, etc.? Also, how many years must offerors submit financial capacity information, e.g., past 2 complete calendar years? (Ref: RFP Page 87) Removed from RFP.

8. Electronic Proposals. If there a size limit of the e-mail proposals, e.g, 10 megabytes?

No. However, the offeror is encouraged to confirm with the CO that submittal was received.

9. Proposal Evaluation Factors. The RFP states: “Technical and Past Performance are of equal importance. All sub-factors listed under Technical are of equal importance.” The RFP also states there are four evaluation factors to include: Factor 1. Technical Capability, Factor 2. Past Performance, Factor 3. Socioeconomic Status, and Factor 4. Price. Can the government clarify how Factors 3 and 4 are ranked relative to Factors 1 and 2, which is unclear? (Ref: FAR 52.212-2, RFP Page 102) Factors 1 and 2, Technical Capability and Past Performance when combined are more important than price.

Factor 3 Socioeconomic Program Participation – FAR 52.212-1, Addendum – Instructions to Offerors addresses what is required for the submittal and how it will be scored. Eligible SDVOSB (registered in VIP) small business offerors that provide the required information will receive full credit under this evaluation factor and be rated as most favorable. Eligible VOSB (registered in VIP) that provide the required information will receive partial credit under this evaluation factor and be rated as favorable under this factor. Non-Veteran small business concerns proposing to subcontract with a SDVOSB or VOSB (registered in VIP) will receive consideration under this factor. Any business concern that provides an incomplete response to the evaluation factor will be rated unacceptable. Socioeconomic status is of less importance than technical and past performance. Offeror is asked to identify and fill in which category they have listed in their Reps and Certs as defined by SBA (See page 95).

Factor 4 - Price is not a weighted evaluation factor. The Business Proposal (pricing) will be analyzed by the CO separately and a determination made as to whether the offered price is fair and reasonable. Award will be made to the offeror whose proposal is determined to be the best value to the government, based upon the evaluation of the price and all other non-price criteria.

10. References. Are the “References” listed on RFP page 88 associated with attachment D.19 – Past Performance Questionnaire (PPQ)? If so, what type of information should be included in the Business Proposal associated with submitting the PPQs?

Yes. See page 93 for minimum requirements. Section E, FAR 52.212-1 Addendum, Instructions to Offerors explains what is to be provided to the CO. Section D, Attachment D19 is the document that your references will be asked to complete and provide to the CO. PPQs must be submitted by the reference, not the offeror.

11. Pre-Proposal Conference. Given the complexity of the requirement, will the Government consider holding a pre-proposal conference?

No. The Government’s requirement is spelled out in the PWS, Technical Evaluation Criteria and Instructions to Offerors.

12. Personal Protective Equipment (PPE). Will the Government provide the contractor with PPE, e.g., N-95 masks, gloves, etc., as protection against the COVID-19 pandemic?

No. The selected contractor will be responsible for providing its own PPE to its employees.

13. Sub-Factor E – Key Personnel/Quality Staffing. The PWS does not provide a list of required Key Personnel. However, the RFP requests this information without being specific. Can the Government provide a specific list of the key personnel for which they want resumes submitted? (Ref: RFP Pages 92 and 93)

The RFP specifically lists what is required under Section 2. Staffing and Qualifications and in the Instructions to Offerors, Subfactor E.

14. Factor 3. Socio-Economic Program Participation. If the offeror is a non-SDVOSB or non-VOSB firm, can the Government clarify if having a SDVOSB and/or VOSB subcontractor / teaming partner is a mandatory requirement for offerors? Will not having a SDVOSB or VOSB firm as a subcontractor / teaming partner make the proposal non-responsive? (Ref: RFP Page 95).

No. Eligible SDVOSB (registered in VIP) small business offerors that provide the required information will receive full credit under this evaluation factor and be rated as most favorable. Eligible VOSB (registered in VIP) that provide the required information will receive partial credit under this evaluation factor and be rated as favorable under this factor. Non-Veteran small business concerns proposing to subcontract with a SDVOSB or VOSB (registered in VIP) will receive consideration under this factor. Any business concern that provides an incomplete response to the evaluation factor will be rated unacceptable.

