36C25718R0842-0002000.docx

NW San Antonio questions

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) none none 36C257 Department of Veterans Affairs NCO 17 Contracting Office 11495 Turner Road El Paso TX 79936 36C257 El Paso Contracting Office Department of Veterans Affairs 11495 Turner Road El Paso TX 79936-1372 To all Offerors/Bidders

36C25718R0842

X X X

4/10/2020 12:00 ET

This amendment answers questions received during the Q/A period. Q/A period is now closed.

The solicitation is extended until 4/10/2020 @ 12:00 PM Eastern Time.

Nothing follows.

Carlos Leon Contracting Officer

CONTINUATION PAGE

NW San Antonio questions

1. Will a Suicide prevention coordinator be needed, if so, who will provide service? N/A – VA providing MH services

2. Will Homeless outreach be required, if so, who will provide service? N/A – VA providing MH services

3. RFP states - PODIATRIST: Services provided off-site using referrals, will VA be responsible for costs associated with these referrals? Yes, consults will be submitted by provider for Podiatrist at VA.

4. RFP states Hours 8-430. Please confirm normal operating hours are Monday-Friday. Correct, normal operating hours are Monday – Friday, from 8:00a.m. to 4:30p.m.

5. Does the VA require two courier trips per day, or will one trip be acceptable? Specimens are to be delivered twice a day.

6. Please explain-

2.6.1.1 Non-Mandated POC Testing: Glycosylated Hemoglobin (HbA1C) testing for patients with diabetes. Several VA Mission Critical performance targets are based on HbA1C levels in diabetics, including yearly monitoring of HbA1C levels. This POC testing shall be performed at least yearly. This testing must be performed using testing methodologies which meet the standards of care for precision and accuracy as determined by VA. CBOC do not conduct POC Testing.

7. Please provide number of veterans enrolled in the clinic by zip code. Not available

8. How many female veterans are currently enrolled in the clinic. 861

9. What is the current number of billable enrollees at the clinic? 5,045

10. How many VA staffed personnel will be providing services at the CBOC? Please list job title and number of days per month. 3 (Social Worker, Mental Health and Nutritionist). 5 days a week.

11. Will the VA provided staff require an office at the San Antonio CBOC? If yes, what type and si and how many of each? 3 (Social Worker, Mental Health and Nutritionist). 5 days a week.

12. Will the new contractor inherit the patients’ last vesting visit and be allowed to bill for one year from that date upon contact award? Yes

13. Please list all vaccines that will be required to be provided by the contactor. VA will provide routine vaccines (TDAp, Pneumovax 23, Prevnar 13, TD, Flu, High dose Flu, Shingrix, Hep A, Hep B, HPV. The contractor will be responsible for the following vaccines which are not considered routine: Twinrix (Hep A&B), Depo.

14. Will the VA require a clinic manager? If so, is the individual required to be an RN? Yes, the individual is not required to be a RN.

15. Will the VA provide Thin-Prep PAP testing supplies? These are not available for purchase by contractor. VA will provide Thin-Prep PAP testing supplies.

16. Does the existing CBOC’s floor plan meet the requirements of the RFP. Yes

17. Does the VA require a large group room? If so, what square footage? Yes, 10 x 15

18. Does the VA require “small group rooms?” If so, how many and what size? Yes, 8x9

19. Are current employees under a collective bargaining contract? VA does not get involved. This is up to contractor.

20. Please confirm the VA will be responsible for providing and installing the phones and phone system. Contractor to provide

21. Upon award of the new contract, will the new contractor inherit the patient’s last Primary Care vesting visit and be allowed to bill for that patient up until their next anniversary date? Yes

22. In the Prescription Fulfillment paragraph 4.6.3.1 it states that the Contractor will provide all medication, including any necessary vaccines that are to be administered to patients in the clinic. Will the Vaccines and Medications be purchased by the VA and then delivered to the clinic? No, the contractor is responsible for any in clinic meds.

23. If the cost of vaccines discussed in question 2 above are the responsibility of the contractor, please confirm that the following list of Vaccines are the responsibility of the contractor? Correct

TDAP

Pneumovax 23 Prevnar 13 pTD Flu, High dose flu Shingrix Twinrix (Hep A&B) Hep A Hep B

HPV

Depo

24. If the cost of vaccines is the responsibility of the contractor…. Are there any additional Vaccines required to be supplied by the contractor other than those listed in question 3 above? No

25. If the cost of vaccines is the responsibility of the contractor…. What is the number of Vaccines, by type as listed in question 3 and any additional Vaccines added by the government pursuant to question 4, that was provided to the NW San Antonio CBOC Enrolled Veterans in the last 12 months? We do not have that information.

26. Pursuant to the Prescription Fulfillment paragraph 4.6.3.1, please provide a list of Medications the government expects the contractor to dispense (at the cost of the Contractor) from the clinic that would not be a routine medication dispensed through the VA or an urgent/emergent medication dispensed through the VA contracted local pharmacy.

The contractor must provide ALL in-clinic medications. Whatever the clinic needs, they need to provide. We do not list specific meds, because then it becomes too exhaustive/restricted.

27. In the Laboratory Services paragraph 4.6.4.3 it states that the contractor is to send specimens to the VA Core Laboratory “Twice daily” once at the mid-day break and again after close of business. Due to patient fasting requirements we are concerned about the duration of patient fasting for the afternoon specimen collections. Please confirm the VA wants specimens to be delivered twice a day or does the VA only require 1 delivery each day after the mid-day break.

