36C25722R0052_1.docx

36C25722R0052 – PSYCHIATRY PHYSICIAN SERVICES

36C25722R0052 - PSYCHIATRY PHYSICIAN SERVICES

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C25722R0052 06-21-2023 Dewana Raynor 210-617-5300 x60951 07-12-2023

4:00 PM

CDT

36C257 Department Of Veterans Affairs Network Contracting Office 17 5441 Babcock Road Ste. 302 San Antonio TX 78240 X X 621112 $12 Million N/A X Department of Veterans Affairs North Texas Veterans Healthcare System 4500 S. Lancaster Rd.

Dallas TX 75216 36C257 Department Of Veterans Affairs Network Contracting Office 17 5441 Babcock Road Ste. 302 San Antonio TX 78240

This is accomplished through the Tungsten Network located at:

http://www.fsc.va.gov/einvoice.asp This is mandatory and the sole method for submitting invoices.

(877) 353-9791

(512) 460-5540 See CONTINUATION Page Contractor shall provide Onsite Psychiatry Physician Services at the VA North Texas Veterans Healthcare System (VANTHCS) in accordance with the schedule of service, performance work statement, and all conditions contained herein.

See CONTINUATION Page X X X Dewana Raynor Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer – Dewana Raynor

San Antonio TX 78240

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor should be mailed to the following address:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests. Invoicing shall be in accordance with the requirements of The Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current Invoicing information is located at http://www.fsc.va.gov/einvoice.asp.

5. CHANGES/MODIFICATIONS TO THE CONTRACT: The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this resultant contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer will be authorized to make commitments or issue changes that affect price, quantity, delivery or quality of performance of this resultant contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local VAMC, and no adjustment will be made in the contract price to cover any increase in cost incurred as a result thereof.

6. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

7. System for Award Management: Federal Acquisition Regulation requires contractor registration in the System for Award Management (SAM) database prior to the award of a contract. Offerors and Contractors may obtain information on registration and annual confirmation requirements via the internet at SAM.gov | Home.

8. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 SCHEDULE OF SERVICES

The Government intends to award a Fixed Price-Indefinite Delivery Indefinite Quantity contract for Psychiatry Physician Services to a Service-Disabled Veteran Owned Small Business (SDVOSB). The contractor shall furnish all personnel to provide services necessary to perform on-site Psychiatry Physician Services, for the Consult Liaison (CL) team, Inpatient Psychiatric Unit, and the Outpatient clinics to eligible beneficiaries of the Department of Veteran Affairs North Texas Health Care System, (herein referred to as VANTHCS). All Psychiatry Physician Services are accredited by the American Board of Psychiatry and Neurology (ABPN) and follow the standards & guidelines set forth by ABPN.

Pricing Instructions: The offeror is instructed to edit the number of sub-line item number (SLIN) to correspond with the number of key personnel submitted for the line item number (LIN). Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SLINs if adding or removing Key Personnel.

The Contractor shall propose a minimum of 4 Psychiatrists, key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance: Base Year: August 15, 2023 – August 14, 2024

Qty.

Total Annual Cost

Psychiatrist Services 4 FTE

KEY PERSONNEL

None

0001A Board Certified Psychiatrist Services

NAME: _____________ TITLE/LEVEL OF EXPERIENCE: _______________

Hours

0001B Board Certified Psychiatrist Services

Total for Base Year

Period of Performance: Option Year One: August 15, 2024 – August 14, 2025

Qty.

Total Annual Cost

Psychiatrist Services 4 FTE

KEY PERSONNEL

1001A Board Certified Psychiatrist Services

1001B Board Certified Psychiatrist Services

Total for Option Year One

Period of Performance: Option Year Two: August 15, 2025 – August 14, 2026

Qty.

Total Annual Cost

Psychiatrist Services 4 FTE

KEY PERSONNEL

2001A Board Certified Psychiatrist Services

2001B Board Certified Psychiatrist Services

Total for Option Year Two

Period of Performance: Option Year Three: August 15, 2026 – August 14, 2027

Qty.