15. Amendment 1. Can you please provide an active link to download the document on the www.SAM.gov Website? SAM.gov | Home is not a (https) secure site.

SAM.gov | Contract Opportunities

16. Patient Volume. Given offerors must comply with the VA PACT model, can the Government provide a history of patient / workload volume for the last 2 years (2019 and 2020), preferably broken out by month. (Ref: Sub-Factor B, RFP Page 91)

17.

QUESTION:

Will the VA consider modifying the CLIN number to match current declining enrollment trend?

ANSWER: Base Year estimated number of primary care enrollment is DECREASED to 988 then escalated by a projected estimated growth of 3% for each option year that follows. Projected enrollment numbers are estimates only and are not guaranteed. Provide PMPM pricing based upon the corrected price schedule attached to this amendment.

18.

Will the VA consider modifying the CLIN number to match current declining enrollment trend?

ANSWER: The VA projects an upward trend in mental health services. No change is made to the projected estimated emrollment over the 10 year life of the contract. Projected enrollment is an estimate only and are not guaranteed.

19.

Will the government please provide historical enrollment for primary care and mental health for the last five years?

ANSWER: See Question 16 Excel Attachment

20.

Does the VA want to the Contractor to sign the D.6 QASP and include it with the Technical Proposal?

ANSWER: Contractor is to sign the QASP and return it with their business proposal.

21.

Does the VA want to see any other documents in the Business Proposal, i.e. signed SF 1449, SF 30s, and D.1 VA Rules of Behavior in the Business Proposal?

ANSWER: Business Proposal should include the signed SF 1449 and any attachments that require a signature, signed SF 30 Amendments, Pricing for all line items (base and all options), QASP, EFT information and sub-contracting plan (if applicable). Financial Capacity information is removed.

22.

There are no “Packaging and Delivery of Proposal” instructions found in the RFP. Will the proposal be submitted electronically via email to Toni Clendenen or will hard copies be mailed? If proposal are submitted electronically, are there any size limitations? If proposals are submitted hard copy, how many copies of each volume is required?

ANSWER: Proposals must be emailed electronically to the Contracting Officer at toni.clendenen@va.gov. No hard copy submittals will be accepted. The Technical and Business Proposals are to be emailed separately and titled 36C25621R0009, Bogalusa CBOC, Technical Proposal and 36C25621R0009, Bogalusa CBOC, Business Proposal. Past Performance references may be provided prior to the RFP closing date and the email titled 36C25621R0009, your business name, Past Performance/References, Bogalusa CBOC. FAR 52.212-1, Addendum to the Instructions to Offerors is updated to add the submittal instructions.

23.

The PWS does not have a paragraph 6.1.2 in the PWS, what is the correct paragraph reference?

ANSWER: Correction: Start up Requirements listed under Section 18.0. Removed reference to section 6.1.2

24.

ANSWER: Yes. SF 30 Amendment 0001 is provided.

25.

ANSWER: The due date is extended to January 18, 2022 by 3:00PM CST. Amendment 0002 is attached and includes the changes to the RFP and the due date for offers of January 18, 2022 by 3:00 pm CST.

26.

QUESTION: Section 2 of the Performance Work Statement outlines the staffing required under the contract. Will the government require a clinic manager?

ANSWER: Section 2.2 states Physician Director: Position Responsibilities: Serves as medical director to oversee and be responsible for the provision of covered services to enrolled and unassigned patients presenting for care at the site.

27.

2.4.2 states contractor will provide anti-coagulation services via CPS, yet 4.9.4.2 states anti-coagulation services will be provided by SLVHCS. Will the government please confirm the VA will provide all anti-coagulation services?

Is anticoagulation therapy management to include both DOAC and Warfarin treatments? If so, can a rapid INR test be included for POC lab testing?

ANSWER: All warfarin patients are monitored by a Centralized Anticoagulation Hub based in Chicago, with the exception of HBPC patients. DOACs are only followed locally if Providers/patients wants CPS to. It's not required. No POC for INR here.

