36C25921R0104 02.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER

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. DUNS: DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 107

36C25921R0104

6. SOLICITATION ISSUE

DATE

12-10-2021

Jessica Garcia 303-712-5754 12-31-2021

13:00 MST

36C259

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE (NCO 19)

6162 SOUTH WILLOW DRIVE, SUITE 300

GREENWOOD VILLAGE, CO 80111

X

623110

$30 Million

N/A

X

Department of Veterans Affairs Eastern Colorado VA Health Care System 1700 N. Wheeling Street

Aurora CO 80045

36C259

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE

NCO 19

6162 SOUTH WILLOW DRIVE, SUITE 300

GREENWOOD VILLAGE CO 80111

DEPARTMENT OF VETERANS AFFAIRS

ATTN: SOCIAL WORK SERVICES (G1-SWS 122)

1700 N WHEELING STREET

AURORA, CO 80045

Indefinite-Delivery Indefinite-Quantity (IDIQ) contracts for Community Nursing Home (CNH) services in Pueblo and El Paso counties in accordance with the Performance Work Statement to Colorado support the Eastern VA Health Care System.

The Period of Performance for each IDIQ contract will be as follows:

Base: 1 February 2022 to 31 January 2023 Option Year 1: 1 February 2023 to 31 January 2024 Option Year 2: 1 February 2024 to 31 January 2025 Option Year 3: 1 February 2025 to 31 January 2026 Option Year 4: 1 February 2026 to 31 January 2027

The total guaranteed minimum quantity of services that the Government will acquire under each contract is the cost of a room for one (1) Veteran for one (1) day at the VA base rate. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum.

X

X 1

36C25921R0104

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PERFORMANCE WORK STATEMENT (PWS)

B.3 PRICE SCHEDULE: RESOURCE UTILIZATION GROUPS (RUGS) IV

SECTION C - CONTRACT CLAUSES

C.1 IT CONTRACT SECURITY

C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.3 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (SEP 2021)

C.4 52.216-18 ORDERING (AUG 2020)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.9 52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (OCT 2018)

C.10 52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (SEP 2021)

C.11 52.219-16 LIQUIDATED DAMAGES—SUBCONTRACTING PLAN (SEP 2021)

C.12 52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION (OCT 2015)

C.13 52.223-99 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

C.14 52.227-14 RIGHTS IN DATA—GENERAL (MAY 2014) ALTERNATE V (DEC 2007) 51

C.15 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

C.16 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.17 52.246-4 INSPECTION OF SERVICES—FIXED-PRICE (AUG 1996)

C.18 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.19 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.20 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.21 VAAR 852.219-76 SUBCONTRACTING PLANS MONITORING AND COMPLIANCE

(JUL 2018)

C.22 VAAR 852.222-70 CONTRACT WORK HOURS AND SAFETY STANDARDS ACT—

NURSING HOME CARE FOR VETERANS (MAY 2018)

C.23 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.24 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.25 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019) .. 64

C.26 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

E.2 52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (AUG

2020)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.4 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (AUG 2020) 71

E.5 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.6 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT

TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

E.7 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (SEP 2021)

E.9 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.11 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (FEB 2021)

E.12 52.216-1 TYPE OF CONTRACT (APR 1984)

E.13 52.216-27 SINGLE OR MULTIPLE AWARDS (OCT 1995)

E.14 52.222-41 SERVICE CONTRACT LABOR STANDARDS (AUG 2018)

E.15 52.222-43 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS—PRICE ADJUSTMENT (MULTIPLE YEAR AND OPTION CONTRACTS)

(AUG 2018)

E.16 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.17 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

E.18 VAAR 852.215-72 NOTICE OF INTENT TO RE-SOLICIT (OCT 2019)

E.19 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.20 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.21 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)

E.22 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

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 36C259

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE (NCO 19)

6162 SOUTH WILLOW DRIVE, SUITE 300

GREENWOOD VILLAGE, CO 80111

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] MONTHLY 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.

