36C26026Q0053.docx

SUBJECT*

Sub-Acute Residential Detoxification Services 1-YR IDIQ POP 01-01-2026 - 12-31-2026

GENERAL INFORMATION

SET-ASIDE

ATTN: V4CONT

1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661

POINT OF CONTACT*

Lalenia Maria lalenia.maria@va.gov Lalenia.Maria@va.gov

(253) 888-4908

PLACE OF PERFORMANCE

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

The U.S. Department of Veterans Affairs, Network Contracting Office 20, in support of Veterans Affairs Portland Healthcare System (VAPORHCS), is currently requesting information to determine the existence of vendors capable of providing the requested services:

Sub-Acute Residential Detoxification Services

THIS IS A SOURCES SOUGHT NOTICE ONLY.

THIS IS NOT A REQUEST FOR QUOTE; THE VA IS NOT SEEKING PRICING OR OFFERS.

Place of Performance: Vendor’s SUD Facility in Portland, Oregon, and the immediate surrounding area.

Period of Performance: 01-01-2026 – 12-31-2026

The Contractor shall only accept Contract referrals from the VAPORHCS Substance Addiction Treatment Program and will not accept walk-in Veterans without a referral.

It is the intent of NCO 20 to award a one (1) year Indefinite Delivery Indefinite Quantity (IDIQ) Contract.

Description of Services

· Provide medically monitored, safe, effective, and comprehensive detoxification from alcohol and other drugs in a sub-acute residential setting, IAW the Performance Work Statement (PWS).

Qualifications

· The contractor shall provide verification of professional credentials of each staff member through documentation of all Federal or State professional license(s) and/or certification(s) applicable to the provision of substance abuse disorders services

· The contractor shall provide official verification of educational credentials from the academic institution awarding a professional degree to the contractor/designated staff.

The applicable North American Industry Classification System (NAICS) Code assigned is: 623220, Residential Mental Health and Substance Abuse Facilities. The small business size standard is $19.0 million.

This is a Sources Sought Notice for market research purposes only and does not obligate the Government in any way. A solicitation is anticipated but has not been issued.

Responses to this request will be considered for the purpose of determining how the requirements will be stated and how the procurement will be conducted. This Sources Sought Notice is not to be construed as a commitment by the Government, implied or otherwise, to issue a solicitation or to award a contract. No reimbursement will be made for any costs associated with providing information in response to this notice.

If your business is interested and capable of providing the required services, please complete the Sources Sought Questionnaire below and email your response to lalenia.maria@va.gov no later than 9:00 PM PST on October 15, 2025. Please include a Capabilities Statement. Phone calls will not be accepted. Include any comments or questions you may have.

SOURCES SOUGHT QUESTIONNAIRE

Company Name:

Point of Contact:

Phone Number:

Email Address :

SAM UEI:

1. Is your firm considered a Small Business? The North American Industry Classification System (NAICS) code is tentatively 623220, Residential Mental Health and Substance Abuse Facilities. The small business size standard is $19.0 million.

A size standard, which is usually stated in number of employees or average annual receipts, represents the largest size that a business (including its subsidiaries and affiliates) may be to remain classified as a small business for Small Business Administration and federal contracting programs. The definition of "small" varies by industry. Is your business considered any of the following?

**If you responded ‘yes’ to SDVOSB or VOSB, submit a copy of your current Veteran Small Business (VetCert) Certificate.

2. Does your firm have an active registration in the System for Award Management (SAM) [ ] yes [ ] no

3. Have you provided similar services to a VA Health Care System in the past? If so, please describe.

[ ] yes [ ] no

4. Please describe how your firm can provide medically monitored, safe, effective, and comprehensive detoxification from alcohol and other drugs in a sub-acute residential setting in or near Portland, Oregon?

5. Please describe how your firm can meet the minimum services in the PWS.

Sources Sought Notice Sources Sought Notice Note: Do not include proprietary, classified, confidential, or sensitive information in responses.

Sources Sought Notice

PERFORMANCE WORK STATEMENT

Sub-Acute Residential Detoxification Services In Support of Veterans Affairs Portland Healthcare System (VAPORHCS), Oregon

1.0 General:

1.1. The Department of Veterans Affairs (VA) requires qualified providers to deliver sub-acute residential detoxification services for eligible Veterans. These services are intended to provide medically monitored, safe, effective, and comprehensive detoxification from alcohol and other drugs in a sub-acute residential setting.

