36C25720R0029 0008.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT BPA NO. 1. CONTRACT ID CODE PAGE OF PAGES 1 15

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

09-24-2020

4. REQUISITION/PURCHASE REQ. NUMBER 5. PROJECT NUMBER (if applicable)

None

6. ISSUED BY Y CODE 36C257 7. ADMINISTERED BY (If other than Item 6) CODE 36C257

Department of Veterans Affairs VA North Texas Healthcare System Network Contracting Office 17 4500 S. Lancaster Road Dallas TX 75216

NCO 17

Department of Veterans Affairs North Texas Veterans Health Care Center 4500 S. Lancaster Road Dallas TX 75216

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)

To all Offerors/Bidders

(X) 9A. AMENDMENT OF SOLICITATION NUMBER

36C25720R0029

X 9B. DATED (SEE ITEM 11)

05-28-2020

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

is not extended.

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:

(a) By completing Items 8 and 15, and returning 1 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 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.

12. ACCOUNTING AND APPROPRIATION DATA

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

(If required)

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

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

CHECK

ONE 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.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.)

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this amendment is to answer all questions received in response to the solicitation; correct the quantity Per Member Per Month (PMPM) for each performance period; and incorporate FAR Clauses in accordance with FAR 22.407(a) along with the Davis Bacon Wage Determination. As a result of this amendment, the following changes are made:

1. The solicitation close date remains October 5, 2020, 4PM, CST.

2. The Amendment table on page 4 is hereby updated to reflect Amendment 0001 issued 5/28/2020; Amendment 0002 June 5, 2020; Amendment 0003 issued July 7, 2020; Amendment 0004 issued July 31, 2020; Amendment 0005 issued August 20, 2020; Amendment 0006 issued September 3, 2020; and Amendment 0007 issued September 22,2020; and Amendment 0008 issued September 24, 2020.

See Continuation Pages beginning on Page 2.

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 (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

YOMIKA BROCK

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

PREVIOUS EDITION NOT USABLE STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA - FAR (48 CFR) 53.243

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, X

CONTINUATION PAGE

3. Section B.2 SCHEDULE OF SERVICES shall now read as follows:

Ordering Procedures: An initial Task Order for Services will be issued by the VA Contracting Officer at the beginning of each contract year/period of performance. Task Orders will be emailed to the contractor. If Task Orders need to be increased or decreased, a modification will be done to the order by a VA Contracting Officer.

Quantities on the Schedule of Services are the yearly projected amounts for each contract line item. These projected quantities are for bidding purposes only. Unit prices for the contract line item numbers (CLINs) on the Schedule of Services are fixed prices. These fixed prices will govern regardless of quantities ordered under any subsequent task order(s).

Grand Total Projected Price will be used only for the purpose of determining the best value to the Government. The guaranteed minimum contract amount, including the base year and any option years exercised, is $475,000.00 and the maximum contract amount, including the base year and any option years exercised, shall not exceed $40,000,000.00.

PMPM includes cost of unassigned patient visits, contractor shall not bill separately or propose an additional CLIN or bill separately for these costs.

ITEM INFORMATION

BASE YEAR: 1 DECEMBER 2020 – 30 NOVEMBER 2021

ITEM

NO.

DESCRIPTION EST.

QTY

UNIT UNIT COST TOTAL COST

Primary care services at capitation rates per member per month

(PMPM).

Capitation rate is broken down as:

8,925 PMPM x 12 months = 107,100 (estimated)

107,100

EACH

TOTAL COST FOR BASE YEAR $

OPTION YEAR 1: 1 DECEMBER 2021 – 30 NOVEMBER 2022

NO.

DESCRIPTION EST.

Primary care services at capitation rates per member per month

(PMPM).

Capitation rate is broken down as:

9,371 PMPM x 12 months = 112,452

112,452

TOTAL COST FOR OPTION YEAR 1 $

OPTION YEAR 2: 1 DECEMBER 2022 – 30 NOVEMBER 2023

NO.