DEPARTMENT OF VETERANS AFFAIRS

ATTN: SOCIAL WORK SERVICES (G1-SWS 122)

1700 N WHEELING STREET

AURORA, CO 80045

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

AMENDMENT NO DATE

B.2 PERFORMANCE WORK STATEMENT (PWS)

1. Background/Introduction. The Community Nursing Home (CNH) program is a key component of the Veterans Health Administration (VHA) continuum of care. The Contractor agrees to provide in accordance with the terms and conditions stated herein to the U.S. Department of Veterans Affairs Eastern Colorado Health Care System in Aurora, CO at the prices specified in the section titled Schedule of Items of this contract. Nursing home facilities in the CNH program shall cooperate with VA staff in referral of appropriate Veterans for care and accept Veterans of which they have the capability/capacity to care. The term, “facilities,” shall include but not be limited to rooms, wards, sections, eating areas, drinking fountains, entrances, and other like areas. VA shall have the right to inspect the CNH and all appurtenances by authorized VA representative(s) to ensure that acceptable standards are maintained and that the necessary care to maintain the well-being of the patient is rendered.

2. General. Nursing home facilities in the CNH program shall ensure that care meets the health needs and promotes the maximum well-being of VA patients. Nursing home care will be furnished to ensure the total medical, nursing, and psychosocial needs of VA beneficiaries. All nursing home facilities in VA’s CNH program must have current Center for Medicare and Medicaid Services (CMS) certification (Medicare and/or Medicaid) and a State nursing home license. VA developed quality of care standards utilizing CMS inspection criteria that are followed by VA in its selection of nursing homes which includes exclusionary criteria on which the CNH is evaluated. See VHA Notice 2019-22, a copy of which is available at:

http://www.va.gov/vhapublications/publications.cfm?pub=2. VA often has a particular need for specialty care services in the CNH program. The VA requires CNHs to have bed capacity to ensure their ability to take referrals when requested. The CNH also must be able to accept VA referrals in a timely fashion (ideally within 24 hours of request). CNH provider visits will be available at the rate of one (1) visit every 60 days. Laboratory, x-ray, and other special services will be available to VA patients as needed. In addition, the care provided will include room, meals, nursing care, and other services or supplies-to include continuous oxygen- commensurate with the VA-authorized level of care, without extra charge. Duly authorized representatives of VA will provide quality oversight visits to Veterans placed to assure continuity of care and to assist in the Veterans’ transition back into the community. These visits do not substitute nor relieve the CNH in any way of the responsibility for the daily care and medical treatment of the Veteran. The per diem rate(s) established in this contract will include the cost of primary medical care, one (1) CNH provider visit every 60 days and as needed for consultation, drugs and routine supplies, laboratory, x-ray, and other special services authorized by VA, unless otherwise specifically excepted (see Schedule of Items in this contract for details regarding per diem rates and coverage). Full attention shall be given to motivating and educating patients to achieve and maintain independence in the activities of daily living. Every effort shall be made to keep patients ambulatory and to achieve an optimal level of self-care.

3. Services Rendered at VA Per Diem Rates. Upon acceptance of a VA patient by the CNH, if requested by the VA Contracting Officer or authorized representative, the Contractor shall furnish all supplies and services herein described. VA is obligated only to the extent authorized placement of patients is made in accordance with this PWS.

4. Termination of Services. VA reserves the right to remove any or all VA patients from the CNH at any time when it is determined to be in the best interest of VA or the patients without additional costs to the Government.

5. VA Authorizations. Authorization for CNH care will be submitted on VA Form 10-7078, “Authorization and Invoice for Medical and Hospital Services,” or other electronic format used by the VA. Each authorization validity period will be noted on the VA Form 10-7078 with a beginning and end date. Any extension to the original authorization validity period, regardless of the number of days, requires a new VA Form 10-7078.

6. Patient Placement. The CNH Coordinators/Social Worker (Contracting Officer Representatives

(COR)/or Point of Contact (POC)) will coordinate the placement of patients to the Nursing Homes utilizing the Computerized Patient Record System (CPRS) system at VA hospital sites. COR/POC Contact information will be provided in Post Award Letter.

7. VA acknowledges that, depending on the availability of resources at specific CNH facilities at specific times, acceptance of a referral may be commercially impracticable for the CNH.

8. Designated VA CNH program personnel will issue written authorizations for Veterans to the contracted CNH upon request (VA Form 10-7078). The determination to place a Veteran at a CNH is based on program needs determined by the VA.

9. Medicaid-Based Rates. The current State Medicaid rates may be used as a basis for determination of VA rates. The VA rate will include medical care, routine medications, laboratory, x-ray, therapy(ies), and other special services authorized by VA, unless otherwise specifically exempted.

As with Medicare, a description of the RUG-IV systems can be found in 42 CFR Parts 409, et al.

