36C25925R0001.pdf

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

36C25925R0001 02-06-2025

Haylee Schrick-Ange haylee.schrick-ange@va.gov 02-12-2025

4PM MST

36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

X

623220

$19 Million

N/A

X

Department of Veterans Affairs Rocky Mountain Regional VAMC

1700 N Wheeling Street Aurora CO 80045

36C259

Department of Veterans Affairs Network Contracting Office

NCO 19

Greenwood Village CO 80111

Department of Veterans Affairs Financial Service Center PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

Assisted Living Residence for the Rocky Mountain Regional VA Medical Center.

Questions pertaining to the solicitation are due by 4:00pm MST within 2 business days of solicitation issuance via email ONLY. Please email to haylee.schrick-ange@va.gov.

Fax and telephone questions will not be accepted.

Proposals are due by the date and time listed in Block 8 via email. Faxed proposals will not be accepted.

See CONTINUATION Page

X X

X (1)

Patricia Toliver

36C25925R0001

Table of Contents

SECTION A

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

B.3 PERFORMANCE WORK STATEMENT

B.3 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

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

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.10 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.11 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.12 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.13 VAAR 852.208-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS – ORDERS or BPAs (JAN 2023)

(DEVIATION)

C.14 VAAR 852.208-71 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTOR COMMITMENTS-ORDERS AND

BPAS (JAN 2023) (DEVIATION)

C.15 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.16 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.17 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JAN 2023) (DEVIATION)

C.18 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.19 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)

C.20 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.21 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—

REPRESENTATION AND DISCLOSURES (DEC 2023)

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

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020) ..61

E.9 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.10 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.11 VAAR 852.239-75 INFORMATION AND COMMUNICATION TECHNOLOGY

ACCESSIBILITY NOTICE (FEB 2023)

E.12 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.13 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

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: (Please fill out information below)

Contractor Name: _____________________________________________ Title: _________________________________________________ Address: _____________________________________________ Telephone: _____________________________________________ Facsimile: _____________________________________________

b. GOVERNMENT:

Contracting Officer: Patricia Toliver Contract Specialist: Haylee Schrick-Ange

Department of Veterans Affairs Network Contracting Office

NCO 19

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

AMENDMENT NO DATE

http://www.fsc.va.gov/einvoice.asp

6. Federal Acquisition Regulations (FAR) require all contractors doing business with the Government to register and maintain registration in two separate and individual online databases:

a. CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS) – as prescribed in FAR Part 42.15, the Department of Veterans Affairs (VA) evaluates contractor past performance on all contracts that exceeds the simplified acquisition threshold. Additional information is found in section 4.9 of the Performance Work Statement (PWS).

b. SYSTEM FOR AWARD MANAGEMENT (SAM) – all prospective awardees shall be registered and maintain active registration in the SAM database prior to award, during performance, and through final payment of any contract resulting from this solicitation. After initial registration, the contractor is required to update registration data as changes occur and must re-register annually. Noncompliance will preclude the exercising of any option periods that may be included herein and may be cause for termination of the contract. Refer to FAR Clause 52.212-4(t) for more details.

7. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

8. MANDATORY WRITTEN DISCLOSURES: Mandatory written disclosures required by FAR clause 52.203-13 to the Department of Veterans Affairs, Office of Inspector General (OIG) must be made electronically through the VA OIG Hotline at OIG Hotline (va.gov) and clicking on "FAR clause 52.203-13 Reporting." If you experience difficulty accessing the website, call the Hotline at 1-800-488-8244 for further instructions.

9. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation conference for contract orientation purposes as required by required by VAAM M842.5 Post Award Orientation VAAM (sharepoint.com).

https://dvagov.sharepoint.com/sites/VACOOALALF/ALFA/SitePages/VAAM.aspx?reg=M842#_M842.503__Postaward

B.2 PRICE/COST SCHEDULE

TASK ORDER PROCEDURES: Task orders shall be placed against this IDIQ contract at the time of contract award and at the time of option period exercise annually thereafter - if option periods are exercised by the Contracting Officer. The Task Orders shall specify quantities of services for each period of performance and shall comply with FAR 52.216-18 and FAR 52.216- 19.