28.

Is the Contractor required to provide x-ray services on site at the outpatient site of care, or can the services be provided offsite in the local community?

ANSWER: Patients are referred to the VA Hospital unless there is an emergency. Emergency x-rays will be obtained by the contractor locally at contractor’s expense. No x-rays on site.

29.

DOCUMENT:

Performance Work Statement

How many times daily is the contractor required to send specimens to the VA Core Laboratory?

ANSWER: Once daily.

30.

The RFP calls for a TCT 1/5000 enrollment, will the VA require a 1.0 FTE TCT?

ANSWER: Yes

31.

RFP states contractor will provide supplies for PAP testing, however, if the contractor is not able to purchase Thin Prep, will the VA supply?

ANSWER: No. Contractor is required to provide all space, equipment and supplies necessary to provide comprehensive women’s health services.

32.

Will the government please confirm that the contractor will be required to provide vaccines? Will the government please provide a list of the vaccines required for this contract? Will the government please confirm that the VA will provide the urgent/emergent medications needed and they will be filled through a contracted local pharmacy for up to 10-days at the VA’s expense?

ANSWER:

hep A hep B hepA/B

TD

TDaP meningococcal pneumococcal zoster

HPV

MMR

Flu

COVID19

SECTION 4.8 - PESCRIPTION FULFILLMENT: Urgent/Emergent medications needed will be filled via contracted local pharmacy for up to 10 days. Urgent/Emergent Medications will be at the providers discretion based on patient needs. The 10 days is to bridge the gap until actual prescription is received by the veteran. Prescriptions written for filling via a contracted local pharmacy, must also be documented as non-VA medication in the EHR.

The VA Pharmacy will work closely with the Contractor in prompt mailing of medications. Prescriptions written for filling via a contracted local pharmacy, must also be documented as non-VA medication in the EHR. VA will pay for emergent medications filled by contracted local pharmacy.

33.

QUESTION

Are the EKGs performed at CBOC also reviewed by NOVA cardiologist within 48-72 hours?

34.

Is Columbia screening recommended instead of, or in addition to, a PHQ9 screens? In the Performance Measures, only PHQ9 is used for Behavioral Health Screening and is part of the Quarterly Reports.

ANSWER: The Columbia screening is recommended in addition to the PHQ9.

35.

36.

How many VA staffed personnel will be providing services at the Bogalusa CBOC? Will the government please list the job title and number of days per month? Will the VA provided staff require an office at the CBOC? If so, what type and size is needed? If VA provided staff is required an office, is that space already specified in 5.9 Space Requirements or is that in addition to those space requirements?

ANSWER: No VA staff will be stationed at the Bogalusa CBOC

37.

Answer: 2 data, 1 voip, 1 telecom

Will the Government please confirm if 1 telecom jacks versus 2 is required?

38.

ANSWER - if it is connected to the VA network Camera should by AXIS camera.

Will the government please confirm if there is any preference in using Dome and Bullet cameras versus Fisheye or 360 cameras?

39.

Answer: OIT will provide common network printer, scanners, and label printer on the VA Network only. The contractor is responsible for the consumables to support these devices.

40.

Will the Government please confirm if CAT 6 wiring is preferred and not CAT 6A?

ANSWER: .CAT6A is preferred 41.

Will the government please confirm that VA will supply small desktop color printer for patient education documents since contractor owned equipment is not permitted on VA network?

ANSWER: Government will provide a color network printer that any VA workstation\Laptop at the site can print to. Again, the contractor is responsible for all consumables, (Paper, Toner, Imaging units, maintenance kits).

42.

SECTION

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

QUESTION:

Will the government please confirm the Power Requirements and if two 20-amp dedicated receptacles are acceptable?

ANSWER: The contractor is responsible for all infrastructure to include the power requirements such as the two separate 20-amp circuits along with the 2200 Uninterruptable Powers Supply (UPS) in the IT Closet racks.

43.

Will the government please confirm if shelves are required?

