36C25621R0090 0007.docx

5. PROJECT NUMBER (if applicable)

CODE

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2. AMENDMENT/MODIFICATION NUMBER

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8. NAME AND ADDRESS OF CONTRACTOR

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9A. AMENDMENT OF SOLICITATION NUMBER

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10A. MODIFICATION OF CONTRACT/ORDER NUMBER

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1. CONTRACT ID CODE

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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:

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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.

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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)

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13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

MSO-2021-COM-0012

Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe BLVD Houston

TX

77030 4298 Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe BLVD Houston

TX

77030 4298 To all Offerors/Bidders

36C25621R0090 08-03-2021

X x This solicitation amendment incudes all Questions asked from Contractors during the Solicitation phase as well as the Governemnts response to the questions. Response date remains 08/12/21 at 3:00 PM CST.

Amendment:

Solicitation: 36C25621R0090 Questions and Answers

Network Contracting Office (NCO) 16 received questions in response to Request for Proposal (RFP) 36C25621R0090

Please see below for the Contractor’s questions and NCO 16’s respective answers accordingly.

2. PWS SECTION 2.2 PHYSICIAN DIRECTOR (MANDATORY FOR ALL SITES)

Will the government accept either Board Certified or Board Eligibility for the CMD and PACT Physician at the time of proposal submission?

Yes, Either Board Certified or Board Eligible is acceptable.

3. PWS SECTION 4.2.1 Registration and Enrollment

Will the government please provide historical enrollment for the last 5 years?

The enrollment has been stable at approximately 1,750 Veterans for the last 5 years.

4. PWS SECTION 2.8 TELEHEALTH SERVICES CLINICAL STAFF Telehealth Clinical Technician (TCT) FTE Ratio performance standard 1.0 FTE Telehealth Clinical Technician (TCT) per estimated 5,000 patients at clinic, with a trained back-up (e.g., another TCT or a member of the PACT Teamlet (LIP, RNCM, or LPN), depending on size of clinic/clinic workload/clinic telehealth services).

1. Does the government anticipate needing 1.0 FTE TCT?

2. Is the government preferring a 1.0 FTE TCT to be available full-time for Telehealth visits, or does the government prefer us to staff to the anticipated patient volume?

1. Yes 1.0 FTE is required.

2. Full Time is required.

5. PWS SECTION 2.7 MENTAL HEALTH STAFFING:

The Contractor MH LCSW shall provide PCMHI and General Mental Health Services.

Specialty Mental Health Services will be provided by the parent facility via consult through telehealth (CVT, VVC, Telephone). Suicide Prevention Coordinator (SPC): The parent facility will provide Suicide Prevention Coordinator services via telehealth. Homeless Outreach Specialist: The parent facility will provide Suicide Prevention Coordinator services via telehealth.

1. Will the government please specify the disciplines of specialty MH services that are provided by VA?

2. Is the MH LCSW permitted to vest patient visits?

1. The Contract LCSW will provide both General Mental Health and PCMHI Services. Certain Mental Health services that are not provided by the CBOC contractor may be provided by the Medical Center by VVC when appropriate. These MH services have not been determined but are in the planning stage.

2. No

6. PWS SECTION 4.6.2.4.7 Contractor shall provide all equipment necessary to provide comprehensive women’s health services. Examination rooms shall be set up in accordance with current VA standards to afford women with privacy (placement of examination tables in the room, privacy curtains, etc. See Space Requirements section for more details). Equipment such as privacy curtains, exam tables with stirrups and lights, bathrooms adjacent to where pelvic exams are performed, speculums, supplies, and equipment to perform Pap smears and point of care pregnancy testing should be on hand in the clinic area.

The RFP states contractor will provide supplies for PAP testing; however, the Contractor is not able to purchase Thin Prep. Will the Government please confirm that the VA will supply Thin Prep?

If it is confirmed that the contractor cannot purchase required supplies the Medical Center will facilitate providing the needed supplies when appropriate.