DESCRIPTION EST.

Primary care services at capitation rates per member per month (PMPM).

Capitation rate is broken down as:

9,840 PMPM x 12 months = 118,080

118,080

TOTAL COST FOR OPTION YEAR 2 $

OPTION YEAR 3: 1 DECEMBER 2023 – 30 NOVEMBER 2024

NO.

DESCRIPTION EST.

per member per month (PMPM).

Capitation rate is broken down as:

10,332 PMPM x 12 months = 123,984

123,984

TOTAL COST FOR OPTION YEAR 3 $

OPTION YEAR 4: 1 DECEMBER 2024 – 30 NOVEMBER 2025

NO.

DESCRIPTION EST.

per member per month (PMPM).

Capitation rate is broken down as:

10,849 PMPM x 12 months = 130,188

130,188

TOTAL COST FOR OPTION YEAR 4 $

*Dates are subject to change based on the actual contract award date.

SUMMARY:

BASE YEAR TOTAL $

OPTION YEAR 1 TOTAL $

OPTION YEAR 2 TOTAL $

OPTION YEAR 3 TOTAL $

OPTION YEAR 4 TOTAL $

GRAND TOTAL $

4. The following clauses are now incorporated into Section C, CONTRACT CLAUSES in accordance with FAR 22.407(a):

a. 52.222-6

b. 52.222-7

c. 52.222-8

d. 52.222-9

e. 52.222-10

f. 52.222-11

g. 52.222-12

h. 52.222-13

i. 52.222-14

j. 52.222-15

5. Davis Bacon Act Wage Determination# TX20200243, Modification 2, Building, Revised August 28, 2020 is now attached to Section D of the solicitation.

6. A copy of the administration page and the pricing are attached in Word format.

7. The following answers are provided for questions received from vendors and now are incorporated into the solicitation:

1. Question: I was reaching out to see if we can please receive a bid package for this project.

Answer: The solicitation is available for viewing in its entirety Contract Opportunities at https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sor t=-relevance&index=&is_active=true&page=1.

2. Question: As requested, could the government please explain why this CBOC procurement is not set aside for SDVOSB? On or around 2-25-2019 this opportunity was released by Mr. Noel Ramirez as a SDVOSB set-aside (see attached), then for some unknow reason the solicitation was cancelled due to protest or some other political issue unknow to us. At a later date, Mr.

Ramirez re-issued a SS looking for responses from SDVOBs who were interested in this procurement (see attached). Clinovators responded to the market research and I am sure other SDVOSB’s responded as well. That said, under Kingdomware I am not sure how the government could advertise this CBOC as full and open. Can you please clarify?

Answer:

a. The government’s market research indicates that the procurement strategy for this requirement would be to allow for full and open competition.

b. Assuming SS means Sources Sought, the Sources Sought Notice was issued as a part of market research to identify potential sources for the requirement. The Sources Sought Notice is not an actual solicitation.

c. The Kingdomware decision indicates that “VA shall award contracts based upon competition restricted to SDVOSBs or VOSBs when a contracting officer has a https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sort=-relevance&index&is_active=true&page=1 https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sort=-relevance&index&is_active=true&page=1 reasonable expectation, based on market research, that two or more firms listed as verified in Vendor Information Pages database are likely to submit offers and an award can be made at a fair and reasonable price that offers best value to the United States.”

All of these elements must be true for the Government to restrict competition to SDVOSBs or VOSBs. Based on market research, the Contracting Officer does not have a reasonable expectation that two or more capable SDVOSBs or VOSBs would submit a proposal and that award can be made at a fair and reasonable price for this requirement.

3. Question: Thank you for the Denton CBOC RFP and performance work statement and amendment. What is the due date for questions to the VA?