ANSWER: A shelf would be installed on the rack with the actual Switches and Router. The rack with the patch panels does not require this.

44.

QASP Measure: Established PC Patient Wait Time acceptable quality level states, “Established Patient Wait less than 5 days from appointment create date.”

ANSWER: The goal is for the established patient to be seen within 5 days or less of the create date of requested. The scheduled-out dates are for the patient indicated date, say an established patient requests to be seen in a month. That won’t count against. Otherwise, it’s the providers discretion and guidance using the Return to Clinic order (RTC), example 3-6 months.

45.

Will the VA require an armed guard at the Bogalusa CBOC?

ANSWER: Yes, the Bogalusa CBOC requires an armed security guard.

46.

We were unable to find any details on the specific parameters on how much is allowed for psychiatry care in the clinic versus telepsychiatry services. Is there a minimum requirement for on-site face to face provided by the Psychiatrist versus care done remotely?

ANSWER: There is no minimum for onsite vs telework however, we recommend that the provider be face-to-face whenever possible. Each location is required to have same day access for Mental Health (walk-ins.) This is much easier to provide face-to-face as well as some meds that can only be prescribed by an initial face-to-face appt. COVID has allowed a temp change to this but eventually, this will go away.

47. Will the new contractor inherit the patient’s last Primary Care vesting visit and be allowed to bill for one year from that date upon contract award?

No.

48. How many veterans are currently on the CBOC Primary Care invoice (most recently billed by the current vendor)?

APC 988 and Mental Health 450

49. Can the government provide a breakdown showing the number of enrollees by the enrollee’s home zip code?

50. Is the clinic manager required to be an RN?

No.

51. Please list all positions the VA will staff on site at the CBOC by title and number of hours per week/month those employees will be on site.

No VA employees will be staffed on site.

52. Is it acceptable for the contractor to provide mental health, CPS, and social worker services via Tele Health?

It is only acceptable in addition to FTE’s as RFP dictates.

53. Will the Contractors proposed space be required to meet the on-stage/off-stage design with the PACT Zone?

Yes.

54. Are sliding barn doors required on both sides of the exam rooms?

Due to MST patients in Women’s Health, a lock is required for privacy.

55. Does the VA require the facility to be sprinkled?

Yes, per Fire Marshall and Safety.

56. Is the current facility and existing layout of the clinic acceptable to the VA?

Yes.

57. Sub-Factor B – Quality Staffing – Can resumes and licenses be submitted with the proposal and required transcripts be submitted post award?

No. Please follow the instructions to offerors, FAR 52.212-1 Addendum Section E of RFP

58. Please confirm that X-Ray is required to be provided on site (per PWS 1.1.1).

Patients are referred to the VA Hospital unless there is an emergency. Emergency x-rays will be obtained by the contractor locally at contractor’s expense.

59. Reference: Page 88 indicates the “proposal shall be submitted in the number of copies, to the addresses, and marked as indicated in the item entitled "Packaging and Delivery of Proposal" found in the "Specific RFP Instructions and Provisions" section/attachment of an RFP.”

Question: This section is not included in the RFP. Can Government indicated delivery method (hard copy binders or email submission), number of copies (if binder submission) and all other packaging/formatting information to ensure a compliant submission. Please note: due to the ongoing Public Health Emergency due to the Pandemic, we respectfully request an email submission.

Answer – Technical and Business Proposal is to be submitted via email only to the CO, toni.clendenen@va.gov. No hard copies will be accepted.

60. Reference: Page 92, Factor 1: Technical Capability: Sub-Factor E – Key Personnel/Quality Staffing – ii.4: Completed physician application (VA Form10-2850) for privileges at SLVHCS for all physicians, including ancillary providers.

Question: Can these be submitted post-award?

No, this is required for review by the Technical Evaluation Board.

61. Reference: Page 92, Factor 1: Technical Capability: Sub-Factor E – Key Personnel/Quality Staffing – iii. 1 and 2: Offerors shall provide copies of the following on any nurse practitioner(s) to be assigned to perform services under the contract, including any nurse practitioner(s) to provide coverage relief: 1. Transcript(s) from an Accredited Nurse Practitioner Program and 2. Graduation Certificate from an Accredited Nurse Practitioner Program Question: Can these be submitted post-award?