In accordance with FAR 16.504, the guaranteed minimum contract quantity of services the Government will acquire under the contract for the base period of performance, and any option years exercised, is $5,000.00.

The maximum quantity/amount of services the Government will acquire under the contract for the base period of performance and all exercised option years shall not exceed $2,760,000.00.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1,095.00 DY __________________ __________________

Assisted Living Residence (ALR) with psychiatric step-down services

Contract Period: Base POP Begin: 04-01-2025 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 623220 - Residential Mental Health and Substance Abuse Facilities PRODUCT/SERVICE CODE: Q519 - Medical - Behavioral and Mental Health

Contract Period: Option 1 POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 623220 - Residential Mental Health and Substance Abuse Facilities

Contract Period: Option 2 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 623220 - Residential Mental Health and Substance Abuse Facilities

Contract Period: Option 3

POP Begin: 04-01-2028 POP End: 03-31-2029 PRINCIPAL NAICS CODE: 623220 - Residential Mental Health and Substance Abuse Facilities

Contract Period: Option 4 POP Begin: 04-01-2029 POP End: 03-31-2030 PRINCIPAL NAICS CODE: 623220 - Residential Mental Health and Substance Abuse Facilities

GRAND TOTAL __________________

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Rocky Mountain Regional Veterans Affairs Medical Center (RMRVAMC) also known as Veterans Affairs Eastern Colorado Health Care System (VAECHCS) has an ongoing requirement for Assisted Living Residences (ALR) with psychiatric step-down services in providing the appropriate level of care to veterans discharging from the RMRVAMC inpatient psychiatric mental health care unit (IPU).

1.2. Place of Performance: Contractor shall furnish services at RMR VAMC, 1700 N Wheeling ST, Aurora, CO 80045

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority

1.4. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider

Group Practice

1.4.4. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.5. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.6. VHA Directive 1100.20 Credentialing of Health Care Providers

1.4.7. VHA Directive 1100.21 Privileging

1.4.8. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health

Care Personnel

1.4.9. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in Any Clinical Setting https://www.va.gov/vapubs/ https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm

1.4.10. VHA Directive 1400.01: Supervision of Physician

1.4.11. VHA Directive 1605.01: Privacy and Release of Information

1.4.12. VHA Directive 1907.01: VHA Health Information Management and Health

Records

1.4.13. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.14. VHA Handbook 1400.04: Supervision of Associated Health Trainees

1.4.15. Privacy Act of 1974 (5 U.S.C. 552a) as amended:

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.5. Acronyms/Definitions: 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.

1.5.1. AANS: American Academy of Neurosurgery Surgery http://www.aans.org/

1.5.2. ABNS: American Board of Neurosurgery Surgery https://www.abns.org/

1.5.3. ACGME: Accreditation Council for Graduate Medical Education

1.5.4. ACLS: Advanced Cardiac Life Support

1.5.5. AJIC: American Journal for Infection Control

1.5.6. AQL: Acceptable Quality Level

1.5.7. BAA: Business Associate Agreement

1.5.8. BBA: Balanced Budget Act

1.5.9. BLS: Basic Life Support

1.5.10. CDC: Centers for Disease Control and Prevention

1.5.11. CDR: Contract Deficiency Report

1.5.12. CEU: Certified Education Unit

1.5.13. Clinical Privileging: Clinical 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, and within available resources.

1.5.14. CME: Continuing Medical Education

1.5.15. CMP: Civil Monetary Penalty

1.5.16. CMS: Centers for Medicare and Medicaid Services

1.5.17. CO: Contracting Officer: 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.

1.5.18. COI: Conflict of Interest

1.5.19. COR: Contracting Officer’s Representative: 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.

1.5.20. COS: Chief of Staff

1.5.21. CPARS: Contractor Performance Assessment Reporting System http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.5.22. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.5.23. DEA: Drug Enforcement Agency

1.5.24. EPA: Environmental Protection Agency

1.5.25. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.26. FAPIIS: Federal Awardee Performance and Integrity Information System