7. PWS SECTION 4.9.1 Contractors shall provide space that meets the standards outlined in the PACT Space Module Design Guide

Will the Government please confirm if VA will provide the phone circuit and physical phones?

VA will not provide telephones or telephone service to the CBOCs.

8. SECTION 4.8.21 Closed Circuit Television (CCTV):

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

There is not a preference for the camera type but should provide high resolution for CCTV review.

9. PWS SECTION 4.11 EQUIPMENT, OFFICE SUPPLIES AND TECHNICAL SUPPORT The contractor is unable to network contractor owned equipment to VA network if it is not owned and operated by VA.

Will the Government please provide a list of the equipment the VA will supply the contractor, such as copiers, fax, printers, scanners, or other peripheral office equipment or lab label printers.

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

10. PWS SECTION 4.11.1 The Contractor shall be responsible for the procurement, installation and maintenance of all printers, copiers, scanners, fax machines*, shredders, or other peripheral office equipment and all related and ongoing supplies (paper, toner, ink cartridges) required to operate the equipment in support of the facility under the specifications of this contract.*The contractor is unable to network contractor owned equipment to VA network if it is not owned and operated by VA, yet 4.11.1.5 states the contractor shall provide installation and maintenance of all printers, copiers, scanners, fax machines*, shredders, or other peripheral office equipment and all related and ongoing supplies (paper, toner, ink cartridges) required to operate the equipment in support of the facility under the specifications of this contract.

Will the government please provide a list of the equipment the VA will supply the contractor, such as copiers, fax, printers, scanners, or other peripheral office equipment or lab label printers that can be connected to the network?

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

11. SECTION 4.11.1.1 CAT 6 wiring

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

CAT 6A is required

12. PWS SECTION 4.11.1.8 One small desktop color printer for printing patient education information.

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?

VA will provide network printers as appropriate.

13. PWS SECTION 4.10.2.5 Power Requirements four (4) L6-20 receptacles one (1) L6-30 receptacle in the closet Will the government please confirm the Power Requirements and if two 20-amp dedicated receptacles are acceptable?

Yes, this should be adequate, but is dependent and the size and scope of the Clinic.

14. PWS SECTION 4.10.2.6.6 Racks - both racks will have 2 shelves on the bottom installed to hold IT computers Will the government please confirm if the 2 shelves on racks are the only type of rack that is permitted?

The configuration of the shelves can be variable if they are setup to all the proper functioning of the equipment and ability to clean the area when appropriate.

15. PWS SECTION 6.2.1 Billable Roster

Will the government please provide the number of veterans currently on the billable roster?

Primary Care 1730 Mental Health 261 Monthly average volume

Due to Privacy Act considerations and information that may need to be redacted on transcripts, will the government accept transcripts and graduation certificates at the time of credentialing rather than at the time of proposal submission?

Primary Source verification is required by VA Policy. Redacted information can be submitted but independent primary source is required to receive VA privileges.

17. PWS Section 2.5 Ancillary Support Services

1. Does the Government require both a phlebotomist and medical laboratory technician (MLT) for this facility?

2. Will the VA accept an MLT whose duties include phlebotomy?

A Medical Laboratory Technician is required but can also perform Phlebotomy if workload allow and great customer service is maintained.

18. PWS Section 2.7 Mental Health Staffing

Please confirm that the PCMHI Licensed Clinical Social Worker (LCSW) can cover both PCMHI and Mental Health team roles

Yes, one can do both if demand volume allows and customer service is great.

19. PWS Section 4.9.1 Space Requirements

The solicitation mentions a separate space for telepsychiatry, are any additional telehealth rooms required? If so, how many?

Three rooms total are needed for tele health and they can be multipurpose rooms.

20. PWS Section 4.9.1 Space Requirements

How many Women’s Health exam rooms are required? Would each PACT team need their own Women’s Health exam room?

One room for each PACT Team

21. PWS Section 4.9.1 Space Requirements

Does each PACT Team require a consultation room?

Each PACT Team does not require a consultation room as long as there are enough rooms that can be shared and are available for this purpose.