No, this is required for review by the Technical Evaluation Board.

62. Reference Page 91 - Factor 1 - Technical Capability: Sub-Factor A – Experience: Point VI - Offerors shall describe the mechanism to schedule qualified VA credentialed physicians and staff to cover the required clinic schedule. Describe contingency plan for covering enrolled patient’s appointments due to scheduled or unscheduled leave.

Cross-Reference Page 92 Factor 1 - Technical Capability: Sub-Factor D: Coordination And Continuity Of Care. Describe mechanism to schedule qualified physicians and staff to cover the required clinic schedule. Describe contingency plans for covering clinics due to scheduled or unscheduled leave. This element of the subfactor will be evaluated based on the offerors plan to cover staff shortages and clinic schedule.

Question: These elements appear duplicative. Does Government want the same information in two places? If these two requirements are not duplicative, can Government please specify the differences in the requests?

Answer: Duplicative, please submit contingency plans for physicians during scheduled and unscheduled leave for and during absences for continuity of care of patients.

63. Reference Page 87 – Business Proposal Instructions – The numbering of this section is confusing.

Question: Can Government clarify?

Answer: Business proposal submittal is to include the signed SF 1449, a completed Price Schedule from Section B of the RFP, signed SF 30 Amendments, signed QASP and proposed subcontracting plan. Business proposal is to be emailed to the CO at toni.clendenen@va.gov and titled 36C25621R0041 – Bogalusa CBOC – Business Proposal.

64. Reference Page 88 of RFP-- Evaluation of Proposal a. The Government will evaluate technical proposals in accordance with the criteria set forth in the Technical Evaluation Criteria of this RFP.

65. Please confirm that prior to release of the RFP, the government determined there were not two or more Small Disable Veteran Owned Businesses capable of providing this service.

Confirmed based upon market research conducted.

66. Please provide the date of any sources sought notice for this contract, and number of SDVOSB’s that responded.

06/24/2020 36C25620Q0829 Sources Sought Notice. Two SDVOSBs responded.

67. At least three SDVOSB’s have now been awarded CBOC contracts that are larger, more complex, and in more difficult staffing locations. Please explain VA’s justification in not setting this contract aside for SDVOSBs. These determinations seem bias and are subjective.

Market research conducted did not find two or more SDVOSBs with capability to provide the services. RFP posted full and open to maximize competition.

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Appointment - Completed Summary.xlsx Appointment - Completed Summary

Appointment - Completed Summary

Summary

Patient Detail

Please Note: The SSN drill down requires PHI access.

Wait Time From Patient Indicated Date Total 0 Day Wait 0-30 Days > 30 Days 0-7 Days 15 - 30 Days 31 - 60 Days 61 - 90 Days 91 - 120 Days > 120 Days Avg Wait Time

FY-Month Summary Level # # % # % # % # % # % # % # % # % # %

2019 (V16) (629) New Orleans, LA HCS Total 139,797 87,334 62.5% 133,702 95.6% 6,095 4.4% 116,482 83.3% 8,098 5.8% 3,728 2.7% 1,257 0.9% 551 0.4% 559 0.4% 5.7

Primary Care 84,780 49,842 58.8% 81,477 96.1% 3,303 3.9% 70,494 83.1% 4,897 5.8% 2,047 2.4% 571 0.7% 286 0.3% 399 0.5% 5.7

Established 80,096 47,652 59.5% 76,864 96.0% 3,232 4.0% 66,985 83.6% 4,373 5.5% 1,982 2.5% 570 0.7% 285 0.4% 395 0.5% 5.8

(322) Comprehensive Women’s Primary Care Clinic 4,250 2,216 52.1% 3,954 93.0% 296 7.0% 3,297 77.6% 304 7.2% 169 4.0% 65 1.5% 25 0.6% 37 0.9% 8.6

