S06 36C25726R0018 - 0006 - Post Questions and Answers.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

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

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

D. OTHER

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)

1 3

0006 08-20-2026

MSO-2026-COM-0003

36C257

Department of Veterans Affairs

VHA RPO West - NCO 17

Health Care Resources Branch

11495 Turner Road

El Paso TX 79936-1372

Carlos Jaquez - 915-341-4575 carlos.jaquez@va.gov

36C257

See block 6

To all Offerors/Bidders

36C25726R0018

06-29-2026

X

X X

X 1

The purpose for this amendment is to post questions and answers.

a. See continuation page for questions and answers.

b. All other terms and conditions remain in full for and effect.

Carlos Jaquez

Contracting Officer

CONTINUATION PAGE

Q121. PWS Sections 2.3, 2.4, 2.6, and 2.7 state that the VA will provide discipline-specific PACT staff, specialty-care staff, General and Specialty Mental Health clinicians, and telehealth clinical staff, while the contractor must provide adequate space and support personnel. For Mental Health specifically, please provide the current number of Veterans receiving General and Specialty Mental Health services and the anticipated number at the beginning of the Base Year. This information is necessary because PWS 2.6 requires one administrative-support FTE per 1,000 Veterans receiving these services. The pricing schedule contains only a Primary Care PMPM LIN, although the PWS definition of PMPM refers to both Primary Care and Mental Health LINs. Please confirm whether the Mental Health administrative-support costs must be included in the Primary Care PMPM rate or whether a separate Mental Health LIN was inadvertently omitted.

A121. The offeror is required to provide clerical support services for mental health as outlined in section 5.5. Mental Health Services, page 40, in the paragraph titled Mental Health Support Services. This service will be included in the Primary Care PMPM rate. To estimate the number of enrollees receiving general and specialty services, please refer to section 5.5 Mental Health Services, Estimated Mental Health Workload, on page 37.

Q122. Would the VA consider allowing the mental health group room or group appointment room to be used as a dual-purpose space for tele physical therapy, given that the RFP does not identify a dedicated tele physical therapy room and the 200 square foot requirement stated in Amendment 0003 appears to be the only stated space requirement for this service?

A122. Yes, the mental health group room or group appointment room may be used as a dual-purpose space for tele physical therapy.

Q123. In Amendment 0004 question 109, the question was asked, will the Government confirm contractor is only responsible for medications within their scope of practice, this would exclude mental health and other specialty care injectables? And the VA's response was, Mental health injectables as noted on the VANTHCS PACT Medication list provided are the contractor's responsibility. Will the VA provide historical utilization names of medications and quantities of mental health injectables for the prior 12 months?

A123.

Please see number of patient medication orders provided to the Sherman CBOC for the last 12 months per medication.

• Aripiprazole 400mg injection - Two patient orders

• Fluphenazine 25mg/ml - Two patient orders

• Haloperidol 100mg/ml - One patient order

• Paliperidone 39 mg, 78 mg, 156 mg, 234 mg, 410 mg/kit, 546 mg/kit, 819 mg/kit - Eleven patient orders (among those doses)

• Naltrexone 380mg - Ten patient orders

Government-furnish mental health injectables prescribed by VA Mental Health providers through VA Pharmacy;

Current LAIs utilized at VA North Texas include:

Aripiprazole (Abilify Maintena) Aripiprazole (Aristada Initio) Aripiprazole lauroxil (Aristada) Fluphenazine (Prolixin) Haloperidol (Haldol) Paliperidone (Invega Sustenna, Invega Trinza) Risperidone (Risperdal Consta) Risperidone (Perseris) Naltrexone (Vivitrol)

Q124. As a follow-up to Q&A #100 of Amendment 0003 which confirms that construction, build-out, start-up, and associated facility costs must be incorporated into the Base Year PMPM rate, please confirm whether an offeror may submit more than one independently compliant facility alternative within a single proposal submission, with each alternative accompanied by its own complete Schedule of Services/PMPM pricing. Each alternative would independently satisfy the solicitation requirements and incorporate its respective facility costs into its Base Year PMPM rate. If permitted, may common portions of the Technical Capability response apply to both alternatives, with only the facility-specific technical approach and pricing separately identified for each?

A124. This response supersedes A100.

Although Section E of the solicitation states that build-out and start-up costs, if needed, shall be calculated into CLIN 0001, the Government confirms that offerors may propose an alternate pricing approach. Specifically, offerors may submit:

• A separate construction CLIN,

• A progress-payment structure,

• An alternate build-out price, or

• Any other reasonable method of recovering these costs outside the Base Year PMPM rate.

Any alternate pricing proposal must be clearly identified, fully supported, and separately structured so the Government can evaluate price reasonableness and compliance with solicitation requirements.

Offerors choosing to propose an alternative method shall include both:

1. A fully compliant Base Year PMPM approach that incorporates all costs into CLIN 0001, and

2. A distinct alternate pricing option detailing the proposed cost-recovery method and supporting rationale.

Both approaches will be evaluated in accordance with the solicitation’s best-value procedures.

End of Document