22. PWS Section 4.9.1 Space Requirements

How many discipline specific offices will be required for VA staff?

None.(0)

23. Paragraph 2.6.1 requires both a certified Medical Laboratory Technician and a Phlebotomist.

Would the VA consider removing the requirement for a certified Medical Laboratory Technician? This is a scarce specialty that generally performs more advanced services than those needed in the CBOC setting. For example, it is anticipated that the CBOC will only perform limited amounts of on-site test processing. We have found that most clinics of the size of the solicited CBOC require full-time phlebotomist staffing only.

A Medical Laboratory Technician is required but can also perform Phlebotomy if workload allows and great customer service is maintained.

24. Paragraph 2.4.5 requires the contract to provide LCSW staffing at the rate of 0.67 per PACT for PCMHI and General Mental Health services, while paragraph 2.7 indicates that “Specialty Mental Health services will be provided by the parent facility…” We further note that under the Schedule of Services, there is a separate line item for “Mental Health Services (General and PCMHI).”

1. Please clarify how patients will be added to the Mental Health billable roster since the VA is providing specialty mental health services and not the contractor.

2. Please confirm that 0.67 FTE per PACT the appropriate staffing level to account for both the PCMHI and general mental health services to be provided by the Contractor’s LCSW that is required by paragraph 2.4.5

1. It is projected that 10% may be added to MH rosters due to addition of specialty mental health.

2. 1.67 LCSW FTE per PACT Team

26. P. 83 states “Contractor shall provide space and administrative support for VA mental health practitioners who will provide services to enrolled CBOC patients via teleconferencing. At least 1 exam room(s) should be available for mental health services.”

Are there any other space requirements for Mental Health beyond 1 exam room?

One (1) 8X8 space is required.

27. Paragraph 2.1 states, “The Clinical Pharmacy Specialist (CPS) shall be provided the same support staffing given to other providers on the team when they are working in the capacity of a mid-level provider.”

Is the Contractor required to provide dedicated support staff for the VA-provided CPS? If so, please indicate the numbers of support staff needed.

Yes, the support for the CPS can be shared support for the clinic unless the volume of patients would necessitate a full-time staff member support for the CPS.

32. In Section B.2 Schedule of Services on page 6 of the Solicitation states in Line Item Number 0001, the base year estimated enrollment is 1850. As the incumbent contractor, the latest billed enrollment quantity for the Columbus MS CBOC is 1724 which is 126 enrollees lower than the estimated enrollment stated. Secondly, on page 8, line item 4001 shows an aggressive 19% increase through Option Year 4 to 2,200 enrollees which historically, the enrollment has been steadily decreasing over the last 6 years. In order for contractors to provide more accurate cost estimates.

Would the VA consider reducing the estimated enrollment in the base and outlying years that more closely aligns with current and historical enrollment trends?

The VA will keep the numbers as is to account for any additional enrollees. These numbers are still only an estimate.

33. On page 16 paragraph 2.1 of the Solicitation states, “The Clinical Pharmacy Specialist (CPS) shall be provided the same support staffing given to other providers on the team when they are working in the capacity of a mid-level provider.”

Is it acceptable to utilize a PACT team member for CPS support?

Yes, the support for the CPS can be shared support for the clinic unless the volume of patients would necessitate a full-time staff member support for the CPS.

34. On page 21 paragraph 2.4.3 of the Solicitation states, Contractor shall provide LCSW. And paragraph 2.4.5 states PC-MHI: Contractor to provide a 0.67 FTE per PACT Mental Health LCSW. On page 23 paragraph 2.7 states the Contractor MH LCSW shall provide PCMHI and General Mental Health Services.

