36C25718R0246-0002000.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

BY

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) none

SHE2018

00756 Department of Veterans Affairs Contracting Office (138C) 11495 Turner Road El Paso

TX

79936 00756 El Paso Contracting

To all Offerors/Bidders

36C25718R0246 09-28-2018

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

12:00 PM ET, December 7, 2018 X The purpose of this amendment is to provide answers to questions and also extend the closing date until 12:00 PM ET, December 7, 2018.

Valeria Gutierrez Contracting Officer

CONTINUATION PAGE

· Does the current Sherman CBOC location meet the new contract requirements?

A. No

· Does the current clinical space meet the new contract requirements?

A. No

· How many veterans are currently on the billable roster?

A. Approximately 3500

· Can the government share the current vested roster as of 10/2018?

A. No.

· Does the VA want the Medical Director designated as a total of 0.5 FTE for the clinic or 0.5 FTE per PACT team?

A. for the clinic

· Can the contractor provide transcripts for the Nurse Practitioners upon award?

A. Yes

· For sub-factor B Management, experience, staffing, and transition plan, the government is requesting transcripts for nurse practitioner. It can take over 6 weeks to obtain this level of documentation from various undergrad and graduate programs. The timeline of the Solicitation effort issued by the Government makes this an impossibility logistically. Would the Government allow for the submission of official transcripts to be submitted with candidate credentialing packages post-award and/or in the context of discussions with offerors (instead of with the original proposal submission)?

A. Yes

· Can the government verify that telehealth staff will be provided by the VA? In addition, will the vendor be required to cross train personal on telehealth if these resources provided by the government are not available?

A. telehealth staff will be provided by the vendor

· Will the vendor be required to provided support staff for Mental and Health and PCMHI?

A. Yes

· Can the government verify that all mental health and PCMHI resources will be provided by the VA?

A. Yes

1. Can the government clarify if the vendor or VA will conduct Tele-dermatology services? According to 4.6.16.4 “The contractor shall be pre-pared to provide medical specialty consultative services in dermatology.”

A. No, it will be done by the VA staff on-site.

· Is the tele-health tech required to be an LVN or MA?

A. Does not have to be a LVN

· How many VA staffed personnel will be providing services at the CBOC? Please list by job title and number of days per month.

A. it will be Mental Health, Social Work, PharmD, Dietitian, TCT that will be located on site. The exact job titles are unknown now and will change upon need of the patients thru the life of the contract. 1 TCT office, 1 SW office, 1 shared office, 4 MH offices.

· Will the VA provided staff require an office at the Sherman CBOC? If Yes, what type and size?

A. see question above’s response

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

A. the current 12-month annual period will stand for each patient.

· Will the VA be providing Social Worker, Pharmacist and Dietician?

A. Yes

· Please list every position the VA will provide to the CBOC and the number of days per week they will be on site.

· A. Full time rooms: 1 -TCT; 1 SW; 1 swing space (PharmD/Dietician), 4 – MH

· The specific type of MH is unknown at this time and could change over the life of the contract based on need

· Please list all vaccines that will be required to be provided by the contractor.

A.

· TDAP

· Pneumovax 23

· Prevnar 13

· TD

· Flu, High dose flu

· Twinrix (Hep A&B)

· Hep A

· Hep B

· HPV

· B12

· Depo

· What is the expected number of vaccines, by type listed in question 6 and any additional vaccines added by the govt pursuant to question 7, that the government expects the contractor to administer to the Sherman Enrolled Veterans on an annual basis.

A. it is expected that the vendor always has the required vaccines on hand for the Veterans

· Will the government confirm that the following list of vaccines are the responsibility of the contractor?

· TDAP

· Pneumovax 23

· Prevnar 13

· TD

· Flu, High dose flu

· Shingrix

· Twinrix (Hep A&B)

· Hep A

· Hep B

· HPV

· B12

· Depo A. All are required except Shingrix

· Are there any additional vaccines required to be supplied by the contractor other than those listed above?

A. No

· Will the government expect the contractor to provide Harvoni to those Veterans who are eligible? If yes, how many veterans enrolled at the Sherman CBOC are eligible for the Harvoni?

A. No

· Will the Anticoagulation management be done by the central anticoagulation clinic at Dallas or does the VA want the contractor to manage anticoagulation with pharmacists?

A. Thru Dallas clinics

· Please clarify if Clinical Pharmacy Specialists need dedicated support staff as specified on page 2 of RFP or can they be supported by members of other PACT teams.

A. Can be supported by members of the PCP PACT team

· Per section 4.6.14- Mental Health Disaster POC- will this person be a VA personnel?

A. Yes

· Can the procedure room be used as the Women’s health room or does the VA want separate women’s health room and procedure rooms?

A. Can be shared room if all standards are met in the one room.

· Can the government clarify if they will require both a “women-only” exam room and a “procedure room?” Can the procedure room be utilized as both a women’s exam room and procedure room, or would the government require both room types?

A. Can be a shared room but must meet all the standards.

· Per section 4.6.20.2.3.13- Does the VA require the contractor to have bathing/shower facilities at the CBOC?

A. No, not a requirement

· In section 4.7 it states that Space standards to meet PACT model found in the PACT design guide. Is the on-stage/off-stage design with the PACT Zone the only design the VA will accept?

A. we will accept what is in the space standard

· 4.6.13—"To ensure the availability of outreach and referral services to homeless veterans, all contractor sites must designate at least one outreach specialist, usually a clinical social worker, to provide services to homeless veterans.” Will the VA provide the “outreach specialist”?

A. Yes

· Does the VA require two courier trips per day, or will one trip be acceptable?

A. One is acceptable

· Is the VA providing the phones and phone system to the clinic?

A. No

· Who is responsible for the cost of the 10-day bridge medications?

A. the VA will be providing the 10-day supply.

· Will the government be doing site visits prior to award, if so, how much advance notice will be given?

A. yes, 3 days.

· Please explain why the VA believes the enrollment at the clinic will increase at the rate the CLINs project.

A. Due to the current utilization of the clinic by Veterans, and the market penetration numbers.

· With regard to IT, how many drops are to be included on each faceplate?

A. 4

· Is the IT closet listed in paragraph 4.7.5 different from the Data Room listed in paragraph 4.7.11.0.11? Does the VA want both rooms? Which room does the VA want if not both?

A. The IT closest is the mandated room. Contractor must meet all the standards.

· Is the VA supplying the phones and phone system?

A. No

· Reference Page 145 of 171, Addendum to FAR 52.121.-1 Instructions to Offers - Commercial Items, point 1: General Instruction for Proposal Submissions - What are the page limits for each of the Parts?

A. 20 Pages

· Reference Page 145 of 171, Addendum to FAR 52.121.-1 Instructions to Offers - Commercial Items, point 1: General Instruction for Proposal Submissions - Should the DC-ROM include only the Part 1 Technical Proposal or should we also include electronic files of Parts 2 and 3?

A. The CD rom shall include parts 1 and 3.

· To ensure vendors can properly plan and develop a proposal that meets all of the solicitation’s requirements can the proposal submission date be extended by 30 days from Q&A released? This will give us adequate time to obtain required documentation, develop clinical designs, and recruit the staffing / teamlete requirements.

A. The Solicitation will be extended for whatever time is fair and reasonable.

· Can the government please clarify the “B.3 Delivery Schedule?”

A. This question cannot be answered - don’t understand what is being asked.

End of Document