(323) PRIMARY CARE/MEDICINE 75,563 45,284 59.9% 72,658 96.2% 2,905 3.8% 63,500 84.0% 4,022 5.3% 1,784 2.4% 504 0.7% 260 0.3% 357 0.5% 5.6

(350) GeriPACT 283 152 53.7% 252 89.0% 31 11.0% 188 66.4% 47 16.6% 29 10.2% 1 0.4% 1 0.4% 10.0

New 4,684 2,190 46.8% 4,613 98.5% 71 1.5% 3,509 74.9% 524 11.2% 65 1.4% 1 0.0% 1 0.0% 4 0.1% 5.7

(322) Comprehensive Women’s Primary Care Clinic 230 79 34.3% 219 95.2% 11 4.8% 142 61.7% 39 17.0% 10 4.3% 1 0.4% 8.9

(323) PRIMARY CARE/MEDICINE 4,450 2,110 47.4% 4,392 98.7% 58 1.3% 3,365 75.6% 485 10.9% 53 1.2% 1 0.0% 4 0.1% 5.5

(350) GeriPACT 4 1 25.0% 2 50.0% 2 50.0% 2 50.0% 2 50.0% 24.0

Mental Health 55,017 37,492 68.1% 52,225 94.9% 2,792 5.1% 45,988 83.6% 3,201 5.8% 1,681 3.1% 686 1.2% 265 0.5% 160 0.3% 5.6

Established 51,602 35,468 68.7% 49,098 95.1% 2,504 4.9% 43,547 84.4% 2,763 5.4% 1,501 2.9% 606 1.2% 247 0.5% 150 0.3% 5.4

(502) MH CLINIC IND 37,047 25,007 67.5% 34,968 94.4% 2,079 5.6% 31,013 83.7% 2,002 5.4% 1,224 3.3% 516 1.4% 205 0.6% 134 0.4% 6.0

(513) SUB USE DISORDER INDIV 6,097 4,075 66.8% 6,016 98.7% 81 1.3% 5,194 85.2% 313 5.1% 77 1.3% 3 0.0% 1 0.0% 3.2

(534) MH INTGRTD CARE IND 1,279 1,097 85.8% 1,266 99.0% 13 1.0% 1,186 92.7% 25 2.0% 8 0.6% 3 0.2% 2 0.2% 1.9

(562) PTSD Outpatient Specialty & Residential Programs: Individual 7,179 5,289 73.7% 6,848 95.4% 331 4.6% 6,154 85.7% 423 5.9% 192 2.7% 84 1.2% 42 0.6% 13 0.2% 5.0

New 3,415 2,024 59.3% 3,127 91.6% 288 8.4% 2,441 71.5% 438 12.8% 180 5.3% 80 2.3% 18 0.5% 10 0.3% 9.0

(502) MH CLINIC IND 2,308 1,367 59.2% 2,077 90.0% 231 10.0% 1,638 71.0% 282 12.2% 130 5.6% 76 3.3% 16 0.7% 9 0.4% 10.0

(513) SUB USE DISORDER INDIV 132 70 53.0% 129 97.7% 3 2.3% 107 81.1% 7 5.3% 3 2.3% 4.5

(534) MH INTGRTD CARE IND 434 271 62.4% 430 99.1% 4 0.9% 353 81.3% 35 8.1% 2 0.5% 2 0.5% 3.9

(562) PTSD Outpatient Specialty & Residential Programs: Individual 541 316 58.4% 491 90.8% 50 9.2% 343 63.4% 114 21.1% 45 8.3% 2 0.4% 2 0.4% 1 0.2% 10.1

(V16) (629) New Orleans, LA Total 55,977 34,849 62.3% 52,435 93.7% 3,542 6.3% 45,746 81.7% 3,299 5.9% 2,014 3.6% 872 1.6% 356 0.6% 300 0.5% 7.0

Primary Care 30,858 16,152 52.3% 28,840 93.5% 2,018 6.5% 24,287 78.7% 2,172 7.0% 1,232 4.0% 389 1.3% 194 0.6% 203 0.7% 7.9