Answer: The Government did not provide the Denton CBOC RFP and performance work statement and amendment directly to any party, verbally or in writing. The notice and actual solicitation were solely published for viewing in its entirety on Contract Opportunities at https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sor t=-relevance&index=&is_active=true&page=1. The due date for all questions and answers was 4PM, CST June 19, 2020.

4. Question: 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?

Answer: Yes.

5. Question: In Section 4.6.3.1 it states that that the contractor shall provide all medications need for administration at the Clinic, including necessary vaccines To ensure we have accurate information to price our proposal, please provide the number of Vaccines, by type as shown in the list below, that was provided to the Denton CBOC Enrolled Veterans in the last 12 months.

a. Pneumovax 23

b. Prevnar 13

c. TDAP

d. TD

e. Zostavax

f. Shingrix

g. HPV

h. PPD

i. Twinrix (Hep A&B)

j. Hep A

k. Hep B

l. Depo

m. Influenza

n. MMR

o. Meningococcal Oligo/DIPH Conj Inj

p. Meningococcal/Diphtheria Tox https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sort=-relevance&index&is_active=true&page=1 https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sort=-relevance&index&is_active=true&page=1

Answer: The VA does not supply vaccines to the Denton CBOC and is unable to provide accurate usage numbers for these vaccines.

6. Question: Are there any additional Vaccines, other than those listed in question 5 above, that were provided to the Denton CBOC enrolled Veterans in the last 12 months?

Answer: Please see items m. – p. in Question number 5 above.

7. Question: If there are additional vaccines identified pursuant to question 6, please provide the name and number of vaccines provided to Denton CBOC Veterans in the last 12 months.

Answer: There are no additional vaccines other than those listed in Question 5 above.

8. Question: Pursuant to the Prescription Fulfillment Section 4.6.3.1, please provide a list of Medications, with the quantities, provided to the Veterans enrolled in the Denton CBOC in the last 12 months that the government expects the contractor to administer at the Clinic.

Answer: VA does not supply medications to the Denton CBOC and is unable to provide this information.

9. Question: Does the current CBOC facility meet the new contract PACT Space Module Design Guide requirements as stated in the Space Requirements Section 7 of the solicitation?

Answer: No, it does not.

10. Question: The Solicitation does not contain FAR 52.222-6 (Construction Wage Rate

Requirements) or related applicable Davis Bacon Act construction Federal Acquisition Regulation (FAR) clauses set forth in FAR 22.407. However, according to [Section 7 of the Solicitation], an offeror must provide substantial construction work in accordance with detailed specifications that appears to be physically and functionally segregable from service work set forth in the Statement of Work and [the agency] will pay, directly or indirectly, for this construction work. As such, please confirm that FAR 52.222-6 applies to any of that work set forth in the Solicitation and that Davis Bacon Act wages should be used for pricing work under Section 4.9.

Please also expressly identify the portion of the work for which the requirements of FAR 52.222- 6 applies, when FAR 52.222-6 will be incorporated into the Solicitation, and which wage determination(s) will be incorporated into the Solicitation so offerors can have the a common basis for pricing the portion of work subject to FAR 52.222-6.

Answer: In accordance with FAR 22.407(a), FAR 52.222-6 through 52.222-15 will be incorporated into the solicitation and added to Section C, Contract Clauses. These clauses are applicable solely to the portion of the solicitation for PACT and a barrier free design compliance.

Davis Bacon Act Wage Determination# TX20200243, Modification 2, Building, Revised August 28, 2020 is now attached to Section D of the solicitation and will be applicable to build out/construction associated with establishing a space compliant with the PACT model and a barrier free design.

11. Question: Is the VA supplying the phones and phone system for the CBOC or is the contractor to provide?

Answer: No, the contractor must provide the phones and phone system for the CBOC.

12. Question: How many VA staffed personnel will be providing services at the Denton CBOC?

Please list by job title and number of days per month.