Correct the requirement is Twice daily.

28. Does the current CBOC facility meet the new contract PACT Space Module Design Guide requirements as stated in the Space Requirements paragraph 4.9 of the solicitation? Yes

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

30. Is the VA supplying the phones and phone system for the CBOC or is the contractor to provide? Contractor to provide

31. How many VA staffed personnel will be providing services at the NW San Antonio CBOC? Please list by job title and number of days per month. 3 (Social Worker, Mental Health and Nutritionist). 5 days a week.

32. How many offices will be needed at the NW San Antonio CBOC for the VA provided staff (by position/function) identified in question 11? 3

33. How many veterans using the NW San Antonio CBOC are currently on the Primary Care billable roster? 5,045

34. Is the current number of veterans on the billable roster an accurate reflection of what the starting billable roster will be under the new contract? Yes, Most likely.

35. How many times per year does the VA anticipate that the Contractor staff will be required to travel to and attend VA mandated meetings on-site at the VAMC or other VA Facility? PACT Collaborative Meetings which are held twice a month (all staff). Primary Care Committee Meeting which are held once a month (CMO).

36. In Section E.9 52.212-2 Evaluation-Commercial Items (OCT 2014) under item 3. Factor (3) Price, the last sentence of the first paragraph states: “If needed calculate the built into Clin 0001”. Does this sentence mean that the contractor is able to include all build-out costs into the Base Year CLIN? Please clarify? Yes – self explanatory

37. What is the number of FTEE Physicians currently working in the clinic? 1

38. What is the number of FTEE NP’s and/or PA’s currently working in the clinic? 5

39. What CPSFTE will the VA provide in the NW SA CBOC? Will the Contractor be required to provide 3 FTE support team for each FTE position, or can the Contractor use the PACT team members to assist the CPS? Or will Clinical Pharmacy Services be provided via Clinical Video Telehealth (CVT) as stated on page 44 paragraph 4.6.3.3 of the RFP? Clinical Pharmacy Services will be provided via Clinical Video Telehealth. This question was asked by the same contractor and answered before on the NE procurement.

40. Is it acceptable to the VA to have a Medical Assistance serve as the Clinical Associate in the PACT Team? Yes

41. Is the 1.0 FTE Telehealth Clinical Technician (TCT) per estimated 5,000 patients serve as the Telepresenter, Teleretinal, Telemental Health, and Store and Forward Imager in the clinic? If not, how many TCT FTEs is the VA requiring toserve all telehealth services described in the RFP? The 1 FTE Telehealth Clinical Technician serves as the Telepresenter, Teleretinal, Telemental Health, etc. with a trained back-up.

42. Is the VA requiring a total of 4 telehealth rooms to serve all telehealth services including tele-retinal, clinical pharmacy telehealth, tele-mental health, PCMHI telehealth, teledermatology, etc.? 3 Rooms

43. Is anticoagulation management done by the contractor or through VA consult? VA Consult

44. Is the Contractor required to obtain the standard Centers for Medicare & Medicaid Services (CMS) CLIA certificate or will the Contractor be required to apply for a VA specific CLIA certificate? Required to obtain the standard Centers for Medicare & Medicaid Services CLIA Certificate.

45. How many VA General and Specialty MH staff will be on site and how many offices will be required on-site for General and Specialty Mental Health staff? 1

46. Do all Contractor PCPs and imagers have to complete the SFT training? No

47. How can the contractor ensure that Dietitians electronically complete an Event Capture System form if the contractor is not responsible for the Dietitian? The Dietitian is a VA Staff member and is supervised by the facility.

48. How many consultation rooms will be needed in the clinic for the Social Workers, PCMHI and Nutritionists provided by the VA? 3 (Social Worker, Mental Health and Nutritionist). 5 days a week.

49. Is the VA requiring dual-entry exam rooms with surface-mounted two sliding doors? Is the VA requiring on-stage patient corridors and off-stage teamwork zones/staff corridors? No

50. On page 83 paragraph 4.8.18.1 of the RFP states the Contractor shall provide a written certification from a licensed professional engineer that the Building conforms to the minimum physical security. Is this certification required to be submitted with the proposal or after contract award? After building completion

51. Is the Contractor required to submit Safety and Health EOC documents with the submission of the proposal OR within 15 calendar days after contract award?

This question was asked by the same contractor and answered before on the NE procurement.

52. What methods will the VA use to calculate an equitable price reduction or adequate consideration? What process exists for the contractor to dispute the VA's calculation of an equitable price reduction or adequate consideration? In what percentage of contracts does the VA exercise its rights under FAR 52.212-4(a)?

This question has been answered twice before and keeps being asked by the same vendor.

53. Given the size of the facility requirements, would the VA consider a 180-day start-up period based on standard times for drawings, permits and construction cycle (90 days presents a higher cost to the government)? To be look at on a case by case basis

54. On page 100 paragraph 6.1.7 of the RFP states, “At start up, this clinic will be called NE 410 CBOC.” Did the VA intend for the clinic to be called the NW 410 CBOC? Yes, that is correct the name will be NW 410 CBOC.

55. Will the current billable roster rollover to the new contractor for billing based on the Veterans last vesting visit date? Yes

56. CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS of the RFP states, “See attached document: D.1 QASP NE SA.” Did the VA intend to call this QASP NW SA? Yes ________________End__________________

End of Document