10. Primary Medical Coverage. The assigned CNH provider is the primary medical provider during the CNH stay and is responsible for writing or approving admission and all other orders as soon as the Veteran arrives at the CNH. The CNH provider is responsible for general medical care, urgent evaluation and intervention. Provider visits will be according to the Center for Medicare and Medicaid Services (CMS) guidelines. The assigned CNH provider will provide timely care following the most current CMS guidelines; arranging 24/7 access for patient care; providing timely response to calls and arranging for timely provider back-up according to OBRA guidelines (42 CFR 483.40, OBRA Guidelines).

11. Rehabilitation Criteria. All therapy provided under this PWS will be individual therapy, rather than group therapy, unless otherwise ordered by the authorizing VA facility. Therapy will require pre-approval by VA before services are provided. Medical Restorative criteria will be used for physical therapy, occupational therapy, and speech therapy. Therapy must be skilled, relate to safety and be restorative according to Medicare criteria.

a. Description of Rehabilitative Therapy. The concept of rehabilitative therapy includes recovery or improvement in function and, when possible, restoration to a previous level of health and well-being. Evaluation, re-evaluation and assessment documented in the Progress Report should describe objective measurements which, when compared, show improvements in function, or decrease in severity, or justification for an optimistic outlook to justify continued treatment.

Covered therapy services shall be rehabilitative therapy services unless they meet the criteria for maintenance therapy requiring the skills of a therapist. The Contractor shall submit all pertinent Progress Reports to the VAMC upon request.

b. Evaluations/re-evaluations should consider the following: Establishment of treatment goals specific to the patient’s disability or dysfunction and designed to specifically address each problem identified in the evaluation; design of a plan of care addressing the patient’s disorder, including establishment of procedures to obtain goals, determining the frequency and intensity of treatment; continued assessment and analysis during implementation of the services at regular intervals; instruction leading to establishment of compensatory skills; selection of devices to replace or augment a function (e.g., for use as an alternative communication system and short-term training on use of the device or system); and patient and family training to augment rehabilitative treatment or establish a maintenance program. Education of staff and family should be ongoing.

12. Emergency Care; Financial Responsibility; Advanced Directives. In emergencies, CNH staff will utilize the 911 local emergency systems as for any resident. Advance directives or living wills shall be adhered to according to CNH physician’s orders. When private hospitalization or emergency services are required, the patient, spouse, financial guardian or insurer could be financially responsible. Service-connected disabled Veterans may qualify for VA coverage of emergency care provided the VA Health Care System (VAHCS) is contacted by the private hospital provider within 72-hours of admission on the first business day following a weekend or holiday.

This includes the cost of necessary transportation for such care when arranged by VA for non-emergency transport. The VA CNH team will be notified within 72 hours of any emergency care.

13. HIPAA Compliance. HIPAA compliance is required. The Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). In accordance with HIPAA, the Contractor may be required to enter into a Business Associate Agreement (BAA) with VA, but VACO has recognized CNH Facilities as an entity that does not require a BAA if they are conducting health care on VA’s behalf. The CNH care program qualifies as a medical service, so no BAA is required.

14. State Licensure; Access to CNH Quality of Care Reports (Performance Objective #1). The

CNH must maintain a current and unrestricted state license and medical liability insurance to operate as a skilled nursing facility. Changes in the status of the licensure will be immediately reported to the VA CNH team and to the Contracting Officer. VA will monitor the professional care and administrative management of services provided to VA beneficiaries under this contract, through one or any combination of the following methods: reviews of State agencies reports; on-site inspection of the CNH by VA staff; and/or on-site monitoring of VA patients. The CNH shall provide VA with copies of all State agency reports when requested and cooperate fully with VA’s quality improvement or quality assurance program functions relating to this contract, including VA’s on-site inspection and monitoring. The VA Contracting Officer shall make all final determinations as to the Contractor’s reasonable cooperation with VA and compliance with these requirements.

15. Corrective Action Plan (Performance Objective #2). The CNH will cooperate with timely development of Corrective Action Plans (CAPs) related to identified deficiencies and related to State, Federal or VA surveys. The CNH will develop in the time period specified by VA timely and appropriate CAPs for VA surveys or investigation of complaints related to quality of care or sentinel events. The CNH will also supply related documents or data as specified by VA. The CAPs will include but are not limited to the following criteria and shall:

a. contain elements detailing how the CNH will correct the deficiency as it relates to the individual;

b. indicate how the CNH will act to protect residents in similar situations;

c. Include the measures the CNH will take or systems that will be altered to ensure that the problem will not recur. The CNH must look at the system and determine if a change to the existing system will work, if a new system is necessary, or if a system does not exist and must be developed;

d. Indicate how the CNH plans to monitor performance to make sure that solutions are permanent.