Total Annual Cost

Psychiatrist Services 4 FTE

KEY PERSONNEL

3001A Board Certified Psychiatrist Services

3001B Board Certified Psychiatrist Services

Total for Option Year Three

Period of Performance: Option Year Four: August 15, 2027 – August 14, 2028

Qty.

Total Annual Cost

Psychiatrist Services 4 FTE

KEY PERSONNEL

4001A Board Certified Psychiatrist Services

4001B Board Certified Psychiatrist Services

Total for Option Year Four

TOTAL FOR THE BASE PLUS ALL FOUR (4) OPTIONS: $ _______________________

The Government shall only pay for the number of hours actually worked.

MINIMUM/MAXIMUM: In accordance with FAR 16.504, the guaranteed minimum award for the entire contract performance period is $10,000. The maximum aggregate value of orders that can be placed under this contract is $14,500,000. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum guaranteed award amount.

Inclusion of FAR 52.217-8, Option to Extend Services: The evaluation will assume that the prices for any option exercised under FAR 52.217-8, will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all proposals relative to each other and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the Government determines that there is a basis for finding otherwise. The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

36C25722R0052 – PSYCHIATRY PHYSICIAN SERVICES

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B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide four (4) full-time, FTE Board Certified Psychiatrists, meeting or exceeding the currently recognized national standards as established by the American Board of Psychiatry and Neurology, for the Mental Health Consultation Liaison Team, Inpatient Psychiatric Unit, and Outpatient clinics in accordance with the specifications contained herein to beneficiaries of the VA North Texas Health Care System (hereinafter referred to as VANTHCS) Mental Health Service (MHS).

1.2. Place of Performance: Psychiatrists will perform services at Dallas VA Medical Center (VAMC) at 4500 S Lancaster Rd, Dallas, Texas 75216 in Dallas County or Fort Worth VA Clinic (FWOPC) at 2201 Southwest Loop 820, Fort Worth, Texas 76119 in Tarrant County. Psychiatrists shall perform services throughout VANTHCS via telehealth appointments, by telephone or VA Video Connect (VVC), at any of its ten (10) Outpatient Clinics (CBOC) locations and three (3) Medical Centers:

(10) CBOCs:

· Broadway VA Clinic at 428 Centennial Parkway, Tyler, Texas 75703 in Smith County

· Decatur VA Clinic at 408 Park West Court, Decatur, Texas 76234 in Wise County

· Denton VA Clinic at 2223 Colorado Boulevard, Denton, Texas 76205 in Denton County

· Fort Worth VA Clinic (FWOPC) at 2201 Southwest Loop 820, Fort Worth, Texas 76119 in Tarrant County

· Granbury VA Clinic at 1210 Paluxy Medical Circle, Granbury, Texas 76048 in Hood County

· Grand Prairie VA Clinic at 2737 Sherman Street, Grand Prairie, Texas 75051 in Tarrant County

· Greenville VA Clinic at 4006 Wellington Road, Suite 100, Greenville, Texas 75401 in Hunt County

· Plano VA Clinic at 3804 15th Street, Suite 175, Plano, Texas at 75075 in Collin County

· Polk Street VA Clinic at 4243 South Polk Street, Dallas, Texas 75224 in Dallas County

· Sherman VA Clinic at 1715 Texoma Parkway, Sherman, Texas 75090 in Grayson County

(3) Medical Centers

· Dallas VA Medical Center (VAMC) at 4500 S Lancaster Rd, Dallas, Texas 75216 in Dallas County

· Garland VAMC at 2300 Marie Curie Boulevard, Garland, Texas 75042 in Dallas County

· Sam Rayburn Memorial Veterans Center (Bonham) at 1201 East 9th Street, Bonham, Texas 75418 in Fannin County

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR), sharing Authority, FAR Part 12 and FAR Part 15.

1.4 Terms of the Contract: The contract is effective from the date of award for 1 year, with the option to extend for four (4) years for a maximum possible duration of five (5) years. The contract is subject to availability of VAMC appropriations. The Contractor shall perform no services after the one (1) year period from the date of award unless request for extension is made by VANTHCS MHS and the contracting officer authorizes such services in writing.