1.2. Services Provided: The Contractor shall provide one firm-fixed price in accordance with the Performance Work Statement (PWS) requirements for Sub-Acute Residential Detoxification Services. The all-inclusive unit pricing is based on a VA-referred patient bed per day and includes 24 hours of nursing coverage, 24-hour availability of an on-call physician, and 24-hour phone availability of the Medical Director for emergencies.

1.3. Estimated quantities depicted in the schedule are based on prior weekly/monthly/annual ordering quantities; a bed is required approximately 331 days.

1.4. Type of Contract: This contract shall be an Indefinite Delivery-Indefinite Quantity (IDIQ) Contract with annual ordering periods. Separate funding Task Orders will be issued on an annual basis.

1.5. Period of Performance: This contract shall be a (1) one-year contract.

1.6. Place of Performance: The contractor shall provide a state-of-the-art civilian medical treatment facility, capable of providing medically monitored detoxification in a sub-acute residential setting.

1.7. Material and Other Direct Costs (ODC): The all-inclusive price includes potential ODCs, such as medical supplies, personal care supplies, food and nutrition, recreational and therapeutic materials, cleaning and maintenance supplies, labor costs, utilities and facilities costs, administrative and office expenses, training and certifications, insurance, food service, marketing and outreach, and regulatory compliance.

1.8. Authority: This contract is established under the authority of Title 38 United States Code (U.S.C.) Section 8153 permits the Department of Veterans Affairs (VA) to enter into agreements for the sharing of healthcare resources to improve the quality and accessibility of healthcare services. Furthermore, this acquisition is conducted in accordance with the Federal Acquisition Regulation (FAR) Part 12 and the VA Acquisition Regulation (VAAR).

1.10 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

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

1.10.2 VHA Directive 1003.04: VHA Patient Advocacy

1.10.3 VHA Directive 1605.01: Privacy and Release of Information

1.10.4 VHA Directive 1907.01: VHA Health Information Management and Health Record

1.10.5 Privacy Act of 1974 (5 U.S.C. 552a) as amended: The Freedom of Information Act, 5 U.S.C. sect. 552

1.10.6 Oregon Administrative Rules (OAR) Chapter 415, Division 12 Oregon Health Authority - Standards for Alcohol Detoxification Centers Substance use disorders and problem gambling programs

Alcohol detoxification programs

Oregon Nursing License

1.10.10 Mental Health and Addiction Counseling Board of Oregon (MHACBO) Addiction Counselors and Certified Prevention Specialists

1.10.11 Board of Licensed Social Workers

Licensing Requirements

1.10.12 Board of Licensed Professional Counselors and Therapists Licensing Requirements

1.10.13 The Joint Commission (TJC)

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

1.10.14 Medication-Assisted Treatment (MAT) Certification

Oregon2.2.12 MAT

1. 10.15 Substance Abuse and Mental Health Services Administration (SAMHSA) Oregon Health Authority

1.10.16 Drug Enforcement Agency

1.11 Key Personnel: Compliance with Oregon state regulations and the implementation of best practices are essential for maintaining high standards of care. If employed by the facility, the following key personnel should possess appropriate licensure, experience, and ideally, certification in addiction medicine or related fields to manage the complex needs of patients with substance use disorders:

1.11.1 Certified Alcohol and Drug Counselor (CADC1, II, or III, certified by the Mental Health & Addiction Certification Board of Oregon (MHACBO).

1.11.2 Certified Prevention Specialist (CPS): certified by the Mental Health & Addiction Certification Board of Oregon (MHACBO).

1.11.3 Physicians (Medical Director, Primary Physicians, Psychiatrists, On-Call Physicians). All physicians must hold valid medical licenses issued by the Oregon Medical Board.

1.11.4 Registered Nurse (RN): They must hold a current license to practice as an RN in Oregon, which is obtained through the Oregon State Board of Nursing. Medications are administered by registered nurses (RNs) or licensed practical nurses (LPNs) according to the prescriber's orders. The facility must ensure that administration follows strict protocols to mitigate risks associated with these controlled substances.

1.11.5 Licensed Practical Nurse (LPN): They must hold a current license to practice as an LPN in Oregon, obtained through the Oregon State Board of Nursing.