The CNH must develop a quality assurance tool for ensuring that correction is achieved and sustained. This tool must be implemented. Failure to implement a quality assurance tool to sustain compliance will reflect that the CNH has an ineffective quality assurance system; and

e. Provide dates when corrective action will be completed.

16. Life Safety Code. The CNH’s building shall conform to the most recent standards of the Life Safety Code (National Fire Protection Association Standard #101) and remain in compliance with all applicable Federal, State and local regulations. The administrator of the CNH is required to notify the VA Contracting Officer and COR/POC in writing at least thirty (30) calendar days prior to any planned facility changes that could impact the Life Safety Code and other safety features of the facility. The VA Contracting Officer or COR/POC will notify the VA Safety Manager responsible for the Life Safety Code inspection of the CNH and he/she will review (inspect the facility if required) the proposed changes and provide necessary approval or disapproval of the CNH to house Veterans during and/or after the proposed changes. These changes may include but are not limited to:

a. Interior changes requiring VA approval. Some examples of facility changes that require the VA Contracting Officer/COR/POC notification are as follows: interior finish, corridor partitions/walls, patient room doors, linen or trash chutes, exits, emergency lighting, fire alarm systems, automatic sprinklers, smoke barrier walls or doors, oxygen systems, compressed gas storage, HVAC, electrical and fuel gas systems;

b. Automatic sprinkler system. All VA contracted CNH facilities are to be fully-equipped with a fully-automatic sprinkler system installed in accordance with the National Fire Protection Association’s (NFPA) standards and be 100% sprinklered;

c. Natural disasters. In the event of a natural disaster (flood, tornado, etc.), the CNH shall communicate all action plans Eastern Colorado Health Care System in Denver, CO. The action plans will at a minimum identify temporary transfers of location, dates, and names of Veterans transferred; and

d. Major construction; additions; and renovations. Major construction including building additions or other renovations which may affect physical plant integrity; SHALL MEET latest NFPA 101 Life/Safety Code requirements as well as any additional VA CNH construction standards in place at time of renovation or alteration.

17. Acceptable Safety and Sanitation Practices. Acceptable safety and sanitation practices shall be observed throughout the CNH facility. The CNH will address employee and patient safety practices through staff orientation, training and adherence to related policy or procedures to provide a safe and clean environment.

18. Re-admission to the VA Hospital and Emergency Care; Notification of Death of Veterans;

CNH Responsibility to Veteran’s Belongings or Personal Effects (Performance Objective #3).

VA beneficiaries who begin to require more than the level of care authorized by VA will be readmitted to an appropriate VA facility, as determined and authorized by VA.

a. When such an admission is not feasible because of the nature of the emergency, hospitalization in a non-Federal facility may be accomplished provided VA authorization is obtained within 72-hours of admission of the patient to a non-Federal facility. Notice of any Veteran death will be made to the VA within 24-hours or immediately the first business day after a weekend or holiday.

If hospitalization of a non-emergency nature is required, transfer to a VA Medical Center may be requested. Absences of fifteen (15) consecutive calendar days or more, whether in a VA or in a non-Federal facility, require a new authorization.

b. Bed-hold will begin the date the resident leaves the CNH and full per diem will resume on the date of readmission to the CNH. The CNH is responsible to notify the family if a bed hold is required for a longer period. The family would then make arrangement with the CNH to hold the bed. VA will cover bed holds according to State Medicaid guidelines.

c. In the event of a death of any Veteran, the Contractor agrees to notify VA immediately of the death. In the event a death of a VA beneficiary while receiving nursing home care, the CNH will promptly notify the VA facility which authorized admission and immediately assemble, inventory, and safeguard the patient’s personal effects. The funds, deposits, and effects left by the VA patients upon the premises of the CNH shall be delivered by the CNH to the person(s) entitled thereto under the laws currently governing the CNH for making disposition of funds and effects left by patients, unless the beneficiary died without leaving a will, heirs or next of kin capable of inheriting.

d. When disposition has been made, the itemized inventory with annotation as to the disposition of the funds and effects will be immediately forwarded to the VA facility authorizing admission.