Answer: The following VA staff personnel will be providing services at the Denton CBOC: 10 full time mental health providers; one (1) full time PACT social worker; two (2) full time telehealth clinical technicians (TCT); 0.5 clinical pharmacist; and 0.5 clinical nutritionist.

13. Question: How many offices will be needed at the Denton CBOC for the VA provided staff (by position/function) identified in question 9?

Answer: The following offices will be needed at the Denton CBOC: 10 mental health offices/consult rooms with telehealth capability; one (1) office/consult room for PACT social worker; at least one (1) office/workroom for two TCT; one (1) office for clinical pharmacist and dietitian; and at least one (1) additional swing office.

14. Question: How many veterans using the Denton CBOC are currently on the Primary Care billable roster?

Answer: There are currently 8,500 Veterans on the Denton CBOC primary care billable roster.

15. Question: Is the current number of veterans on the Primary Care billable roster an accurate reflection of what the starting billable roster will be under the new contract?

Answer: Yes, it is.

16. Question: 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?

Answer: No more than twice per year, as appropriate.

17. Question: In Paragraph 4.7.1.3.1 it states: Specimens with a shipping manifest shall be delivered to the VA Laboratory receiving area located at the Dallas VA, Building J, Room 1C311 or the Bonham VA, Building 1, Second Floor. Which location does the VA want the lab specimens collected from the Denton clinic to be sent for processing?

Answer: They will be sent to Dallas VA, Building J, Room 1C311.

18. Question: With reference to 52,212-2 Evaluation – Commercial Items, sub-paragraph

Miscellaneous (page 46), Copies of required insurance certificates with cross reference to Clause C.17 VAAR 852.237-7 Indemnification and Medical Liability Insurance (b), page 27 An apparently successful offeror, upon request of the Contracting Officer, shall, prior to contract award, furnish evidence of the insurability of the offeror and/or of all health- care providers who will perform under this contract. Clarification: Please clarify whether the insurance certificates are required in the submission or pre-award?

Answer: This is required upon request from the Contracting Officer prior to contract award.

19. With reference to E.14 52,212-2 Evaluation – Commercial Items Sub-Factor B Suitability and

Accessibility of Facility, 5th bullet, page 152: Offeror shall provide a copy of the latest State or local inspection of each facility that substantiates appropriate codes for building, fire and safety are met. The Offeror shall demonstrate that each proposed building meets the codes for building, fire and safety to ensure the VA that veteran patients are in a safe environment.

Question: Due to the often-lengthy process of obtaining these certificates, will the Government allow the certifications to be submitted post-award?

20. Question: Please provide the most recent billing figures/members/enrollees for primary care services.

Answer: See Question number 14.

21. Question: The solicitation shows that the contract maximum is $35M. Did the Government conduct an Independent Government Cost Estimate (IGCE) on this requirement? If so, what is the value associated with this estimate?

Answer: In order to promote competition and protect procurement integrity, the Government will not release the IGCE information.

22. Question: 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)?

Answer: Please see above Questions 5, 6, 7, and 8.

23. Question: 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?

Answer: Yes. Please see Question number 4.

24. Question: Can the Government please provide a Microsoft Word version of the file “36C25720R0029_Denton CBOC.pdf”?

Answer: A copy of the pricing schedule and the admin section is attached. The entire solicitation is available in PDF format at:

https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sor t=-relevance&index=&is_active=true&page=1.

https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sort=-relevance&index&is_active=true&page=1 https://beta.sam.gov/opp/499b449a257b4086b1a515688d4da5a6/view?keywords=denton&sort=-relevance&index&is_active=true&page=1

<redacted>

25. Question: Due to the comprehensive nature and the number of requirements in Part I Technical Capability, we kindly request that you increase the 30-page limitation so Offerors can adequately address each requirement.

Answer: Yes. The new page limitation for Part I Technical Capability is 40 pages.

26. Question: May Offerors use 10pt text in tables and graphics?

Answer: Yes. The 10-pitch font may be use in tables and graphics only, but the text must be legible.

