36C25923R0045 0002.docx

Request For Proposal 36C25923R0045 – Altus, Oklahoma CBOC

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)

MSO-2023-COM-0042

36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village

CO

80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village

CO

80111 To all Offerors/Bidders

36C25923R0045 02-28-2024

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

10: 00 AM MST, 3/19/2024

The purpose of this amendment is extend the close date to allow time for reviewing the Government's response to submitted questions, update the solicitation per the RFP Summary of Changes and add attachments D.38 Centrifuge Specifications and D.39 Vaccine List. As a result, the close date is extended to March 19, 2024, 10:00 AM, MST.

B.1. Contract Administration Data paragraph 5. Acknowledgement of Amendments block: Amendment NO is updated to - 0002 Date Block is updated to 2/28/2024.

Yomika Brock Contracting Officer

CONTINUATION PAGE

This is an amendment to extend the proposal submission date for the contracted Community Based Outpatient Clinic (CBOC) for Primary Care services for the Oklahoma City VA Health Care System (OKCVAHCS) to be located within the city limits of Altus, OK, post the Government’s response to submitted questions, provide a summary of changes and add attachments to the posted RFP per the Government’s response to questions. As a result, the close date is extended to March 19, 2024, 10:00 AM MST.

SUMMARY OF CHANGES:

Request for Proposal 36C25923R0045 is updated as follows:

Block 6: SOLICITATION ISSUE DATE - changed to 2-28-2024 Block 8: OFFER DUE DATE/LOCAL - changed to 3-19-2024 B.1: CONTRACT ADMINISTRATION DATA – 5. ACKNOWLEDGEMENT OF AMENDMENTS: Updated as follows:

Table of Content Numbering Updated PERFORMANCE WORK STATEMENT Updates:

4.6.3.1.1. The Contractor shall be responsible for prescribing medications as medically indicated. Prior to prescribing any medications, the Contractor shall review medication profiles in the VA EHR for duplicate therapy, drug-disease complications, drug-drug, drug-food, drug-lab interferences, appropriateness of dose, frequency and route of administration, drug allergy, clinical abuse/misuse, and documentation of medications obtained outside of the VA in the VA EHR “Non-VA” medications list, including over-the-counter and herbal agents and known allergies. The Contractor shall also query State Prescription Drug Monitoring Programs (PDMPs) before prescribing controlled substances per VHA Directive 1306(1) Querying State Prescription Drug Monitoring Programs (PDMP), and review the “STORM” risk dashboard before prescribing controlled substances. Documentation for review of the PDMP database and review of the “STORM” dashboard will be done via templated VA EHR notes. IMED consents shall be obtained by clinic staff prior to prescribing or dispensing medications requiring consent including prescriptions for controlled substances to Veterans.

Updated - The Contractor shall be responsible for prescribing medications as medically indicated. Medications administered to patients in the clinic are at the discretion of the clinic, however, should be sufficient to address emergent medication needs of patients per provider prescribing. Prior to prescribing any medications, the Contractor shall review medication profiles in the VA EHR for duplicate therapy, drug-disease complications, drug-drug, drug-food, drug-lab interferences, appropriateness of dose, frequency and route of administration, drug allergy, clinical abuse/misuse, and documentation of medications obtained outside of the VA in the VA EHR “Non-VA” medications list, including over-the-counter and herbal agents and known allergies. The Contractor shall also query State Prescription Drug Monitoring Programs (PDMPs) before prescribing controlled substances per VHA Directive 1306(1) Querying State Prescription Drug Monitoring Programs (PDMP), and review the “STORM” risk dashboard before prescribing controlled substances. Documentation for review of the PDMP database and review of the “STORM” dashboard will be done via templated VA EHR notes. IMED consents shall be obtained by clinic staff prior to prescribing or dispensing medications requiring consent including prescriptions for controlled substances to Veterans.

4.6.4.4.5 The Contractor laboratory centrifuge will be supplied by VA at cost to the contractor.

Updated - The Contractor laboratory centrifuge must meet specifications provided by VA. Specifications are included in Section D (attachments).

SECTION D – CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS –

added D.38 CENTRIFUGE SPECIFICATIONS added D.39 VACCINE LIST See attached document: 36C25923R0045v2 02282024.

See attached document: Altus CBOC QA - Combined 02282024.

See attached document: D.38 Centrifuge Specifications.

See attached document: D.39 Vaccine List.