Should a deceased patient leave no will, heirs, or next of kin, his/her personal property and funds wherever located vests in and becomes the property of the United States in trust. In these cases, the CNH will forward an inventory of any such property and funds in its possession to the VA facility authorizing admission and will hold them (except articles of clothing necessary for proper burial) under safeguard until instructions are received from VA concerning disposition. CMS regulations require retention of records for five (5) years when there is no requirement in State law.

19. Leave of Absence (LOA) - For therapeutic passes, VA will pay a bed hold. Therapeutic passes will be authorized by the VA CNH staff based on individual patient needs, but are limited to 6 overnights per fiscal year, typically at 24-48 hours per each event and will be pre-approved.

20. Reportable Events (Performance Objective #4). VA requires CNHs to report to the CNH Coordinator/COR/POC at VA any of the following events within 24-hours or immediately the first business day after a weekend or holiday:

a. Sentinel events:

a. A fall resulting in death or injury;

b. Elopement resulting in a missing patient;

c. Patient abuse is confirmed or under suspicion;

d. A medication error resulting in patient illness or injury;

e. Death or patient injury related to restraining (including side rails) use; or

f. Death related to an unconfirmed or suspicious cause.

b. When there is a change of ownership of the CNH;

c. When there is a change of CNH administrator or Director of Nursing/Director of Nursing Service;

d. Elopements of CNH Veterans pursuant to state regulations;

e. Infectious outbreaks;

f. Resident to resident or resident to staff altercations involving a CNH Veteran resulting in any injury that is other than minor;

g. Copies of annual surveys or substantiated complaint investigations conducted by a State oversight agency as requested; and adverse events. Reporting shall include date of occurrence and patient disposition and outcome. When an adverse event occurs involving a CNH Veteran which is not determined to be a Sentinel Event (but that the State requires that the occurrence be reported to the State), such event is also to be reported to VA’s CNH program office. Some adverse events, such as minor medication errors without catastrophic outcomes, are managed by the CNH in the context of their quality improvement programs. It is not necessary for CNHs to report such incidents to the CNH program office.

21. VA Actions Regarding Serious Quality of Care Deficiencies. In cases of serious deficiencies affecting the health or safety of Veterans or in cases of continued uncorrected deficiencies identified through the Exclusion Review, the Government will take one or more of the following actions in accordance with the terms and conditions of the contract and applicable procurement regulations:

a. Increase VA staffing monitoring until the State survey agency clears the deficiency;

b. Suspend placement of Veterans in the CNH;

c. Remove or transfer Veterans under the contract from the subject CNH;

d. Not renew the contract; and/or

e. Terminate the contract.

22. VA Staff Access to CNH Records (Performance Objective #5). The Contractor shall ensure that all medical records concerning the Veteran’s care in the CNH will be electronically and readily accessible to VA, with remote accesses whenever possible. Upon discharge or the death of a patient, medical records will be retained by the CNH for a period of at least five (5) years following termination of care. Patient records will be maintained in conformance with the Privacy Act of 1974 (5 U.S.C. § 552a). The contractor shall maintain a medical record for each patient, which includes at least the following:

a. VAHCS Referral Package to the CNH:

1) Copy of Physician Orders for Nursing Home Care; CPRS Notes; Discharge Summary including History & Physical information with Medication List; Rehabilitation Progress Notes; and Veteran Demographic Record which includes next of kin information.

2) Copy of Authorization and Invoice for Medical and Hospital Services (VAF 10-7078).

b. Nursing Home Clinical Record: The CNH must maintain clinical records on each Veteran in accordance with accepted professional standards and practice. The clinical record must be:

complete, accurately documented, readily accessible, systematically organized, and legible.

Clinical records must contain at a minimum:

1) Sufficient information to identify the resident;

2) A record of the Veteran’s assessments, including those assessments performed by the CNH;

3) The plan of care and services including medication administration, provided by CNH staff and services provided by the CNH;

4) Interdisciplinary progress notes to include effect of care provided, Veterans’ response to treatment, change in condition, and changes in treatment;

5) Medical practitioner orders which are signed and dated;

6) Allergies;

7) Person to contact in an emergency situation;

8) Name of attending medical practitioner; and

9) Advanced directives if available.

c. Clinical Record Safeguards: The CNH must safeguard clinical record information against loss, destruction, or unauthorized use. If the CNH maintains a Veteran’s record by computer, electronic signatures are acceptable. If attestation is done on computer records, safeguards to prevent unauthorized access and to provide for reconstruction of information must be in place.