1.11.6 Advanced Practice Registered Nurse (APRN): This category includes Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Nurse Anesthetists, and Nurse Midwives. NPs, in particular, are often employed in detoxification facilities. Nurse Practitioners can diagnose and manage medical conditions, prescribe medications (including those used in Medication-Assisted Treatment (MAT)), and provide advanced care. NPs must have an advanced degree (e.g., a Master's or Doctor of Nursing Practice) and be board-certified in their specialty. They must also be licensed through the Oregon State Board of Nursing.

1.11.7 Medical Director: should be a licensed physician in Oregon with experience in addiction medicine or a related field. Board certification in addiction medicine (e.g., from the American Board of Addiction Medicine) or a related specialty (such as internal medicine or psychiatry) is highly desirable.

1.11.8 Licensed Clinical Social Worker (LCSW): must be appropriately licensed by the Oregon Board of Licensed Social Workers (BLSW) and the Oregon Board of Licensed Professional Counselors and Therapists (OBLPCT), respectively.

1.11.9 Licensed Marriage and Family Therapist (LMFT): must be appropriately licensed by the Oregon Board of Licensed Social Workers (BLSW) and the Oregon Board of Licensed Professional Counselors and Therapists (OBLPCT), respectively.

2.0 Scope:

2.1 The VA Portland Healthcare System (VAPORHCS) currently has a need for sub-acute residential detoxification services. The Contractor shall furnish all key personnel that are licensed and qualified to provide necessary detox services such as medical evaluations, medication administration and monitoring, treatment plans, dosing supervision, documentation, inventory management, controlled substance logs, and compliance with DEA and State regulations to eligible Veterans of the Department of Veterans Affairs.

2.2 The Contractor shall provide the following Medical Services:

2.2.1 A physical exam conducted by a Registered Nurse (RN) at admission.

2.2.2 Medically monitored detoxification from alcohol and drugs.

2.2.3 Detoxification from opioids utilizing buprenorphine and other agents as needed for symptom relief. Buprenorphine, a partial opioid agonist used in opioid detoxification, can only be prescribed by healthcare providers who have received special waivers (commonly known as the "X-waiver") under the Drug Addiction Treatment Act (DATA 2000). Benzodiazepines may be prescribed for the management of symptoms related to anxiety, seizures, or severe agitation.

2.2.4 Detoxification from alcohol using benzodiazepines and/or other agents as needed for symptom relief.

2.2.5 Monitoring and symptomatic relief from stimulant withdrawal.

2.2.6 Monitoring of chronic medical conditions during withdrawal.

2.2.7 Monitoring for mental health symptoms that emerge during withdrawal.

2.2.8 24-hour Nursing coverage.

2.2.9 Availability of an on-call Physician 24 hours a day; and

2.2.10 Availability of the contract facility Medical Director by phone 24 hours a day for emergencies.

2.2.11 Services will be administered by Certified Alcohol and Drug Counselor (CADC I, II, or II).

2.2.12 Priority access to residential detox services will be provided each morning, ideally seven days a week, and at a minimum, Monday through Friday.

2.3 The Contractor shall provide the following Urgent Care Clinic services:

2.3.1 Medical management of chronic medical conditions.

2.3.2 Medical management or referral for acute medical conditions.

2.3.3 Medical management of complications of withdrawal.

2.3.4 Urgent medical services will be provided by available medical support at least three times per week, for monitoring, documenting vital signs, and behavior.

2.3.5 Addiction Counselor or Rehabilitation Tech support.

2.4 The Contractor shall provide the following Clinical Services:

2.4.1 Alcohol and drug counseling, and services below, by certified alcohol and drug counselors.

2.4.2 Written Biopsychosocial Assessment.

2.4.3 Written Treatment Planning and Discharge Planning.

2.4.4 Individual and group supportive counseling.

2.4.5 Patient education on effects of alcohol and drugs, relapse prevention, and community treatment and housing resources.

2.5 The Contractor shall provide the following Support Services:

2.5.1 Separate sleeping and dining facilities for women.

2.5.2 Three meals a day, plus snacks and drinks.

2.5.3 Availability of laundry facilities.

2.5.4 Personal hygiene items as needed.

2.5.5 A second set of clothing, i.e., scrubs, robes, slippers.

2.5.6 A bed, bedding, and towels; and

2.5.7 A secure locker and/or wardrobe space for personal property.

2.6 The Contractor shall provide the following referral services:

2.6.1 The Contractor shall only accept Contract referrals from the VAPORHCS Substance Addiction Treatment Program and will not accept walk-in Veterans without a referral.