1.5.27. FAR: Federal Acquisition Regulation

1.5.28. FOIA: Freedom of Information Act

1.5.29. FPPE: Focused Provider Practice Evaluation

1.5.30. FSMB: Federation of State Medical Boards

1.5.31. FTE: Full Time Equivalent: VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.32. HHS: Department of Health and Human Services

1.5.33. HICPAC: Hospital Infection Practices Advisory Committee

1.5.34. HIPAA: Health Insurance Portability and Accountability Act

1.5.35. IGRA: Interferon-gamma Release Assays

1.5.36. ISO: Information Security Officer

1.5.37. Key Personnel: The individuals specified in this contract who are essential to work performance.

1.5.38. MRI: Magnetic Resonance Imaging

1.5.39. MST: Military Sexual Trauma

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

1.5.41. NPPES: National Plan and Provider Enumeration System

1.5.42. NSO: National Surgery Office

1.5.43. OGC: Office of General Counsel

1.5.44. OIG: Office of Inspector General

1.5.45. OPPE: Ongoing Provider Practice Evaluation

1.5.46. OR: Operating Room

1.5.47. POP: Period of Performance

1.5.48. PPD: Purified Protein Derivative

1.5.49. PPIRS: Past Performance Information Retrieval System

1.5.50. PWS: Performance Work Statement

1.5.51. QA/QI: Quality Assurance/Quality Improvement

1.5.52. QM/PI: Quality Management/Performance Improvement

1.5.53. QASP: Quality Assurance Surveillance Plan

1.5.54. RFP: Request for Proposal

1.5.55. SCS: Specialty Care Services

1.5.56. SSAC: Sole Source Affiliate Contract

1.5.57. TJC: the Joint Commission

1.5.58. TST: Tuberculosis Skin Test

1.5.59. USC: United States Code

1.5.60. VA: Department of Veterans Affairs

1.5.61. VA-FSC: VA Financial Services Center

1.5.62. VAAR: VA Acquisition Regulation

1.5.63. VETPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care Providers. This system facilitates completion of a uniform, accurate and complete credentials file.

1.5.64. VHA: Veterans Health Administration

1.5.65. VistA: Veterans Integrated Systems Technology Architecture

2. Scope of Work:

The contract shall be effective for a one-year Base period, with the Government having the option to renew for four (4) additional one (1) year periods. Fees for services shall be structured via an indefinite delivery and indefinite quantity (IDIQ) contract type.

The successful Assisted Living Residence (ALR) shall be certified by the Colorado Department of Public Health and Environment (CDPHE) and shall provide room, board and at a minimum the following:

a. Provide transportation via contractor vehicle to ensure Veterans are engaged with care services and attending scheduled VA appointments at RMRVAMC.

b. Provide a physical environment that is safe and designed to support Mental Health residential treatment services.

c. Provide a secured (locked) medication room/area and medication administration to Veterans by Contractor’s technicians who are Colorado Qualified Medication Administration Persons (QMAP) or Registered Nurses (RN).

d. Provide structured daily activities that focus on mental health and or substance abuse recovery needs.

e. Provide telephonic coordination of care and clinical updates on a weekly and as needed (when clinical care concerns arise) basis with the RMRVAMC Step-down Clinician.

f. Provide regular supervision of Veterans on a 24-hour basis. This includes monitoring the needs of patients to ensure the residents receive the services and care necessary to protect their health, safety, and well-being.

g. Shall provide contractor staff provide verbal prompting to encourage Veterans to complete activities of daily living that include getting out of bed in the morning, daily hygiene, attending groups, and appropriate social skills.

h. Provide CDPHE licensure shall ensure that the ALR meet established standards for health and safety which include resident rights, protection from abuse, quality of residents’ lives, and quality of residents’ care through unannounced annual surveys and complaint inspections.

