36C25925R0105 final.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

36C25925R0105 02-06-2026

Syreeta Newsuan-syreeta.newsuan@va.gov 303-712-5763 02-20-2026

12:00PM MST

36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

X

621111

$16 Million

N/A

36C554

DEPARTMENT OF VETERANS AFFAIRS

Rocky Mountain Regional VA Medical Ctr.

Interventional Radiology Department 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 Financial Service Center PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

The RMRVAMC is requesting Interventional Radiology Services

See Performance Work Statement (page 11) and Price/Cost Schedule (page 6) for more information

See CONTINUATION Page x 1

Patricia Toliver Contracting Officer

36C25925R0105

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 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

B.4 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 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (NOV 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) ...60

C.9 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.10 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.11 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..62

C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025) (DEVIATION OCT 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)

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

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 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION

FEB 2025)

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 - Patricia Toliver, email: Patricia.toliver@va.gov

Contract Specialist-Syreeta Newsuan, email: syreeta.newsuan@va.gov

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

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.

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

AMENDMENT NO DATE

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

mailto:Patricia.toliver@va.gov https://vaww.aams.ecms.va.gov/AAMS_Production/DAV/zw1vyybjybfsn10y/syreeta.newsuan@va.gov

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.

6. 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.

7. 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.

8. FAR DEVIATION FEB 2025 Instructions: “IMPORTANT NOTICE REGARDING THE SYSTEM FOR AWARD MANAGEMENT (SAM): System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations, including 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals- Representation, and paragraph (t) of 52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services.

Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM".

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all key personnel to provide services necessary to perform onsite Radiology Physician Services to eligible beneficiaries of the Department of Veterans Affairs, Rocky Mountain Regional VA Medical Center (RMRVAMC).

The VA Diagnostic Imaging Services follow the standards of Abdominal/GU, Breast Imaging, Cardiovascular, General, Interventional, Muscoskeletal, Neuroradiology & guidelines set forth by The American College of Radiology (ACR). A contractor providing onsite interventional radiology services that meet or exceed the American College of Radiology Guidelines https://www.acr.org/- /media/ACR/Files/Practice-Parameters/IRClin-Prac-Mgmt.pdf.pdf. ACGME fellowship trained, and Board certified in Diagnostic Radiology, or fellowship trained and Board Certified or eligible in Diagnostic Radiology (DR)/Interventional Radiology (IR) .

Place of Performance: Services shall be provided on site, Rocky Mountain Regional VA Medical Center, 1700 N Wheeling St, Aurora, Colorado, 80045

Pricing Instructions:

The offeror is instructed to edit the number of sub-line-item number (SLIN) to correspond with the number of key personnel submitted for the line-item number (LIN). Affiliate Offerors shall include the “title” of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SLINs if adding or removing Key Personnel.

The contractor shall propose a minimum of 4 key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance: BASE PERIOD: 04/01/2026 – 9/30/2026

This is a Fixed Price, Indefinite Delivery/Indefinite Quantity (FP-IDIQ) Contract for Interventional Radiology Services. Services shall be provided shall be provided on-site for Interventional Radiology Physician Services to eligible beneficiaries of the Department of Veterans Affairs, Rocky Mountain Regional VA Medical Center (RMRVAMC). The contractor will be reimbursed at the rates specified within the schedule of services for services provided.

Task Order Procedures: The minimum/maximum amount of services the Government will acquire under the contract for the base period of performance and all exercised option years shall not exceed $4,243,540.85. Minimum amount: $10,000.00; Maximum: $4,243,540.85.

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0

BASE YEAR: 04/01/2026 – 09/30/2026

LIN No. SLIN Description Estimated

Qty

Unit Unit Cost Total

Annual Cost

0001 None

Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS during Regular Business hours based on an 8 hour shift, Monday- Friday time starting time 08:00 AM, off Tour hours, Weekend hours and Federal Holidays, with at least 8 weeks of VA notification to Vendor for scheduling purposes

260 Hours

KEY PERSONNEL

None 0001a

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

None 0001b

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

0002 None Angiography / Board Certified Interventional Radiologist Physician Services at ECHCS for On-Call Coverage During Weekend Hours and Federal Holidays (24 hours per Sat, Sun, or Holiday)

260 Hours

0003 None Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS for Callback Services during Off Tour hours, Weekend hours, and Federal Holidays (Approx 4-5 Call Case

26 Hours

0004 None Board Certified Angiography/Interventional Radiology Physician Services at ECHCS for On Call Coverage during Tour hours Monday-Friday.