1. Is the Contractor to provide 1 MH LCSW and 1 PC LCSW plus 0.67 per PACT Mental Health LCSW?

2. Or does the Contractor provide 1 MH LCSW per PACT Team plus 0.67 PC-MHI per PACT Team?

3. Does one LCSW provide PCMHI and General Mental Health Services?

4. If so, per how many PACT Teams or enrolled and non-enrolled Veterans? Or is there another scenario?

1. Yes

2. 1.67 LCSW FTE per PACT Team

3. Yes

4. 1.67 LCSW FTE per PACT Team

35. On page 21 paragraph 2.4.4 of the Solicitation states, Registered Dietitian/Nutritionist: Services will be provided by the parent VAMC via telehealth (by referral), individual instructions and group classes, and/or telephone clinic.” And on page 78 paragraph 4.7.6.6 of the Solicitation states, “Contractor shall ensure that Dietitians electronically complete an Event Capture System form for all direct patient care, whether individual visits, group visits or team meetings that discuss individual patients.”

If the parent VAMC is providing the Registered Dietitian/Nutritionist, wouldn’t the VAMC ensure that the Dietitians electronically complete the Event Capture System form and not the Contractor?

Yes, VA personnel will need to track reports to ensure no gaps in request are pending at the CBOC

36. On page 23 paragraph 2.8 of the Solicitation states, “Telehealth Clinical Technician (TCT) FTE Ratio performance standard 1.0 FTE Telehealth Clinical Technician (TCT) per estimated 5,000 patients at clinic, with a trained back-up (e.g., another TCT or a member of the PACT Teamlet (LIP, RNCM, or LPN), depending on size of clinic/clinic workload/clinic telehealth services).”

1. Is it acceptable to utilize an LPN or an MA for the TCT position?

2. With an enrollment of approximately 1850 in the first year, is it acceptable to hire a 0.4 FTE TCT or is the Contractor required to have a full time TCT available Monday through Friday, 8:00 AM to 4:30 PM?

1. Yes

2. No, 1.0 Full time FTE is required and shall be available Monday through Friday

3. On page 39 paragraph 4.6.2.1.2 of the Solicitation states, “Mammography services will be provided by via an approved community care consult placed by the contractor provider in the VA EHR.”

Is mammography provided by the VA at a cost to the VA?

VA Care in the Community will cover Mammography Cost.

4. On page 60 paragraph 4.6.5.4 of the Solicitation states, “The Contractor shall provide the following clerical support services for mental health providers (including VA providers if VA provides MH services onsite) at the CBOC.”

Is it acceptable to utilize a PACT team member for clerical support services of the mental health providers or will a dedicated MSA be required?

Yes, duties can be share depending our size of patient volume and case mix.

5. On page 66 paragraph 4.6.8.4 states, “The Contractor shall provide space for clinical pharmacy telehealth services at the Contractor’s location as appropriate.” On page 66 paragraph 4.6.8.4.1 states, “Space should provide privacy for patients to meet confidentially in an individual or group setting with providers at the VA via electronic transmissions.” On page 84 it indicates the Contractor is to provide a private group room at least 300 sq. ft. in size for mental health. Also on page 84 it indicates the contractor is to provide individual or group setting with providers at the VA via electronic transmission for telepsychiatry.

Is the Contractor required to provide a clinical pharmacy telehealth services group room, a telehealth group room and a telepsychiatry services group room for a total of 3 group rooms? If not, how many and what type of group rooms would the VA like the Contractor to provide?

Yes 3 rooms are required. One of the three required rooms need to be a group room.

11. Page 16 states that there are currently 1700 enrolled patients, but the Schedule of Services indicates 1850 patients in the base year.

Would the VA consider amending the Schedule of Services to be more in line with actual patient enrollment?

The VA will keep the numbers as is to account for any additional enrollees. These numbers are still only an estimate.

12. The build out and transition timeframe indicated in paragraph 6.1.2 of 90 days is extremely restrictive and associated with high overtime costs for construction. We note that there are ongoing supply chain disruptions that are beyond the Contractor’s control due to the COVID-19 pandemic and other related factors.

Would the VA consider allowing a longer build out time frame of at least 120 days? Reflective of this issue, we note that recent VA CBOC solicitations by other VA hospital systems have called for 180-day build out time frame, such as 36C24920R0114 (Tupelo, MS) and 36C24920R0007 (Hopkinsville, KY).