2.6.2 The Contractor shall accept same-day referrals as physician staff are available after pre-arranged admission appointments, provided the Veteran has been cleared for sub-acute Medically Monitored Detoxification, up to the funding limits of the contract. The Contractor shall provide no more than 30 days of detoxification services to an individual Veteran in a calendar year.

2.6.3 If the funded contract treatment episodes are exhausted, the Contractor shall notify the Contracting Officer and VAPORHCS Detox Liaison that the standard non-contract admission procedures will be re-instituted.

2.6.4 The Contractor shall refer Veterans whose medical condition cannot safely be treated in the sub-acute residential level of care to the VAPORHCS Emergency Department (ED) or, in the event of diversion, to the nearest hospital. In a medical or psychiatric emergency or urgent care situation, the Contractor shall notify the VAPORHCS ED prior to returning a patient to the Medical Center.

2.6.5 The Contractor shall refer Veterans who leave early or Against Medical Advice (AMA), as well as those who complete detoxification, to the most clinically appropriate level of VA Substance Addiction Treatment Program, to include residential or outpatient substance addiction treatment at VAPORHCS or another VA facility.

2.6.6 The Contractor shall notify the VAPORHCS Substance Addiction Treatment Program (SATP) and forward documents to the designated SATP Detox Liaison person before discharge from the Contractor's facility. Documents forwarded at the time of referral will include the Assessment, Active Medications sheet, all Progress Notes pertinent to the transfer, and the Discharge Note or Summary.

3.0 Qualifications/Licenses:

3.1 The Contractor shall adhere to all applicable accreditation and certification standards:

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.

3.2 While Oregon does not specifically require Sub-Acute Residential Detoxification Service facilities should have the following certifications, which are often highly beneficial, and must comply with the regulatory requirements set by the Oregon Health Authority (OHA).

4.0 Health and Safety:

4.1The Contractor shall provide for the health and safety of patients and staff:

4.1.1 The Contractor shall notify VAPORHCS immediately and in writing of deficiencies in meeting accreditation, certification, or other Federal, State, or Local standards.

4.1.2 The Contractor’s facility shall conform to the standards of the Life Safety Code (National Fire Protection Association Standard #101) in effect on the date of contract award.

4.1.3 The Contractor shall meet all Federal, State and Local Laws, regulations, and codes pertaining to health and safety.

4.1.4 The Contractor shall assist VAPORHCS personnel to conduct periodic inspections of patient and employee safety, security, and sanitation practices throughout the facility at the discretion of the VA.

4.1.5 The Contractor shall notify VAPORHCS immediately and in writing of deficiencies in meeting Federal, State, or Local standards for health and safety of patients and staff.

4.1.6 The Contractor shall assure that the facility is secure during and after business hours by employing staff observation, locked doors, or cameras.

4.2 The Contractor shall provide for safe storage, administration, and dispensing of medications:

4.2.1 The Contractor shall provide locked storage for the Veteran's medications, to include take home Methadone/Suboxone and or Narcan.

4.2.2 The Contractor shall maintain a system for monitoring and documenting the Veteran's medication compliance.

4.2.3 The Contractor shall notify the VAPORHCS Detox Liaison of prescription discrepancies, unanticipated side effects, adverse medical or psychiatric events, or other medication-related problems and shall seek reconciliation of such problems.

4.2.4 The Contractor shall maintain safe procedures for dispensing, administering, reconciling, and cads of medications. The Contractor shall allow inspection by VAPORHCS personnel of these policies, procedures, and facilities.

5. Quality Assurance Monitoring:

5.1 The Contractor shall provide reports and information for Quality Assurance Monitoring:

5.1.1 The Contractor shall call or submit a list of all admitted Veterans referred by the Detox Liaison with each patient's name, Social Security number, date of birth (DOB), drug(s) of choice, outcome of treatment, and referral information from the Contractor to any subsequent program or facility. This shall be submitted to the Detox Liaison daily. The Contractor shall also inform the Detox Liaison of dropouts from detoxification within 24 hours of the event.