1163 Hours

TOTAL FOR BASE Hours $________________

OPTION YEAR ONE : 10/01/2026 – 09/30/2027

LIN No. SLIN Description Estimated

Qty

Unit Unit Cost Total

Annual Cost

1001 None

Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS during Regular Business hours based on an 8 hour shift, Monday- Friday time starting time 08:00 AM, off Tour hours, Weekend hours and Federal Holidays, with at least 8 weeks of VA notification to Vendor for scheduling purposes

519 Hours

KEY PERSONNEL

None 1001a

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

None 1001b

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

1002 None Angiography / Board Certified Interventional Radiologist Physician Services at ECHCS for On-Call Coverage During Weekend Hours and Federal

Holidays (24 hours per Sat, 1003 None Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS for Callback Services during Off Tour hours, Weekend hours, and Federal

1004 None Board Certified Angiography /Interventional Radiology Physician Services at ECHCS for On Call Coverage during Tour hours Monday-Friday.

2325 Hours

OPTION YEAR TWO: 10/01/2027 – 09/30/2028

LIN No. SLIN Description Estimated

Qty

Unit Unit Cost Total

Annual Cost

2001 None

Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS during Regular Business hours based on an 8 hour shift, Monday- Friday time starting time 08:00 AM, off Tour hours, Weekend hours and Federal Holidays, with at least 8 weeks of VA notification to Vendor for scheduling purposes

519 Hours

KEY PERSONNEL

None 2001a

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

None 2001b

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

2002 None Angiography / Board Certified Interventional Radiologist Physician Services at ECHCS for On-Call Coverage During Weekend Hours and Federal Holidays (24 hours per Sat, 2003 None Angiography/Interventional

Radiologist Physician Services onsite at ECHCS for Callback Services during Off Tour hours, Weekend hours, and Federal

2004 None Board Certified Angiography

Physician Services at ECHCS for On Call Coverage during

OPTION YEAR THREE: 10/01/2028 – 09/30/2029

LIN No. SLIN Description Estimated

Qty

Unit Unit Cost Total

Annual Cost

3001 None

Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS during Regular Business hours based on an 8 hour shift, Monday- Friday time starting time 08:00 AM, off Tour hours, Weekend hours and Federal Holidays, with at least 8 weeks of VA notification to Vendor for scheduling purposes

519 Hours

KEY PERSONNEL

None 3001a

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

None 3001b

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

3002 None Angiography / Board Certified Interventional Radiologist Physician Services at ECHCS for On-Call Coverage During Weekend Hours and Federal Holidays (24 hours per Sat, 3003 None Angiography/Interventional

Radiologist Physician Services onsite at ECHCS for Callback Services during Off Tour hours, Weekend hours, and Federal

3004 None Board Certified Angiography

Physician Services at ECHCS for On Call Coverage during

OPTION YEAR FOUR: 10/01/2029 – 09/30/2030

LIN No. SLIN Description Estimated

Qty

Unit Unit Cost Total

Annual Cost

4001 None

Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS during Regular Business hours based on an 8 hour shift, Monday- Friday time starting time 08:00 AM, off Tour hours, Weekend hours and Federal Holidays, with at least 8 weeks of VA notification to Vendor for scheduling purposes

519 Hours

KEY PERSONNEL

None 4001a

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

None 4001b

Board Certified /Board Eligible Radiology Physician Services

NAME:____________

TITLE:____________

____ Hours $__/hr $____

4002 None Angiography / Board Certified Interventional Radiologist Physician Services at ECHCS for On-Call Coverage During Weekend Hours and Federal

Total for base performance period and all option years: $_________________________

END OF PRICING SCHEDULE

Holidays (24 hours per Sat, 4003 None Angiography/Interventional Board-Certified Interventional Radiologist Physician Services onsite at ECHCS for Callback Services during Off Tour hours, Weekend hours, and Federal

4004 None Board Certified Angiography/Interventional Radiology Physician Services at ECHCS for On Call Coverage during Tour hours Monday-Friday.

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The contractor shall provide onsite Angiography/Interventional radiologist key personnel who are ACGME fellowship trained, and Board certified in Diagnostic Radiology, or fellowship trained and Board Certified or eligible in Diagnostic Radiology (DR)/Interventional Radiology (IR). Contractor’s physician(s) shall be Board Certified/Board Eligible per American Board of Radiology (http://www.theabr.org/) criteria in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Rocky Mountain Regional VA Medical Center. The VA Radiology Servies follows the standards and guidelines set forth by VHA Directives, VAMC bylaws, and the American College of Radiology (ACR).

