36C25819R0003-0001000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

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

D. OTHER

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) 02-12-2019 Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Bldg. 45 Tucson AZ 85723 Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Bldg. 45 Tucson AZ 85723 To all Offerors/Bidders

36C25819R0003 02-01 -2019

X X X 3/22/2019 11:00am EST.

X The purpose of this solicitation amendment is to extend the proposal due date to 3/22/2019, update the price/cost schedule and respond to questions pertaining to this solicitation.

See continuation pages for questions and answers.

CONTINUATION PAGE

RESPONSE TO QUESTIONS

1. Can the government verify that telehealth staff will be provided by the VA to support Tele: retinal, dermatology, audiology, & mental health? Yes, the contractor will provide the Tele Health Tech and we will provide the support for the services.

2. Will the VA provide the VOIP phones for the CBOC? Yes, phones and computers come from the VA.

3. Can the procedure room be utilized as both a women’s exam room and procedure room given this room meets all requirements, or would the government require both room types? There should be a dedicated room for women’s health

4. Does the current clinical space meet the new contract requirements? Yes

5. Can the government share the current vested roster as of 01/2019? CLIN 1 states the estimated quantity at 850, however attachment D16 states the estimated quantity to be 1005 as of 8/30/2018. Can the government please clarify? See updated schedule within this amendment.

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

7. Paragraph 2 states, “Actual panel sizes can be determined by the VA in accordance with PCMM Handbook 1101.02.” It is our understanding that PCMM Handbook 1101.02 has been superseded by VHA Directive 1406. Please clarify if panel sizes should be in accord with PCMM Handbook 1101.02 or with VHA Directive 1406. Panel sizes will be determined by VHA Directive 1406.

8. Factor 3, pg. 133 states “the paragraph below are part of Factor 2…” Can you please clarify, we assume the sentence is referring to Factor 3. Page 133 should reflect Factor 3, not Factor 2.

9. Will the vendor be required to provided additional teamlet support staff for Mental and Health and PCMHI? Or can the PACT level teamlet support MH and PCMHI as needed? The PACT teamlet can support MH and PCMHI

10. Sub-factor (b) Quality control states “Provide copies of CAP, CLIA, or Joint Commission accreditation and current applicable state licensing and/or Center for Disease Control (CDC) accreditation or proof that such documents are being processed for Laboratory Services. Provide proof that clinic is DEA registered in accordance with the Ryan Haight Online Pharmacy Consumer Protection Act of 2008.” Can the vendor provide copies of such application (CLIA accreditation, and proof that clinic is DEA) registered after contract award. These applications are obtained once the vendor/ contractor knows it will be awarded the contract. If yes, can this be removed from the proposal requirements? Yes, the requirement will be removed until after award.

11. Can the government please clarify the page count requirement on page 129 of the SOL. 2. (e) states “Proposal shall not be longer than 100 pages.” Is this requirement for Factor 1 Technical Capability or for all 4 Factors combined? 100 pages for responding to all 4 factors combined.

B.2 PRICE/COST SCHEDULE

Under the authority of Title 38 U.S.C. 8153 the Contractor agrees to provide Primary Care services in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Schedule of Services. Proposed Contractor facility must be physically located within the city limits of Payson, Arizona. Veterans to be serviced under this contract reside primarily in Gila County, however; residency is not restricted to this county. The Parent Facility for this CBOC is the Phoenix VA Healthcare System (PVAHCS), 650 E. Indian School Rd. Phoenix, AZ 85012. Payment for primary care services shall be based on a monthly capitated rate, as further explained within this solicitation.

In order to be considered "responsive" to this solicitation Offerors must provide pricing for the base year and all option years using the Schedule provided below. No other version of the pricing schedule will be accepted. Tiered pricing will not be accepted. Pricing is on a “per-member per month (PMPM)” basis and represents an “all inclusive” reimbursement for clinical space and clerical support, routine delivery of primary care, including physician/physician assistants, nurse/nurse practitioner’s services, completion and follow up of multiple preventive health screens, flu vaccination and annual physical, labs including VA ordered lab draws, nurse screening assessments, EKGs and other services as described herein.

“The guaranteed minimum award amount for this contract is $1,000,000.00. The maximum aggregate value of orders that can be placed under this contract is $15,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount”.

SCHEDULE OF SERVICES

BASE YEAR – October 1, 2019 through September 31, 2020

Total for Base Year: $_____________________ OPTION YEAR 1 – October 1, 2020 through September 31, 2021

Total for Option Year 1: $__________________

OPTION YEAR 2 – October 1, 2021 through September 31, 2022

Total for Option Year 2: $___________________ OPTION YEAR 3 – October 1, 2022 through September 31, 2023

Total for Option Year 3: $__________________ OPTION YEAR 4 – October 1, 2023 through September 31, 2024

Total for Option Year 4 $___________________

TOTAL FOR BASE AND OPTION YEARS $____________________