27. Question: Clarification request on the doors for the Patient care rooms. PACT guidelines only recommend that sliding doors are used for the patient side. Confirming that sliding doors are requested on both the patient door and the doorway into the team work zone.

Answer: Yes, the door that opens into patient hallway will be a sliding door; however, a sliding door is not required for the door that opens into team work zone.

28. Question: Clarification on the doors – do they need to be barn doors or can they be any style of sliding door?

Answer: Sliding doors are required as noted in the PACT Space Module Design Guide. Barn-style doors are not specifically required.

29. Question: Clarification requested for the Women’s Health Suite, as PACT guidelines state that the room should be 125 sq. ft. with a 60 sq. ft. ensuite restroom, that at this CBOC, the total of the Women’s Health Exam room should be 240 sq. ft. What is the minimal size of the ensuite restroom?

Answer: The Women’s Health Exam rooms should be 180 square foot including a 60-foot ensuite restroom.

30. Question: We are not entirely sure if this RFP is for the VA looking for space or just for a contractor to operate a clinic – we are the largest dedicated owner of Medical Office Buildings in the nation, and have a great property (on campus with the Presbyterian Hospital Denton) should space for a clinic be the actual need.

Answer: The VA is looking for a turnkey operation to include space, personnel, equipment, supplies, etc. This contract requirement is for a contractor operated CBOC.

31. Question: I would love to get your feedback or chance to connect on a call to discuss in more detail – this is the link I’m referring to:

Answer: No response required as this is not a question; the Government has reserved the right to award without discussions.

32. Question: Not sure if you have any additional information on this but we would be grateful for any feedback.

Answer: The VA is looking for a turnkey operation to include space, personnel, equipment, supplies, etc. This contract requirement is for a contractor operated CBOC.

33. Question: Good morning and I hope all is well. Please allow me to briefly circle back on the below – we would love to get your feedback on this RFP to see if there is a need for medical space to accommodate the clinic.

Answer: The VA is looking for a turnkey operation to include space, personnel, equipment, supplies, etc. This contract requirement is for a contractor operated CBOC.

34. Question: Please confirm VA will provide quarterly and annual anticoagulation quality assurance summaries since a VA CPS will be handling the anticoagulation under this contract?

Answer: Yes, the VA will provide. The contractor will be responsible for any performance improvement activities as indicated by the data in the provided summaries.

4.6.4.2.1 The Contractor shall provide Quarterly and annual anticoagulation quality assurance summaries as outlined by the local Pharmacy & Therapeutics Committee. For questions, please contact, POC, VA Anticoagulation Coordinator at April.Allen@va.gov.

35. Question: Is there any consideration for the Government to extend the commencement from 90 days to 120 days?

18.1.1 The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans. However, the Contractor must have all start-up requirements in place and ready to commence operation NLT 83 calendar days from contract award. The final seven (7) days will be used for training and resolution of any last minute or unexpected technical or personnel related challenges. The Contractor shall comply with the following contract requirements prior to commencement of clinical operations:

Answer: The contractor shall now have 120 days from the date of award to commencement of medical care to local Veterans.

36. Question:

2.1.1 TELEPHONE ACCESS TO CLINICAL CARE: The Contractor must make provisions for toll free telephone care, twenty-four (24) hours a day, seven (7) days a week, including evenings, weekends and holidays, for all enrolled patients, in accordance with VHA Directive 2007-033, "Telephone Service for Clinical Care," dated 10/11/07 (or subsequent revisions thereto) located at http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=16 mailto:April.Allen@va.gov http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1605

05. This directive establishes benchmarks for telephone service, which will be used by VA to monitor Contractor performance (e.g., call volume, abandonment rate, and average speed to answer).

Benchmarks include an average speed of answer by a live person within 30 seconds and a call abandonment rate of less than 5%.

Is the contractor responsible for supplying the telephones and the automatic call distribution for this contract?