1.5. Policy/Handbooks: The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in this contract.

1.5.1 VHA Directive 1003.04: VHA Patient Advocacy:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.5.2 VHA Handbook 1100.18: Reporting and Responding to State Licensing Boards:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174

1.5.3 VHA Handbook 1100.19 Credentialing and Privileging - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.5.4 VHA Directive 1100.20 Credentialing of Health Care Providers: https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=9444

1.5.5 VHA Directive 1088 Communicating Test Results to Providers and Patients:

www.va.gov/vhapublications/viewpublication.asp?pub_id=3148

1.5.6 VHA Directive 1192.01: Seasonal Influenza Prevention Program:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.5.7 VA Directive 1663: Health Care Resources Contracting - Buying: https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.5.8 VHA Directive 1907.01: VHA Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

1.5.9 Privacy Act of 1974 (5 U.S.C. 552a) as amended: http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.6 Definitions/Acronyms: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.6.1. ABIM: American Board of Internal Medicine http://www.abim.org/

1.6.2. ABFM: American Board of Family Medicine https://www.theabfm.org/

1.6.3. ACGME: Accreditation Council for Graduate Medical Education

1.6.4. BLS: Basic Life Support

1.6.5. CCNE: Commission on Collegiate Nursing Education: www.aacn.nche.edu/accreditation

1.6.6. CDC: Centers for Disease Control and Prevention

1.6.7. CDR: Contract Discrepancy Report

1.6.8. CEU: Certified Education Unit

1.6.9. CME: Continuing Medical Education

1.6.10. CMS: Centers for Medicare and Medicaid Services

1.6.11. Contracting Officer (CO) – The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.6.12. Contracting Officer’s Representative (COR) – A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.6.13. COS: Chief of Staff

1.6.14. CPARS: Contractor Performance Assessment Reporting System

1.6.15. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.6.16. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.6.17. DEA: Drug Enforcement Agency

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5965 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2389 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5624

1.6.18. FSMB: Federation of State Medical Boards

1.6.19. HHS: Department of Health and Human Services

1.6.20. HIPAA: Health Insurance Portability and Accountability Act

1.6.21. HR: Human Resources

1.6.22. ISO: Information Security Officer

1.6.23. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

1.6.24. NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

1.6.25. Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors

1.6.26. NP: Nurse Practitioner

1.6.27. NPPES: National Plan and Provider Enumeration System

1.6.28. F/OPPE: Focused/Ongoing Professional Practice Evaluation

1.6.29. PA: Physician Assistant

1.6.30. POP: Period of Performance

1.6.31. PPD: Purified Protein Derivative

1.6.32. PWS: Performance Work Statement

1.6.33. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

1.6.34. QASP: Quality Assurance Surveillance Plan

1.6.35. TMS: Training Management System

1.6.36. Veterans’ Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

1.6.37. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Mississippi.

1.6.38. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

1.6.39. VetPro: a federal web-based credentialing program for healthcare providers.

1.6.40. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the Dallas Veterans Affairs Medical Center.

2. Qualifications:

2.1. Staff/Facility

2.1.1. License - Contract Psychiatrist(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia. Contractor personnel shall be proficient in the clinical activities normally performed by psychiatric physicians, as supported and evidenced by state licensure, completion of an approved residency, and ABPN Board Certification in Psychiatry. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contract Psychiatrist(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract. Buprenorphine Certification is highly encouraged in order to meet the duties required for this position, as well as experience and registration where appropriate with methadone and clozapine prescribing. Consult Liaison fellowship and experience is also preferred.

2.1.2. Board Certification - All contract Psychiatrist(s) shall be Board Certified with the American Board of Psychiatry and Neurology (ABPN) American Board of Psychiatry and Neurology - ABPN. Psychiatrist must be certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging –Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 and 1100.20 referenced above. The Contractor is responsible to ensure that proposed Psychiatrist(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contract Psychiatrist(s) prior to obtaining approval by VANTHCS Professional Standards Board and Medical Center Director.