23. Specialty Services. The CNH will assume responsibility for arranging specialty care for Veterans

(e.g., dental care, podiatry and ophthalmology). The CNH will provide clinical documentation as requested.

24. Charitable Contributions. The CNH will not solicit contributions, donations, or gifts from patients or family members. Note: Established charitable fundraising activities of a CNH fall outside the scope of this language.

25. CNH Billing (Performance Objective #6). Invoices for board, care and ancillary services shall be submitted promptly by efax to the authorizing facility by the 15th calendar day following the end of the month in which services were rendered. The CNH will promptly notify the VA CNH Coordinator regarding any change in Veteran status: discharge, transfer, against medical advice (AMA), hospitalization, death and/or any changes in payer source and any ability to complete timely billing. All invoices must include the full name and address of the CNH and shall reflect the patient’s name, social security number, number of days billed, RUG category(ies), and agreed upon RUG rate (s). Failure to include this information may result in delayed payment.

a. Pre-approves services billed by CMS procedures or CPT codes: All services which are pre-approved by VA as additional to the all-inclusive per diem rate must be billed according to CMS procedures or CPT codes. The CNH will be reimbursed based on local guidelines and VA pricing schedules.

b. High cost drugs: The CNH will notify immediately of any high cost medications for contract Veterans. VA will review the medication and may decide to provide the medication directly to the CNH. All requests for additional reimbursement for high cost drugs and corresponding billing are due as soon as possible, but no later than 90 calendar days after use of products. Invoices for pharmacy reimbursement will be sent directly to Case Management and Social Work Service at Eastern Colorado Health Care System.

c. Invoices: Corrected invoices must be submitted for changes to the original billing station. All corrected invoices must include all items that are affected by the change.

• Invoices are to be submitted to the CNH Coordinators, preferable to the following FAX or if faxing is not possible, then to the following address by the 15th calendar day following the end of the month in which services were rendered:

o Fax to 720 723 7901 o Department of Veteran Affairs Attn: Case Management and Social Work Services (G1-SWS 122) 1700 N. Wheeling Street Aurora, CO 80045

• Invoices will be compared to the authorizations to determine the amount owed. Once reconciled the information will be sent to the Payment Operations Management Center in Fort Harrison, Montana.

• Payment Status can be obtained from the following:

o Payment Operations Management Center Claim Status Hotline, 1-888-795-0773 Option 2 o VA Payment Inquiry Website, https://www.vis.fsc.va.gov o VA electronic EOB website, https://www.vahcps.fsc.va.gov

26. Authorization for Patient Care: No obligation will be incurred by VA until authorizations are issued for CNH care of specific beneficiaries. VA agrees to make payment on a timely basis for services rendered in accordance with such authorizations upon receipt of proper invoices submitted by the CNH as outlined in this contract. VA will make payment for the day a recipient enters the CNH but not the day the recipient leaves a CNH unless entrance and departure are on the same day, then payment will be made for one (1) day.

27. VA Payments. Payments made by VA under this contract constitute the total cost of nursing home care. No additional charges will be billed to Medicare Part B (with some exceptions for hospice or dialysis), Medicaid, private insurance, the beneficiary or his/her family, either by the nursing home or any third party furnishing services or supplies required for such care, unless and until specific prior authorization in writing is obtained from the VA facility authorizing placement. The contractor will not solicit contributions, donation, or gifts from patients or family members.

a. Contractors who are not able to use the HIPAA-compliant transactions are not required to do so.

Supporting information for monthly invoices will be sent via fax, (preferred), secure email or mail to:

Fax: 720-723-7901

Department of Veteran Affairs Attn: Case Management and Social Work Services (G1-SWS 122)

1700 N. Wheeling Street Aurora, CO 80045

*Please include a screenshot of the MDS page that shows the RUGS scores to ensure the proper contract rate is being utilized.

28. Private Rooms. A private room rate for clinical concerns such as communicable diseases or infections (e.g., MRSA, VRE), or other pertinent clinical needs may be charged above the negotiated RUG rate for that facility with prior approval by the VA CNH Coordinator or designated VA staff. However, no additional private room charge will be allowed in the following circumstances: where the CNH only maintains private rooms; no double-occupancy rooms are available; and for ventilator-dependent patients with prior-negotiated rates.

29. Specialized Prosthetics Equipment (e.g., specialty bed): Veterans may be eligible for specialized equipment when clinically indicated. Pre-approval required by VA.