1.2. Place of Performance: Contractor shall furnish services at the Rocky Mountain Regional VA Medical Center (RMRVAMC), 1700 N. Wheeling St, Aurora, Colorado, 80045.

1.3. Authority: Federal Acquisition Regulations: 38 USC 513, RFO FAR Part 12- Acquisition of Commercial Products and Commercial Services.

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: 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

1.4.10. VHA Directive 1400.01: Supervision of Physician, Dental, Optometry, Chiropractic, and Podiatry Residents

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

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

1.4.15. Include any of the following as applicable VHA Directive 1129, Radiation Protection for Machine Sources of Ionizing Radiation; VHA Directive 1105.04, Fluoroscopy Safety; VHA Directive 1157(1), Out of Operating Room Airway Management.

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. ACLS: Advanced Cardiac Life Support

1.5.2. ACGME: Accreditation Council for Graduate Medical Education

1.5.3. BLS: Basic Life Support

1.5.4 CALL BACK: Contractor required to return to work specifically for urgent, often unscheduled, patient care while off-site or off-duty

1.5.5. CDC: Centers for Disease Control and Prevention

1.5.6. CEU: Certified Education Unit

1.5.7. 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.

1.5.8. CME: Continuing Medical Education

1.5.9. CMS: Centers for Medicare and Medicaid Services

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

1.5.10. 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.

1.5.11. 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.

1.5.12. COS: Chief of Staff

1.5.13. CPARS: Contractor Performance Assessment Reporting System

1.5.14. 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.

1.5.15. DEA: Drug Enforcement Agency

1.5.16. DR: Diagnostic Radiology

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

1.5.18. FSMB: Federation of State Medical Boards

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

1.5.20. HHS: Department of Health and Human Services

1.5.21. HIPAA: Health Insurance Portability and Accountability Act

1.5.22. ISO: Information Security Officer

1.5.23. IR: Interventional Radiology

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

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

1.5.26. POP: Period of Performance

1.5.27. PPD: Purified Protein Derivative

1.5.28. PWS: Performance Work Statement

1.5.29. QA/QI: Quality Assurance/Quality Improvement

1.5.30. QASP: Quality Assurance Surveillance Plan

1.5.31. QM/PI: Quality Management/Performance Improvement

1.5.32. 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.

1.5.33. VHA: Veterans’ Health Administration

1.5.34. VISN: Veterans Integrated Services Network

1.5.35. VISTA: Veterans Information Systems Technology Architecture2.

QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The Contractor’s physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine to be performed in the state of Colorado; provider must have current license to practice medicine in Colorado when services are performed on-site on VA property.

All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) who have current, full, and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action, or denied upon application will not be considered for the purposes of this contract.

2.1.2. Education: Contractor personnel must be currently successfully fulfilling the requirements of the American Board of Radiology Maintenance of Certification Program. ACGME fellowship trained, and Board certified in Diagnostic Radiology, or fellowship trained and Board Certified or eligible in Diagnostic Radiology (DR)/Interventional Radiology (IR).

2.1.3. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.4. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive

1100.21 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s physician(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.1.4.1. If a Contractor’s physician(s) and/or other contract provider(s) are not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.5. Technical Proficiency: Contractor must establish and maintain compliance with all requirements for full access to the electronic health record, PACS, and Voice Recognition systems. Contractor’s physician(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read, and write English fluently. Contractor must establish and maintain compliance with all requirements for full access to the electronic health record, PACS, and Voice Recognition systems. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contractor’s physician(s) and contractor’s physician(s) shall be responsible for abiding by the Facility's Medical Staff By- Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.6. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the facility. Contractor’s physician(s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contractor’s physician(s).

2.1.7. Training (ACLS, BLS, EHR, Rad/NM, and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s physician(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training (The following training is mandatory per VHACO for Contracted Physicians)

Frequency (once a year, etc.)

Annual Hours

ACLS Every 2 years ACLS 4 BLS Every 2 years BLS 2 Government Ethics Once a year 1 Moderate Sedation In-

Service Training Once a year

Patient Abuse Once a year 1 SUX Infection Control and

Blood Borne Pathogens

VA Privacy and Information Security Awareness and Rules of Behavior

VHA Privacy and HIPAA Focused Training

2.1.8. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS,

ETC.): Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.8.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.1.8.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season . {This is applicable to all health care workers}.

2.1.8.6. COVID-19: Contractor physicians shall follow current local policy -VA policies regarding COVID-19 infections, suspected infections, and vaccinations.

2.1.8.7. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician(s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.8.8. The facility shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289- 354http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.9. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical facilities). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.10. DEA: Contractor shall provide copy of current DEA certificate.