Established 28,853 15,484 53.7% 26,889 93.2% 1,964 6.8% 23,058 79.9% 1,792 6.2% 1,180 4.1% 389 1.3% 193 0.7% 202 0.7% 7.8

(322) Comprehensive Women’s Primary Care Clinic 2,381 1,210 50.8% 2,183 91.7% 198 8.3% 1,859 78.1% 159 6.7% 103 4.3% 50 2.1% 21 0.9% 24 1.0% 9.5

(323) PRIMARY CARE/MEDICINE 26,189 14,122 53.9% 24,454 93.4% 1,735 6.6% 21,011 80.2% 1,586 6.1% 1,048 4.0% 338 1.3% 172 0.7% 177 0.7% 7.7

(350) GeriPACT 283 152 53.7% 252 89.0% 31 11.0% 188 66.4% 47 16.6% 29 10.2% 1 0.4% 1 0.4% 10.0

New 2,005 668 33.3% 1,951 97.3% 54 2.7% 1,229 61.3% 380 19.0% 52 2.6% 0.0% 1 0.0% 1 0.0% 8.7

(322) Comprehensive Women’s Primary Care Clinic 120 31 25.8% 110 91.7% 10 8.3% 62 51.7% 32 26.7% 9 7.5% 1 0.8% 12.5

(323) PRIMARY CARE/MEDICINE 1,881 636 33.8% 1,839 97.8% 42 2.2% 1,165 61.9% 348 18.5% 41 2.2% 1 0.1% 8.4

(350) GeriPACT 4 1 25.0% 2 50.0% 2 50.0% 2 50.0% 2 50.0% 24.0

Mental Health 25,119 18,697 74.4% 23,595 93.9% 1,524 6.1% 21,459 85.4% 1,127 4.5% 782 3.1% 483 1.9% 162 0.6% 97 0.4% 6.0

Established 23,600 17,686 74.9% 22,256 94.3% 1,344 5.7% 20,366 86.3% 961 4.1% 687 2.9% 419 1.8% 149 0.6% 89 0.4% 5.6

(502) MH CLINIC IND 13,012 9,501 73.0% 11,909 91.5% 1,103 8.5% 10,891 83.7% 553 4.2% 547 4.2% 345 2.7% 129 1.0% 82 0.6% 7.7

(513) SUB USE DISORDER INDIV 4,674 3,370 72.1% 4,672 100.0% 2 0.0% 4,241 90.7% 115 2.5% 1 0.0% 1 0.0% 1.9

(534) MH INTGRTD CARE IND 664 608 91.6% 659 99.2% 5 0.8% 627 94.4% 14 2.1% 4 0.6% 1 0.2% 1.2

(562) PTSD Outpatient Specialty & Residential Programs: Individual 5,250 4,207 80.1% 5,016 95.5% 234 4.5% 4,607 87.8% 279 5.3% 135 2.6% 73 1.4% 20 0.4% 6 0.1% 4.4

New 1,519 1,011 66.6% 1,339 88.2% 180 11.8% 1,093 72.0% 166 10.9% 95 6.3% 64 4.2% 13 0.9% 8 0.5% 10.9

(502) MH CLINIC IND 659 438 66.5% 522 79.2% 137 20.8% 464 70.4% 41 6.2% 55 8.3% 62 9.4% 13 2.0% 7 1.1% 16.5

(513) SUB USE DISORDER INDIV 100 55 55.0% 99 99.0% 1 1.0% 85 85.0% 4 4.0% 1 1.0% 3.6

(534) MH INTGRTD CARE IND 251 208 82.9% 250 99.6% 1 0.4% 219 87.3% 11 4.4% 1 0.4% 2.1

(562) PTSD Outpatient Specialty & Residential Programs: Individual 509 310 60.9% 468 91.9% 41 8.1% 325 63.9% 110 21.6% 38 7.5% 2 0.4% 1 0.2% 9.4

(V16) (629BY) Baton Rouge, LA Total 27,449 18,278 66.6% 26,661 97.1% 788 2.9% 23,700 86.3% 1,306 4.8% 503 1.8% 117 0.4% 58 0.2% 110 0.4% 4.5