2.1.3.1. If a contract Psychiatrist(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency - Contract Psychiatrist(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract Psychiatrist(s) and contract Psychiatrist(s) shall be responsible for abiding by the VANTHCS Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VANTHCS. Contract Psychiatrist(s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credential’s office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract Psychiatrist(s).

2.1.6. Training (BLS, CPRS, and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contract Psychiatrist(s) as required by the VA. Onsite training will be conducted for CPRS. All other mandatory training will be electronic through TMS.

Prevention/Management of Disruptive Behavior/Violence Prevention Level I

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for Psychiatrist(s) within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor's physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.”

2.1.7.2. Measles, Mumps, & RUBELLA TESTING: Contractor shall provide proof of immunization for all contract Psychiatrist(s) for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

2.1.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.7.6. COVID-19: Contractors shall comply with VHA Supplemental Contract Requirements for Combatting COVID-19 {This is applicable to all health care workers}. – See Section D attachment.

2.1.7.7. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contract psychiatrist(s); provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VANTHCS shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.8. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.9. DEA (as required) - Contractor shall provide copy of current DEA certificate.

2.1.10. Conflict of Interest: The Contractor and all contract Psychiatrist(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.11. Citizenship related Requirements:

2.1.11.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals.

2.1.11.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.11.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.11.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.11.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offeror’s response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.12. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.12.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract Psychiatrist(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.12.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional direction of all clinical personnel covered by this contract will be provided by the VANTHCS COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contract Psychiatrist(s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition against Self-Referral: Contractor's physicians are prohibited from referring VA patients to contractor's or their own practice(s).

2.6. Inherent Government Functions: Contractor and Contract Psychiatrist(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contract Psychiatrist(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract Psychiatrist(s). When a Contractor or contract Psychiatrist(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contract Psychiatrist(s) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE) for the services required of 4 FTE is defined by VA as a minimum of 80 hours every two weeks and does not include federally observed holidays.

2.9.2. The Board-Certified Psychiatrists are required to be on site on a daily basis is four (4) as defined in paragraph 3 “Operation” in this section.

2.9.3. It is essential that continuity of services is maintained to the maximum degree possible, hence substitution of contractor provided Psychiatrist(s) shall be limited to urgent/emergent absences of approved, assigned providers. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required.

2.10. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.10.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.10.2. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contract Psychiatrist(s), s/he may request, without cause, immediate replacement of said contract Psychiatrist(s).

2.10.3. The CO and COR shall deal with issues raised concerning Contract Psychiatrist(s) conduct. The final arbiter on questions of acceptability is the CO.

2.11. Contingency Plan: Because continuity of care is an essential part of VANTHCS’s medical services, the Contractor shall have a contingency plan in place to be utilized if the contract Psychiatrist(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3.0 VA Business Hours: The VANTHCS is open 24 hours per day 365 days per year.

In the event a scheduled psychiatrist is unable to complete an assigned shift, the contractor shall immediately provide replacement psychiatrist coverage and immediately notify the Program Manager (PM) VANTHCS of the schedule change.

3.1 Coverage/Work Hours: Services shall include Psychiatric coverage for patients each day for each Psychiatrist on duty. Contract Psychiatrist must be present at the VANTHCS facility(s) and must be performing the required services for the period specified in the contract. The contractor is required to provide coverage for all scheduled hours, conduct diagnostic assessments, medication renewals, suicide risk assessments and crisis interventions for patients in the outpatient and emergency department setting. Patients must be seen by the provider in a timely manner in accordance with the policy established by the Medical Center. Contract providers are to communicate with the Program Manager (PM) at least monthly about any obstacles to meeting this performance measure.