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

Answer: Please see Question number 12 above.

38. Question: Will the VA provided staff require an office at the CBOC? If yes, what type and size?

Answer: Yes. Please see Question number 13 above.

39. Question: Does the VA require two courier trips per day, or will one trip be acceptable?

Answer: Two (2) courier trips per day are required.

40. Question: Will the VA require a clinic manager?

Answer: Yes, the VA will require a clinic manager.

41. Question: Thin-Prep PAP testing supplies are not available for purchase by contractor, will the

VA supply?

Answer: Yes, the VA will supply thin-prep PAP testing supplies.

42. 15.1 [The VA will be responsible for] providing PC workstations, software, primary telecommunications lines and networking equipment required to access the VA EHR.

Question: The RFP requires performance period to start 90 days after award, is the VA able to provide Primary telecommunications connectivity within 90 days as outlined in the in the RFP?

Answer: The contractor is responsible for all primary telecommunications lines.

43. PLACE OF PERFORMANCE: The Denton Contractor’s facility must be physically located in Denton County, Texas. Denton is approximately 51 miles from VANTHCS.

Question: Please confirm the clinic can be located anywhere in Denton County.

a. Congressional approval for the Denton CBOC covers Texas’ 26th Congressional District requiring the clinic to be located within that geographical area.

Answer: The city of Denton is the preferred location for the clinic.

44. Question: Please confirm Homeless Program referenced in 5.11.2.11.31 will be staffed by VA

Social Worker.

a. Yes, the Homeless Program referenced in 5.11.2.11.31 will be staffed by a VA Social Worker.

45. 4.6.2.3.3.9, pg. 27: The Contractor must provide ongoing education and training to the Women’s Health Primary Care Providers to assure competency, proficiency and expertise in providing care to women Veterans. Evidence and documentation to support the Women’s Health provider’s training, certification, and competency will be forwarded to the VANTHCS Administrative Officer of Ambulatory Care.

Question: Do the required 10 hours of CEU required every 2 years as listed in 4.6.2.3.3.9 meet the requirement for ongoing education?

Answer: As outlined in 4.6.2.3.3.9, the Contractor must provide ongoing education and training to the Women’s Health Primary Care Providers to assure competency, proficiency and expertise in providing care to women Veterans. If the offerings provided by the Contractor have attached accredited continuing medical education hours or continuing education units, those hours can count toward the requirement for ongoing education.

46. 4.6.3.1, pg. 29: The Contractor will provide all medications, including any necessary vaccines that are to be administered to patients in the clinic. Routine prescriptions will be dispensed by the VA and mailed via VA Centralized Mail Out Pharmacy (CMOP) to the Veteran following appropriate Contractor’s provider order entry in the VA EHR.

Question: Please list all medication and vaccines that the contractor will be required to provide.

Answer: Please see answers to Questions 5, 6, 7 and 8.

47. Question: Will the government confirm who is responsible for supplying ALL of the following vaccines? Are there any additional vaccines required to be supplied by the contractor? TDAP Pneumovax 23 Prevnar 13 TD Flu High dose flu Shingrix Twinrix (hep a &b) Hep A Hep B HPV Tubersol (PPD) (not a vaccine)

Answer: All medications and vaccines will be provided by the contractor. Please see Question 5 for list of vaccines currently required by VANTHCS. This is subject to change based on multiple factors including but not limited to VANTHCS requirements; the needs of the patient population served; and the availability of new vaccines (i.e. COVID 19 vaccine).

48. Question: Will the VA or the Contractor be financially responsible for the cost of 10-day bridge medications?

Answer: The VA holds the contract for the short-term prescriptions and incurred costs are covered by the VA.

49. Question: Will the VA provide Naxolone for veterans who require it as a precaution??

Answer: All medications to be administered in the clinic, including Naxolone, will be provided by the contractor.