3. Technical Requirements

a. Contractor agency must be currently licensed as an Assisted Living Residence (ALR) by the Colorado Department of Public Health and Environment (CDPHE).

b. The Contractor’s facility must be located with a 60-mile radius of the Rocky Mountain Regional Veterans Affairs Medical Center (RMRVAMC) to ensure easy transportation of patients between the facilities. The RMRVAMC is located at 1700 N. Wheeling Street in Aurora, CO 80045.

c. All services under this contract must be performed by qualified, licensed staff including:

i) Psychiatrists, Psychologists, Master Social Workers (MSW) Licensed Clinical Social Workers (LCSWs), Licensed Professional Counselors (LPCs), Licensed Marriage & Family Therapists (LMFT), Registered Nurses (RN), Advanced Practice Nurses (APN), Licensed Professional Nurses (LPN), Psychiatric Technicians, Residential Counselors, Physicians Assistants and Pharmacists.

d. Psychiatrists must be board-certified in psychiatry or board-eligible in psychiatry.

e. Any staff administering medications must be certified in Qualified Medication Administration Person (QMAP). Services will be provided daily or on an as-needed basis based on clinical considerations and medical necessity. All medications and prescriptions will be issued according to the VA National Formulary unless explicitly authorized by the DVAMC via the Bed Flow Clinician. The current VA National Formulary can be found at the following link:

http://www.pbm.va.gov/NationalFormulary.aspx

f. Staff must be proficient and trained yearly in patient rights and Basic Life Support (BLS) certification.

g. Care provision details:

1. Contractor agrees to assess veteran needs, develop residential service plans with guidance from DVAMC Bed Control Clinician, monitor veteran treatment progress, and plan discharge disposition in consultation with Denver DVAMC Bed Flow Clinician. Ensure veteran meets his scheduled appointments at VA medical center by providing transportation as needed to and from.

2. Psychiatric milieu management including verbal prompting for group participation, encouragement for hygiene and basic self-care, and prevention of disruptive behavior.

3. Contractor provides daily rehabilitative activities and or group psychotherapy in accordance with CDPHE ALR licensure requirements including but not limited to relapse prevention, development of coping skills for mental illness, and treatment goal planning.

4. Physical Plant

a. The ALR must have current occupancy permit and/or license as required by the Colorado

Department of Public Health and Environment. General licensure standards can be found in 6 CCR 1011-1, Chapter II, State Board of Health, General Licensure Standards (last Amended March 20, 2002, effective April 30, 2002).

b. Key Elements of the physical plant of the Contractor agency shall include:

1. Locked medication rooms

2. Patient records are locked and secured

3. Secure fax for transmitting/receiving patient records

4. Full Kitchen and Dining facilities providing regular nutritious meals and snacks to residents in accordance with Colorado Code of Regulations (CCR): Section 1011-1 Chapter 07, Part 17 which details the specific requirements for food service in assisted living residences.

5. Administrative Standard Operating Procedure

a. All aspects of contractor admissions, treatment and discharge planning shall be performed in consultation with the DVA Bed Flow Clinician during business hours.

b. DVA offers the following staff as primary and secondary points of contact:

i. DVAMC Bed Control Clinician - Pager (303) 613-0088; current email Caroline.kelly@va.gov DVAMC Inpatient Psychiatric Unit Administrative Director http://www.pbm.va.gov/NationalFormulary.aspx mailto:Caroline.kelly@va.gov

– Phone: (303) 399-8020 x 2490; current email Geoffrey.Smith@va.gov After hours call (303) 399-8020 x2805 for the Administrative Officer on Duty (AOD).

6. Admissions:

a. VAMC Bed Flow Clinician shall initiate all admission requests by contacting Contractor agency primary or secondary point of contact to offer brief clinical synopsis and check for bed availability via phone call requesting response via pager.

b. Contractor shall respond via pager to requests within two hours.

c. DVAMC Bed Flow Clinician may coordinate further phone consultation to exchange clinical information from VA nursing or psychiatric staff.

d. DVAMC will perform initial laboratory tests and assure medical clearance prior to transportation to

ALR

e. Once ALR grants admission, DVAMC Bed Flow Clinician will arrange transportation to ALR site with receiving facility and contractor will provide transportation to ALR site within two (2) business days.