3.2 Work Schedule: The contractor is required to provide coverage at Dallas VA Medical Center (VAMC) at 4500 S Lancaster Rd, Dallas, Texas 75216 in Dallas County or Fort Worth VA Clinic (FWOPC) at 2201 Southwest Loop 820, Fort Worth, Texas 76119 in Tarrant County. Psychiatrists shall perform services throughout VANTHCS via telehealth appointments, by telephone or VA Video Connect (VVC), at any of its ten (10) Outpatient Clinics (CBOC) locations and three (3) Medical Centers as outlined above in section 1.2. Shifts will be assigned by VANTHCS MHS with the following possible duty tours:

Inpatient:

Monday - Friday 8:00am to 4:30pm Saturday and Sunday 8:00am to 8:30pm Outpatient:

Monday - Friday 8:00am to 4:30pm

Consult-Liaison:

1st shift: Monday - Friday 8:00am to 4:30pm 2nd shift: Monday - Friday 10:00am to 8:30pm 3rd shift: Monday - Friday 12:00pm to 10:30pm 4th shift: Monday - Friday 10:00pm to 8:30am

1st shift: Saturday and Sunday 8:00am to 8:30pm 2nd shift: Saturday and Sunday 8:00pm to 8:30am 1st shift: Holidays 8:00am to 8:30pm 2nd shift: Holidays 8:00pm to 8:30am

Federal Holidays: The 11 holidays observed by the Federal Government* are:

· New Year’s Day

· Martin Luther King’s Birthday

· President’s Day

· Memorial Day

· Juneteenth National Independence Day

· Independence Day

· Labor Day

· Columbus Day

· Veterans Day

· Thanksgiving

· Christmas *Holidays will include any other day specifically declared by the President of the United States to be a federal holiday.

Note: Contract employee is responsible for ensuring that all patients have been seen, associated documentation has been finished (orders written, consults submitted, labs reviewed, etc.) before leaving at the end of each workday.

3.3. Clinical Tasks:

3.3.1. Contractor shall be responsible for providing direct patient care and psychiatric consultation in all areas under the jurisdiction of the MH Consult-Liaison team, inpatient, and outpatient setting. These include but are not limited to the Emergency Department, medical-surgical units, ICUs, Community Living Center, and after-hours coverage for the MH inpatient unit and RRTPs.

3.3.2. Contractor shall be responsible for being physically present on tour days to see patients, provide consultative care and clinical recommendations to psychiatric residents.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor shall provide contract Psychiatrist(s) who are competent and qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contract Psychiatrist(s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the PM to confirm hours/day and services provided against the contractor’s invoices.

4.1.2. The only services provided by Contract Psychiatrist(s) that are off-site and should be included on timesheets of contract personnel involved will be (1) Pre-approved, periodic meetings for development management, and planning of services for VANTHCS and its CBOCS. Psychiatrist(s) must be present at assigned facility and performing the duties outlined herein in order to receive payment. Services performed at other un-destinated VA sites are not compensable.

4.2. Standards of Care: The contract Psychiatrist(s) care shall cover the range of services as would be provided in a state-of-the-art health care treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

4.2.1. The American Medical Association http://www.ama-assn.org/

4.2.2. The American Psychiatric https://www.psychiatry.org/

4.2.3. The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/

4.2.4. The standards of the American Hospital Association (AHA) http://www.aha.org

4.2.5. The requirements contained in this PWS.

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contract Psychiatrist(s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552a (Privacy Act), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

4.3.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Health records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled `Patient Medical Records-VA' (24VA10A7). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services provided to VA patients are captured in the VA electronic health record system as required by VA policy as discussed in 4.4.4.

4.3.3. Disclosure: Disclosure: Contractor's physician(s) may have access to patient medical records for the purpose of providing medical care and services to VA patients and performing services under the contract; however, Contractor shall obtain permission from the VA before disclosing any patient information outside VA. VA authorizes the Contractor to discuss patient health information for coordination of care within community health care providers in compliance with VA regulations, HIPAA and VHA Directive 1605.01, Privacy and Release of Information The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.3.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records.

4.3.5. The Contractor will be responsible for ensuring documentation is complete, timely, and reported in compliance with CMS guidelines, VAMC policies, Medical Center…