30. Medications: All Medications administered to VA-contracted Veterans residing in a CNH will be charged at the Average Wholesale Price (AWP) or according to the pharmacy bill, whichever is less. Medication costs up to 8.5% of billed care are included in the RUG rate pricing. Medication costs which exceed 8.5% of the monthly per diem will be billed as a separate line item in addition to the applicable RUG rate(s). All calculations will be made on a monthly basis. When a patient’s medication costs are determined to be in excess of the 8.5%, the VA must be promptly alerted to establish an appropriate course of action. This course of action may include the VA providing medication(s) to the CNH for the contracted Veteran or requiring an acceptable alternative medication be substituted. The VA also reserves the right to deny payment for medication, which at its sole discretion, is determined by the VA to be of no clinical benefit to the Veteran.

Deliverables

REPORTS

These reports are required to be submitted by the Contractor. The definitions below outline the timeframe for submission of reports directly to the CNH Coordinator:

Daily* – no later than 24 hours after notification of event.

Monthly – due to the CNH Coordinator no later than the 15th workday of the month following the previous month.

Quarterly – due to the CNH Coordinator no later than the 15th of the month following the reporting quarter – reporting quarters are based on our fiscal year, October to December, January to March, therefore reports are due by January 15th, April 15th, etc.

Annual – due to the CNH Coordinator no later than the end of your Period of Performance.

Fax- shall be sent via secure fax.

Emails- shall not contain patient information unless sent encrypted.

* While these are labeled as “daily”, they are only reported when applicable. If an incident occurs and the contractor has 48 hours to report, then this would be reported on the daily report in which the 48 hours falls.

Daily Reports (As Required) Report Description Distribution Format PWS

Reference Corrective Action Plan: The CNH will cooperate with timely development of Corrective Action Plans (CAPs) related to identified deficiencies and related to State, Federal or VA surveys.

CNH

Coordinator and the CO

Word document or PDF

Para 15

Life Safety Code: The CNH’s building shall conform to the most recent standards of the Life Safety Code.

CNH

Coordinator and the CO

Word document or PDF

Para 16

Notification of Death: In the event of a death of any Veteran, the Contractor agrees to notify VA immediately of the death.

CNH

Coordinator

Telephone /

FAX

Para 18

Forward of Inventory of Property: Should a deceased patient leave no will, heirs, or next of kin, his/her personal property and funds wherever located vests in and becomes the property of the United States in trust. The CNH will forward an inventory of any such property and funds in its possession to the VA facility.

CNH

Coordinator and the CO

Telephone /

FAX

Para 18

Reportable Events: VA requires CNHs to report to the CNH Coordinator at VA any of the following events within 24-hours or immediately the first business day after a weekend or holiday.

CNH

Coordinator and the CO

Telephone, email, Word, PDF, fax

Para 20

Annual Reports Report Description Distribution Format Reference Copy State Licensure: The CNH must maintain a current and unrestricted state license to operate as a skilled nursing facility. Changes in the status of the licensure will be immediately reported to the VA Hospital VA Home and Community Care Department and the Contracting Officer.

The CO Copy, PDF PWS Para 14

Copy of Insurance: A copy of the nursing home’s insurance certificate evidencing professional liability/medical liability coverage in the amounts listed in VAAR 852.237-7 Indemnification and Medical Liability Insurance.

The CO Copy, PDF VAAR 852.237-7

Medicaid Rate Change: A Copy of SMA letter on State letter head for Medicaid rate change.

CNH

Coordinator and the CO

Copy, PDF B.2 Price Schedule

B.3 PRICE SCHEDULE: RESOURCE UTILIZATION GROUPS (RUGS) IV

ITEM

NUMBER CATEGORY DESCRIPTION MEDICAID

BASE RATE

PROPOSED

ADD-ON PERCENTAGE

*See note

= VA Base

Reduced Physical Function, Behavior & Cognitive Performance

BB2, BB1, BA2, BA1, PE2, PE1, PD2, PD1, PC2, PC1, PB2,

PB1, PA2, PA1

Medicaid Base Rate

(0-16%)

CATEGORY DESCRIPTION VA BASE RATE

PROPOSED

ADD-ON

PERCENTAGE

*see note

TOTAL PER DIEM

RATE

Clinically Complex

CE2, CE1, CD2, CD1, CC2, CC1, CB2, CB1, CA2, CA1 $______

(0-14%)

Special Care Low

LE2, LE1, LD2, LD1, LC2, LC1, LB2, LB1

(0-31%)