7. Discharges/Transfers:

a. All discharge planning shall be done in coordination with DVAMC Bed Flow Clinician and includes faxing discharge summaries to DVAMC Bed Flow Clinician.

b. Discharge Summaries shall include discharge medications, copy of VA safety plan, and documentation of scheduled aftercare appointments with VA providers.

c. Contractor staff shall meet with the veteran on the day of planned discharge to review the discharge plan and perform lethality and substance abuse relapse assessment.

d. All cases of unplanned discharge due to treatment non-compliance, positive drug testing and or disruptive behavior shall be discussed with the DVAMC Bed Flow Clinician or DVA AOD after hours. When possible, Contractor staff shall complete a lethality assessment and safety planning with the veteran. Contractor staff will conduct telephone consultation with DVAMC Bed Flow Clinician to determine if the next step is re-hospitalization at DVA, directing the veteran to report to the VA psychiatric Emergency Services, or release to a local homeless shelter, family or friend.

after lethality assessment and safety planning has been completed by Contractor staff.

e. Contractor agency shall provide designated primary and secondary points of contact by title, name, phone number, pager, and email addresses for ongoing communication and coordination of all aspects of this service agreement both during and off business hours for efficiency of communication.

f. The Contractor shall make available, upon request, to the VAMC, documentary information deemed necessary by the VAMC to conduct utilization review audits for the mandated national evaluation study required by section (2) of Public Law 100-6; to verify quality of patient care for veterans, to assure confidentiality of patients records information, and to determine the completeness and accuracy of financial records via phone consultation with identified VAMC DEN Bed Flow Clinician who will input content into CPRS.

g. The DVAMC Bed Control Clinician shall offer clear recommendations for the Contractor to coordinate treatment and discharge planning reflecting a team assessment of health, social and vocational needs and the involvement of residents’ families and appropriate community resources in resolving problems and setting goals.

mailto:Geoffrey.Smith@va.gov

h. The DVAMC Bed Control Clinician team shall identify and refer all patients to the Contractor. All patients will be mentally ill (including chronically mentally ill veterans whose psychiatric disorder may include co-occurring chronic alcohol and/or drug abuse problems.)

8. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI)

a. Quality Management/Quality Assurance Surveillance: Contract personnel shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records, and Peer Reviews. Methods of Surveillance: Focused Provider Practice Evaluation (FPPE) and Ongoing Provider Practice Evaluation (OPPE). Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted.

b. Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. If the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.

c. 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. The CO and COR shall deal with issues raised concerning Contractor’s conduct. The final arbiter on questions of acceptability is the CO.

d. Performance Standards:

i. Measure: Provider Quality Performance Performance Requirement: All Contractor’s physician(s)/ LIP(s) shall perform in accordance with clinical standards.

Standard: OPPE documentation for all (100%) staff providing services under the contract. All staff (100%) meet Standards.

Acceptable Quality Level: 90% meet Standards Surveillance Method: Random inspections of records. Minimum of 4 records per inspection Frequency: Quarterly

ii. Measure: Qualifications of Key Personnel Performance Requirement: All Contractor’s physician(s) shall have current board certified in accordance with ACC Standards for psychiatry.

Standard: All (100%) Contractor’s physician(s) s are board certified.

Acceptable Quality Level: 100% Surveillance Method: Random Inspection of qualification documents. Minimum of 2 random inspections of key personnel qualifications per quarter.

iii. Measure: Scope of Practice/Privileging Performance Requirement: Contractor’s physician(s) perform within their individual scopes of practice/privileging.

Standard: All (100%) Contractor’s physician(s) perform within their scope of practice/privileges 100% of the time.

Acceptable Quality Level: 100% Contractor’s physician(s) perform within their scope of practice/privileges 100% of the time.

Surveillance Method: Random Inspection of records. Minimum of 2 random records per inspection.

iv. Measure: Patient Access Performance Requirement: Contractor’s physician(s) shall be available and in location as needed to properly perform tasks as specified.

Standard: All (100%) Contractor’s physician(s) are on time and available to perform services.

Acceptable Quality Level: Contractor’s physician(s) are on-time and available to perform services 90%of the time.

Surveillance Method: Periodic Sampling of Time and Attendance Sheets. Minimum 4 records per inspection.

Frequency: Quarterly Incentive: Favorable contractor performance evaluation.

Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract personnel (s) meet qualification standard.

v. Measure: Patient Safety

Performance Requirement: Patient safety incidents shall be reported using VA Patient Safety Reporting System. All incidents reported immediately (within 24 hours.)