Primary Care 25,672 16,997 66.2% 24,903 97.0% 769 3.0% 22,206 86.5% 1,172 4.6% 492 1.9% 112 0.4% 58 0.2% 107 0.4% 4.6

Established 24,211 16,052 66.3% 23,452 96.9% 759 3.1% 20,863 86.2% 1,143 4.7% 485 2.0% 111 0.5% 58 0.2% 105 0.4% 4.7

(322) Comprehensive Women’s Primary Care Clinic 1,385 720 52.0% 1,318 95.2% 67 4.8% 1,074 77.5% 101 7.3% 50 3.6% 12 0.9% 1 0.1% 4 0.3% 6.2

(323) PRIMARY CARE/MEDICINE 22,826 15,332 67.2% 22,134 97.0% 692 3.0% 19,789 86.7% 1,042 4.6% 435 1.9% 99 0.4% 57 0.2% 101 0.4% 4.6

New 1,461 945 64.7% 1,451 99.3% 10 0.7% 1,343 91.9% 29 2.0% 7 0.5% 1 0.1% 0.0% 2 0.1% 2.4

(322) Comprehensive Women’s Primary Care Clinic 85 35 41.2% 85 100.0% 0 0.0% 63 74.1% 3 3.5% 4.6

(323) PRIMARY CARE/MEDICINE 1,376 910 66.1% 1,366 99.3% 10 0.7% 1,280 93.0% 26 1.9% 7 0.5% 1 0.1% 2 0.1% 2.3

Mental Health 1,777 1,281 72.1% 1,758 98.9% 19 1.1% 1,494 84.1% 134 7.5% 11 0.6% 5 0.3% 0.0% 3 0.2% 3.7

Established 1,303 1,004 77.1% 1,289 98.9% 14 1.1% 1,135 87.1% 73 5.6% 8 0.6% 3 0.2% 0.0% 3 0.2% 3.2

(502) MH CLINIC IND 689 516 74.9% 683 99.1% 6 0.9% 577 83.7% 62 9.0% 4 0.6% 1 0.1% 1 0.1% 3.7

(534) MH INTGRTD CARE IND 614 488 79.5% 606 98.7% 8 1.3% 558 90.9% 11 1.8% 4 0.7% 2 0.3% 2 0.3% 2.7

New 474 277 58.4% 469 98.9% 5 1.1% 359 75.7% 61 12.9% 3 0.6% 2 0.4% 0.0% 0.0% 4.9

(502) MH CLINIC IND 291 214 73.5% 289 99.3% 2 0.7% 225 77.3% 37 12.7% 2 0.7% 4.0

(534) MH INTGRTD CARE IND 183 63 34.4% 180 98.4% 3 1.6% 134 73.2% 24 13.1% 1 0.5% 2 1.1% 6.3

(V16) (629GA) Houma, LA Total 10,477 6,403 61.1% 10,087 96.3% 390 3.7% 8,652 82.6% 700 6.7% 260 2.5% 65 0.6% 20 0.2% 45 0.4% 5.7

Primary Care 6,335 4,193 66.2% 6,189 97.7% 146 2.3% 5,459 86.2% 330 5.2% 99 1.6% 16 0.3% 5 0.1% 26 0.4% 4.4

Established 6,095 4,095 67.2% 5,954 97.7% 141 2.3% 5,281 86.6% 303 5.0% 95 1.6% 16 0.3% 5 0.1% 25 0.4% 4.3

(322) Comprehensive Women’s Primary Care Clinic 46 29 63.0% 44 95.7% 2 4.3% 32 69.6% 8 17.4% 2 4.3% 7.6

(323) PRIMARY CARE/MEDICINE 6,049 4,066 67.2% 5,910 97.7% 139 2.3% 5,249 86.8% 295 4.9% 93 1.5% 16 0.3% 5 0.1% 25 0.4% 4.3

New 240 98 40.8% 235 97.9% 5 2.1% 178 74.2% 27 11.3%…