Special Care High

HE2, HE1, HD2, HD1, HC2, HC1, HB2, HB1

(0-47%)

Extensive Services

ES3, ES2, ES1

(0-112%)

Rehabilitation

Ultra-high Rehab - RUC, RUB, RUA Very-high Rehab - RVC, RVB, RVA High Rehab – RHC, RHB, RHA Medium Rehab – RMC, RHB, RHA Low Rehab – RLB, RLA

(0-62%)

Rehabilitation + Extensive Services

Ultra-high Rehab + Ext Svs – RUX, RUL Very-high Rehab + Ext Svs – RVX, RVL High Rehab + Ext Svs – RHX, RHL Medium Rehab + Ext Svs – RMX, RML Low Rehab + Ext Svs – RLX

(0-135%)

*Note - To determine the VA Base rate, the Medicaid rate is multiplied by a percentage, between 0 and 16%, to determine the VA Base Rate. The proposed add-on percentage is a percentage range that the VA will add to the VA Base Rate dependent on the level of care. Each add-on percentage varies and will determine the per diem rate per level of care. For example, VA Base + (proposed add-on percentage for each line item 0002 thru 0007) = Total Per Diem Rate.

** Note: The Medicaid rates shall be updated upon receipt of an approved state updated Medicaid rate letter provided by the contractor. The negotiated mark-up percentage shall remain the same throughout the life of this agreement.

***Note: The Government anticipates awarding contracts in the following counties: El Paso County and Pueblo County. Each individual IDC shall have a minimum guaranteed.

The period of performance for the Indefinite-Delivery Indefinite-Quantity (IDIQ) contracts will be a base year plus four (4) 12-Month Option Years. The total guaranteed minimum quantity of services that the Government will acquire under each IDIQ contract is the cost of a room for one Veteran for one day at the VA Base rate, which also represents a bona fide need of the current fiscal year.

The guaranteed minimum award amount is for the entire contract duration of each contract.

The ceiling amount for each contract effort awarded for El Paso County is $5,500,000.00.

The ceiling amount for each contract effort awarded for Pueblo County is $3,500,000.00.

The Government does not guarantee that it will place any orders under each contract in excess of the guaranteed minimum. The aggregate value of orders placed under each contract shall not exceed $5,500,000.00 for El Paso County and $3,500,000.00 for Pueblo County, respectively.

Medicaid Rate Determination

The per diem rate is established by the current Medicaid rate for Medicaid approved nursing homes plus an add-on percentage to cover the cost of supplies, services, and equipment above that provided under Medicaid established by the local State Medicaid Agency (SMA). Any Medicaid rates established after the effective date of this Requirements contract will constitute a modification to the contract. VA will use Medicaid rates for room, board, and routine nursing care. For all levels of nursing care, a percentage is added for routine ancillary services/supplies, such as medications, nursing supplies, oxygen (occasional use), x-ray, laboratory, physician visits, and rental equipment. Special equipment, e.g. Clinitron bed, is/are not considered routine ancillary services (and may be provided by the VA).

Medication costs which comprise more than eight and one-half percent (8.5%) of the per diem rate are generally, not considered routine ancillary supplies (and may be provided by the VA).

Rehabilitation therapies will be provided as a distinct level of care. Hospice Care and Dialysis are not included in the rate. VA or other payers may be used for Hospice and Dialysis, as determined by the veteran with VA approval.

SECTION C - CONTRACT CLAUSES

C.1 IT CONTRACT SECURITY

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

1. GENERAL

Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS

a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

b. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.

d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S.

may be an evaluation factor.

e. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor's employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

3. VA INFORMATION CUSTODIAL LANGUAGE

a. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data - General, FAR 52.227-14(d) (1).

b. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor's information systems or media storage systems in order to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that VA's information is returned to the VA or destroyed in accordance with VA's sanitization requirements. VA reserves the right to conduct on site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.

c. Prior to termination or completion of this contract, contractor/ subcontractor must not destroy information received from VA, or gathered/ created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

d. The contractor/subcontractor must receive, gather, store, back up, maintain, use, disclose and dispose of VA information only in compliance with the terms of the contract and applicable Federal and VA information confidentiality and security laws, regulations and policies. If Federal or VA information confidentiality and security laws, regulations and policies become applicable to the VA information or information systems after execution of the contract, or if NIST issues or updates applicable FIPS or Special Publications (SP) after execution of this contract, the parties agree to negotiate in good faith to…