Standard: All (100%) of patient safety incidents are reported using VA Patient Safety Reporting System within 24 hours of incident.

Acceptable Quality Level: 100% of patient safety incidents are reported using VA Patient Safety Reporting System within 24 hours of incident.

Surveillance Method: Direct Observation. Report of Conduct. Random sampling per inspection.

Frequency: Quarterly.

vi. Measure: Maintains licensing, registration, and certification Performance Requirement: Updated Licensing, registration and certification shall be provided as they are renewed. Licensing and registration information kept current.

Standard: All (100%) licensing, registration(s) and certification(s) for Contractor’s physician(s) shall be provided as they are renewed. Licensing and registration information kept current.

Acceptable Quality Level: 100% licensing, registration(s) and certification(s) for Contractor’s physician(s) shall be provided as they are renewed. Licensing and registration information kept current. No acceptable deviation.

Surveillance Method: Periodic Inspection or Random Sampling.

Frequency: Annually or at least once during the contract’s period of performance.

vii. Measure: Mandatory Training Performance Requirement: Contractor shall complete all required training on time per facility policy Standard: All (100%) of required training is complete on time by Contractor’s physician(s) Acceptable Quality Level: 90% completions.

Surveillance Method: Periodic Inspection or Random Sampling.

Frequency: Annually or at least once during the contract’s period of performance.

viii. Measure: Privacy, Confidentiality and HIPAA Performance Requirement: Contractor is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentially and HIPAA and complies with all standards Zero breaches of privacy or confidentiality Standard: All (100%) Contractor’s physician(s) comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA Acceptable Quality Level: 100% compliance Surveillance Method: Periodic Inspection; Contractor shall provide evidence of annual training required by the facility, reports violations per VA Handbook 6500.6.

Frequency: Annually or at least once during the contract’s period of performance.

B.3 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 implement the information confidentiality and security laws, regulations and policies in this contract.

e. The contractor/subcontractor shall not make copies of VA information except as authorized and necessary to perform the terms of the agreement or to preserve electronic information stored on contractor/subcontractor electronic storage media for restoration in case any electronic equipment or data used by the contractor/subcontractor needs to be restored to an operating state. If copies are made for restoration purposes, after the restoration is complete, the copies must be appropriately destroyed.

f. If VA determines that the contractor has violated any of the information confidentiality, privacy, and security provisions of the contract, it shall be sufficient grounds for VA to withhold payment to the contractor or third party or terminate the contract for default or terminate for cause under Federal Acquisition Regulation (FAR) part 12.

g. If a VHA contract is terminated for cause, the associated BAA must also be terminated and appropriate actions taken in accordance with VHA Handbook 1600.01, Business Associate Agreements. Absent an agreement to use or disclose protected health information, there is no business associate relationship.

h. The contractor/subcontractor must store, transport, or transmit VA sensitive information in an encrypted form, using VA-approved encryption tools that are, at a minimum, FIPS 140-2 validated.

i. The contractor/subcontractor's firewall and Web services security controls, if applicable, shall meet or exceed VA's minimum requirements. VA Configuration Guidelines are available upon request.

j. Except for uses and disclosures of VA information authorized by this contract for performance of the contract, the contractor/subcontractor may use and disclose VA information only in two other situations: (i) in response to a qualifying order of a court of competent jurisdiction, or (ii) with VA's prior written approval. The contractor/subcontractor must refer all requests for, demands for production of, or inquiries about, VA information and information systems to the VA contracting officer for response.

k. Notwithstanding the provision above, the contractor/subcontractor shall not release VA records protected by Title 38 U.S.C. 5705, confidentiality of medical quality assurance records and/or Title 38 U.S.C. 7332, confidentiality of certain health records pertaining to drug addiction, sickle cell anemia, alcoholism or alcohol abuse, or infection with human immunodeficiency virus.

If the contractor/subcontractor is in receipt of a court order or other requests for the above mentioned information, that contractor/subcontractor shall immediately refer such court orders or other requests to the VA contracting officer for response.

l. For service that involves the storage, generating, transmitting, or exchanging of VA sensitive information but does not require C&A or an MOU-ISA for system interconnection, the contractor/subcontractor must complete a Contractor Security Control Assessment (CSCA) on a yearly basis and provide it to the COR.