The Government will adjust the performance start period to being 180 days after contract award.

13. In Section B.2 Schedule of Services on page 6 of the Solicitation states, “* All unit prices shall be a Fixed-Price (FP) and all inclusive. Any build out cost incurred shall be the responsibility of the contractor. The government will only pay for services identified in PMPM rate. PMPM includes cost of unassigned patient visits, contractor shall not bill separately or propose an additional Line Item or bill separately for these costs."

Does this mean that the contractor cannot include the costs of its buildout as line items in the calculation of the PMPM rate? And, if this is the case, and no VA funds can be used to offset the costs of buildout, then why is the contractor required to pay Davis-Bacon wage rates for construction, as specified in Section 4.9, on page 82 of the Solicitation?

We are required in solicitations where build-out may result, to identify the applicable Davis-Bacon wages. However, build-out costs and associated functions in this solicitation/requirement will be the responsibility of the contractor. It is at the discretion of the contractor on what they would like to submit for their PMPM rate as one line item in accordance with the solicitation requirements.

14. On page 109 paragraph 6.1.2 of the Solicitation states, “The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans.” Based on the size, scope and logistics of drawings, permits, and realistic construction timeframes.

Would the VA consider a minimum of 150-day start-up period for the cost effectiveness and efficiency for all systems start-up components?

The Government will adjust the performance start period to begin 180 days after contract award.

15. On page 153 of the Solicitation in Section D – Contract Documents, Exhibits, or Attachments, it states D.5 as Past Performance Questionnaire. However, the actual attachment says Attachment D20–Past Performance Questionnaire. In addition, it states on the last page to, “Please return questionnaires to Claudette Barbee, at Francisco.mendoza@va.gov not later than 3:00 pm ________, 2019. For any questions, please call 713-791-1414 26196.”

Is this the correct Past Performance Questionnaire you would like the bidders to use? If not, will the VA provide an updated Past Performance Questionnaire and extend the due date to allow bidders time to send out the questionnaire and get responses prior to the due date?

This has been corrected via a previous amendment.

16. On page 160 it states the Offeror shall complete and submit the following in two separate proposal volumes: Volume I – Price and Volume II – Technical Capability, Past Performance, SDVOSB/VOSB Evaluation, and Subcontracting. However, on page 161, Volume I is Price, Volume II is Completion of SF 1449, Signed, Clauses/Provisionary Fill-Ins and Attachments, and Volume III is Technical Capability Geographic Location/Accessibility, Past Performance, Veteran Participation and Subcontracting. Then on page 162 it states Volume III includes Past Performance, SDVOSB or VOSB, and Subcontracting.

Will the VA please clarify what goes in Volumes I, II and III because several items, i.e. Subcontracting, SDVOSB/VOSB and Past Performance are listed in more than one Volume?

In regard to Addendum to FAR 52.212-1 Instructions to offerors the following clarification to the submission Volumes is outlined below.

Volume 1

· Price Volume II

· Completion of SF1449, Signed Amendments, Clauses/Provision fill-in and attachments Volume III

· Volume III - Technical Capability, Geographic Location/Accessibility, Past Performance, Veteran Participation and Subcontracting

17. On page 161 indicates the completion and submission of the following items will constitute Volume III and includes Sections: 1 Technical Capability, 2 Geographic Location/Accessibility, 3 Past Performance and 4 Veteran Participation. However, on pages 162-163 it states the following will be included and legible in each of the respective sections of Volume II and includes: Section 1 Technical – Offeror Capability which include Offeror’s Capability/Experience; Quality Staffing; Key Personnel, including salary range worksheet and other supporting documents; and Implementation Plan. It also includes Section 2 Geographic Location/Accessibility, Section 3 Past Performance, Section 4 Veteran Participation, and Section 5 Subcontracting. And on page 169 in the Evaluation Factors the Technical Capabilities lists: a) Offeror’s Capability/Experience, b) Quality Staffing and c) Implementation Plan, but does not mention anything about Key Personnel including salary range worksheets, etc.