2.1.11. Conflict of Interest: The Contractor and all contractor’s physician(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance.

At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.12. Citizenship related Requirements:

2.1.12.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.12.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract, or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.12.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.12.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.12.5. The Contractor agrees to obtain a similar certification from its subcontractors.

The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.13. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.13.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.13.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s physician(s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s).

2.6. Inherent Government Functions: Contractor and Contractor’s physician(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s physician(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor’s physician(s). When a Contractor or contractor’s physician(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contractor’s physician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE): FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays, equivalent to 2080 hours annually. The VA Full Time Equivalency (FTE) for the services required is 0.125 for the base year and .0246 for the option years.

2.9.2. The minimum number of Interventional Radiology physicians required to be on site daily is one (1), as needed, to be on-site at the same time as defined in paragraph Hours of Operation in this section.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations, and additional coverage as required. In the event a scheduled physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) immediately of the schedule change.

2.9.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment.

The Contractor shall notify the CO, in writing, within 30 calendar day(s) after the occurrence of any of these events and provide the information required below.

After 90 days, the Contractor shall submit the information required below to the CO at least 30 calendar days prior to making any permanent substitutions.

2.9.4.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 14 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.9.4.2. For temporary substitutions where the key person shall not be reporting to work for 3 consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.9.4.3. 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. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s physician(s), s/he may request, without cause, immediate replacement of said Contractor’s physician(s). The CO and COR shall deal with issues raised concerning Contractor’s physician(s) conduct. The final arbiter on questions of acceptability is the CO.

2.9.4.4. Contingency Plan: Because continuity of care is an essential part of the Facility’s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor’s physician(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. VA HOURS OF OPERATION/SCHEDULING:

3.1. VA Business Hours: During regular business hours (8:00 AM to 4:30 PM), all contractor staff are required to be physically present at the RMRVAMC facility for Interventional procedures, and interpretation of Interventional and Computed Tomography Angiography exams, providing Interventional Radiology procedures, reading IR and CTA exams as needed. The Contractor will be present at the VA Medical Center for a period of eight (8) hours (excluding lunch) during the 8:00 a.m.

through 4:30 p.m. timeframe. The 30-minute lunch period will not be compensated.

During off hours Monday-Friday (4:30 PM to 8:00 AM), weekends and all federal holidays (8:00 AM to 8:00 AM), Contractor physician is required to be on-call and available, as scheduled, to present to the RMRVAMC facility for after hour, emergent Interventional Radiology procedures. It is a requirement that all emergent exams be read and verified within one hour by an attending radiologist.

3.1.1. Patients must be seen by a contractor’s physician(s) on-site at the facility in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult/order completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2. Contractor’s physician(s) shall be available and present in clinic during normal facility clinic hours as needed to provide coverage of VA physicians when on leaves or scheduled days off. Normal clinic hours are 8:00 AM – 4:30 PM and may be revised, as deemed appropriate for patient care by the Chief of Staff.

3.1.3. Off-hours Coverage: Contractor must make the contractor’s physician(s) available on-call during all hours when the facility clinic is closed, including evenings, weekends, and holidays. The contractor shall cover of after-hours call coverage during the week, weekends, and holidays as follows: 1) base year – 1163 hours during the week and 864 hours for weekends and holidays; 2) option years – 2325 during the week and 1728 for weekends and holidays.

3.1.3.1. On-call contractor’s physician(s) must be available at all times for phone consultations with VA residents and physicians.

3.1.3.2. On-call providers must be available within 15 minutes by phone and on-site within 60 minutes.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

• New Year’s Day

• Martin Luther King’s Birthday

• President’s Day

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared to be a national holiday

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor shall provide contractor’s physician(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contractor’s physician(s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor’s invoices.

4.2. Standards of Care: The contract physician(s)’ care shall cover the range of Interventional Radiology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceedingly recognized national standards as established by:

4.2.1. The American College of Radiology Guidelines for Radiology Practice by subspecialty:

https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards.

4.2.2. The American College of Radiology Guidelines for Radiology Practice by Organ or Body System:

https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards.

4.2.3. The professional standards of the Joint Commission (TJC):

http://www.jointcommission.org/standards_information/hap_requirements.aspx

4.2.4. The standards of the American Hospital Association (AHA):

http://www.hpoe.org/resources?show=100&type=8 and;

4.2.5. The requirements contained in this PWS

4.2.6. The Interventional Radiologist must be proficient in spoken and written English.

https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards.

https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards.

http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.hpoe.org/resources?show=100&type=8%20and;

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contractor’s physician(s) providing…