4. INFORMATION SYSTEM DESIGN AND DEVELOPMENT

a. Information systems that are designed or developed for or on behalf of VA at non-VA facilities shall comply with all VA directives developed in accordance with FISMA, HIPAA, NIST, and related VA security and privacy control requirements for Federal information systems. This includes standards for the protection of electronic PHI, outlined in 45 C.F.R. Part 164, Subpart C, information and system security categorization level designations in accordance with FIPS 199 and FIPS 200 with implementation of all baseline security controls commensurate with the

FIPS 199 system security categorization (reference Appendix D of VA Handbook 6500, VA Information Security Program). During the development cycle a Privacy Impact Assessment (PIA) must be completed, provided to the COR, and approved by the VA Privacy Service in accordance with Directive 6507, VA Privacy Impact Assessment.

b. The contractor/subcontractor shall certify to the COR that applications are fully functional and operate correctly as intended on systems using the VA Federal Desktop Core Configuration (FDCC), and the common security configuration guidelines provided by NIST or the VA. This includes Internet Explorer 7 configured to operate on Windows XP and Vista (in Protected Mode on Vista) and future versions, as required.

c. The standard installation, operation, maintenance, updating, and patching of software shall not alter the configuration settings from the VA approved and FDCC configuration. Information technology staff must also use the Windows Installer Service for installation to the default "program files" directory and silently install and uninstall.

d. Applications designed for normal end users shall run in the standard user context without elevated system administration privileges.

e. The security controls must be designed, developed, approved by VA, and implemented in accordance with the provisions of VA security system development life cycle as outlined in NIST Special Publication 800-37, Guide for Applying the Risk Management Framework to Federal Information Systems, VA Handbook 6500, Information Security Program and VA Handbook 6500.5, Incorporating Security and Privacy in System Development Lifecycle.

f. The contractor/subcontractor is required to design, develop, or operate a System of Records Notice (SOR) on individuals to accomplish an agency function subject to the Privacy Act of 1974, (as amended), Public Law 93-579, December 31, 1974 (5 U.S.C. 552a) and applicable agency regulations. Violation of the Privacy Act may involve the imposition of criminal and civil penalties.

g. The contractor/subcontractor agrees to:

(1) Comply with the Privacy Act of 1974 (the Act) and the agency rules and regulations issued under the Act in the design, development, or operation of any system of records on individuals to accomplish an agency function when the contract specifically identifies:

(a) The Systems of Records (SOR); and

(b) The design, development, or operation work that the contractor/ subcontractor is to perform;

(1) Include the Privacy Act notification contained in this contract in every solicitation and resulting subcontract and in every subcontract awarded without a solicitation, when the work statement in the proposed subcontract requires the redesign, development, or operation of a SOR on individuals that is subject to the Privacy Act; and

(2) Include this Privacy Act clause, including this subparagraph (3), in all subcontracts awarded under this contract which requires the design, development, or operation of such a

SOR.

h. In the event of violations of the Act, a civil action may be brought against the agency involved when the violation concerns the design, development, or operation of a SOR on individuals to accomplish an agency function, and criminal penalties may be imposed upon the officers or employees of the agency when the violation concerns the operation of a SOR on individuals to accomplish an agency function. For purposes of the Act, when the contract is for the operation of a SOR on individuals to accomplish an agency function, the contractor/subcontractor is considered to be an employee of the agency.

(1) "Operation of a System of Records" means performance of any of the activities associated with maintaining the SOR, including the collection, use, maintenance, and dissemination of records.

(2) "Record" means any item, collection, or grouping of information about an individual that is maintained by an agency, including, but not limited to, education, financial transactions, medical history, and criminal or employment history and contains the person's name, or identifying number, symbol, or any other identifying particular assigned to the individual, such as a fingerprint or voiceprint, or a photograph.

(3) "System of Records" means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual.

i. The vendor shall ensure the security of all procured or developed systems and technologies, including their subcomponents (hereinafter referred to as "Systems"), throughout the life of this contract and any extension, warranty, or maintenance periods.