50. Question: Who is responsible for purchasing emergency contraception for the CBOC, Contractor or VA?

Answer: All medications to be administered in the clinic, including emergency contraception, will be provided by the contractor.

51. Question: Who is responsible for setting up a contract with a local ambulance company, the VA or the Contractor?

Answer: The VA will not provide a contract for local ambulance service to the clinic.

52. Question: Will a list of required rooms be provided as an Addendum? The RFP does not specify any PACT Space Module Design Guidelines as other RFPs.

Answer: No, an addendum will not be provided. The RFP references the VA documents that outline PACT space standards including the PACT Space Module Design Guide, the VA Barrier Free Design Standard, Prototypes for Standardized Design and Construction, Community Based Outpatient Clinics, and the Space Planning Criteria PG 18-9.

53. Question: Please list all VA staff positions that will be on site along with the number of hours per week.

Answer: Please see Question 12.

54. Question: Does the VA prefer sliding doors? If yes, on both sides or patient side only or will swing doors on the provider side be adequate?

Answer: Please see Question 27.

55. Question: Typically, the RFP section state “Setback distance from the face of the Building's exterior to the protected/defended perimeter (i.e., any potential point of explosion). This means the distance from the Building to the curb or other boundary protected by bollards, planters or other street furniture. Such potential points of explosion may be, but are not limited to, such areas that could be accessible by any motorized vehicle (i.e., street, alley, sidewalk, driveway, parking lot).”

What is the setback distance of the site to the bollards required for physical security? Typically, it is 25 feet, but most clinics in shopping center etc. … do not have spaces that conform to this requirement?

Answer: Either a 25-foot standoff or bollards, planters or other street furniture to impede risk of areas that could be accessible by any motorized vehicle.

56. Question: The PACT Design Guidelines require 3 exam rooms per PACT, 1 consult room and two exam rooms. Can the Woman’s Health Exam rooms be part of the PACT set up? For example if there are 9 PACT teams, then 27 exam rooms would be provided that include the 9 consult rooms, 2 Woman’s Health Rooms and then 16 more exam rooms for a total of 27?

Answer: For nine (9) PACT teams, a total of 27 exam/consult rooms are required. In addition, 4 women’s health rooms and one (1) procedure room are also required. Two (2) of the women’s health rooms may count as two (2) of the 27 required exam/consult rooms. The procedure room can also serve as the 4th women’s health room bringing the total of additional rooms to four (4) instead of five (5). Please see Question 29 for additional information on women’s health and procedure rooms.

57. Question: How many Behavior Health Rooms will be required? Please list the names of each type of office.

Answer: A minimum of 10 mental health offices/consult rooms that are telehealth capable are required. At least one (1) dedicated telemental health room is required (this is in addition to the 4 required telehealth rooms). Additionally, one (1) mental health exam/consult room, either in the mental health section or the use of an exam room in PACT area in close proximity to the mental health area, is required. The mental health area should also contain a mental health team work area that meets the specifications in the space references listed in the RFP.

PACT Space Module Design Guidelines requires two (2) small group rooms for the amount of Behavior Health rooms.

58. Question: Is a large conference group room required as well to service all the service for the clinic?

Answer: In addition to the two (2) group therapy rooms for mental health, two (2) shared medical appointment rooms and two (2) general conference rooms are required. An additional large conference room would be at the discretion of the contractor.

59. Question: Will a Shower room be required for the Staff Lounge Break area?

Answer: No, a shower room is not required for the Staff Lounge Break area.

60. Question: How many single stall unisex toilet rooms will be required for the waiting area/lobby?

Answer: Unisex toilet rooms are not referenced in the space design documents. The number of single staff unisex toilet rooms would be at the contractor’s discretion.

61. Question: Will the government be doing site visits prior to award? If so, how much advance notice will the contractor be given?

Answer: Yes, the government will conduct site visits prior to award. The Contracting Officer will coordinate the site visit with the VA and contractor and provide notice two weeks prior.

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