Is Key Personnel part of the evaluation factors, should it be added to the proposal, and if so, what should be addressed in this section? And over the past 20+ years submitting CBOC proposals, we have never been required to provide salaries to the VA. Given that the Solicitation Schedule of Services is Per Member Per Month (PMPM) and the bidders are required to meet the service contract labor standards, why would a salary range worksheet and other supporting documents be required?

In regard to FAR 52.212-2 Evaluation Commercial Item the following clarification to the technical capability criteria is outlined below.

· (a) Capability/Experience

· (b) Quality Staffing/Key Personal (includes salary range worksheet)

· (c) Implementation Plan In response to the inclusion of “Salary Worksheets” this will assist the Contracting Officer in determining the PMPM rates are fair and reasonable as well as assist the Contracting Officer in determining fair and reasonable pricing to any future Contract Modification requesting additional staff.

18. PWS Section 4.6.4.1 Radiology Services

Please confirm that the cost of radiology procedures performed by the parent facility or by a community facility will be borne by the Government.

The Government will be responsible for all cost related to VA provided Radiology Services.

19. PWS Section 6.2.1 Billable Roster

Please confirm that the new contractor will inherit the patient’s last vesting visit and be allowed to bill for one year from that date upon contract award?

Yes

20. Instructions to Offerors Please provide attachments D.1 – QASP, D.2 – OCI, and D.3 – Small Business Subcontracting Plan/Certification.

Attachment are included in the original solicitation posting.

22. B.2 Schedule of Services - Base Quantity

2.1 - MINIMUM PATIENT ALIGNED CARE TEAM (PACT) STAFFING REQUIREMENTS

The CLINS reflects base year of 1850 primary care patients; the final sentence of section 2.1 states the Total Estimated patients enrolled are 1700.

Will the government please clarify the anticipated year-over-year growth?

The VA will keep the numbers as is to account for any additional enrollees. These numbers are still only an estimate.

23. 2.6.1 MEDICAL LABORATORY TECHNICIAN AND PHLEBOTOMIST

Contractor shall provide (1) FTE Medical Laboratory Technician (MLT) or Medical Laboratory Technologist (MT)

Could the government please confirm if the VA wants 1.0 FTE for both positions? Contractor is not used to seeing this level of staffing at clinics with less than 2000 enrollees?

The government will require a total of one (1.0) FTE. This could be either a Medical Laboratory Technician (MLT) or Medical Laboratory Technologist (MT).

24. In Section B.3 (PWS), paragraph 6.2.1.1.4 PC CLIN Billing Roster on page 110 and 6.2.1.1.5 MH CLIN Billable Roster states that the roster will include all patients assigned to the Contractor’s site of care in PCMM with at least one qualifying encounter by the Contractor’s Primary Care provider within the previous 12 months.

Will the current PCMM assigned patient’s previous 12 month qualifying encounter rollover to the new Contractor for both MH and PC patients, and be billable on day one?

Yes

25. 5.1.3 Contract Administration

Will the government please confirm the how many VA staffed personnel will be providing services at the CBOC? Please list by job title and number of days per month.

None (0)

26. 4.6.3.1 PRESCRIPTION FULFILLMENT- the parent facility will provide all medications, including any necessary vaccines, and pyxis equipment to the contractor clinic…. Urgent/emergent medications needed will be filled via contracted local pharmacy for up to 10 days.

Will the government please confirm if the VA will incur the cost of meds dispensed from contracted pharmacy Yes VA will incur the cost of meds dispensed from contracted pharmacy.

27. PWS Section B.4.6.3.1 Prescription Fulfillment

Can the VA please provide the list of medications and vaccines the contractor will be responsible for providing? Additionally, can the VA also provide estimated utilization numbers/quantity for each medication/vaccine required (or historical information)?

All preventative care immunizations that are recommended by the CDC. Medications will vary with the level of Primary Care complexity, case mix and staff privileges for MD or NP Primary Care providers but comparable to what is seen in the private sector for Primary Care.

The historical Vaccine rates for Veterans are approximately 40% for this catchment area.