5.1.2 The Contractor shall send a report on all VA-referred patients, indicating the number of Veterans who have been referred to Detox, the number admitted, the number of Incomplete or Declined admissions, the number of Medical or Behavioral Discharges, the number of AMA discharges, and the number of Veterans referred to ongoing treatment at any VA Substance Addiction Treatment Program. This will be submitted to the Detox Liaison quarterly.

5.1.3 The Contractor shall report adverse medical and psychiatric events, such as medication errors, adverse reactions to medication, or sentinel events (loss of life or threat of injury to life or limb) to the Detox Liaison within 24 hours. A summary report of these events will be submitted quarterly to the Detox Liaison or designee.

6.0 Prohibited Discrimination:

6.1 The Contractor shall accept referral of and shall provide all services specified in this contract for any person determined eligible by the Directors, Mental Health and Neurosciences Division, VA Portland Health Care System (VAPORHCS), Oregon, or their designee, regardless of the race, religion, color, gender, national origin, disability, sexual orientation, gender identity, age, education, geographic origin, and skill characteristics of the person for whom such services are ordered. In addition, the Contractor warrants that subcontracting will not be resorted to as a means of circumventing this provision.

6.2 The Contractor shall not maintain nor provide dual or segregated patient facilities, which are segregated based on race, religion, color, gender, national origin, disability, sexual orientation, gender identity, age, education, geographic origin, or skill characteristics. (Note: Services such as sleeping and dining quarters separated by gender are required by this Contract.) The Contractor shall neither require such segregated use by written or oral policies nor tolerate such use by local custom. The term "facilities" shall include, but not be limited to, rooms, wards, sections, drinking fountains, entrances, and other like areas.

7.0 Clinical Records:

7.1 All medical records concerning the Veteran's care in the Contracted program shall be readily accessible to the VA. Upon discharge or death of the patient, the Contractor shall retain medical records for a period of at least three years following termination of care. Patient records shall be maintained in conformance with the Privacy Act of 1974 (5 U.S.C. 552a). A medical record shall be maintained for each patient. All Medical records shall be treated according to the Special Confidentiality/Prohibition of Re-disclosure Regulations of 42CFRPart 2 (and updates) for Substance Addiction Treatment Programs.

7.2 Security of information and IT systems: VAPORHCS has determined that the C&A requirements do not apply, and a Security Accreditation Package is not required.

7.3 Authorities: Contractor’s employee providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

8.0 Supervision of Contract Performance:

8.1 This contract for Medically Monitored Detoxification will be supervised by the Contracting Officer (CO), Contracting Officer Representative (COR), Mental Health Division (MHD) Clinical Consultant, and the Detox Liaisons at the Substance Addiction Treatment Program of VAPORHCS. The Contractor shall adhere to the guidelines of those officials. The Contractor shall provide no more than 30 days of detoxification services to an individual Veteran in a calendar year. The Veteran shall be provided with detoxification services at the expense of VA for a period not more than that stated in the Authorization received from VA, unless an extension of the authorization is provided in writing by the Substance Addiction Treatment Program of the VAPORHCS. The Detox Liaisons will be given the information necessary to authorize and document the authorization in the Veteran's Electronic Health Record (EHR).

8.2 The Government will have the right to inspect the Contractor’s facility and all appurtenances by authorized VA representative(s) to ensure that acceptable safety, security, sanitation, and quality of environment standards are maintained and that the necessary clinical care to maintain the well-being of the patient is rendered.

8.3 Duly authorized representatives of the Government will provide follow-up supervision visits to Veterans placed to assure the extent, quality, and continuity of care and to determine whether acceptable standards are maintained, and that adequate care is being rendered. These visits do not substitute for nor relieve the Contractor in any way of the responsibility for the agreed-upon plan of care, including the medical, psychiatric, and addiction treatment of the Veteran.

9.0 Reports:

9.1 The Contractor shall submit reports to the Detox Liaison or designee on the utilization of services for VA-referred patients. The Contractor shall send a report on all VA-referred patients, indicating the number of Veterans who have been referred to Detox, the number admitted, the number of Incomplete or Declined admissions, the number of Medical or Behavioral Discharges, the number of AMA discharges, and the number of Veterans referred to ongoing treatment at any VA Substance Addiction Treatment Program. Utilization of service reports will include average length of stay and drop-out rate, a list of adverse medical/psychiatric events or sentinel events, outcomes of treatment, and performance improvement efforts. These reports shall be submitted quarterly.

9.2 The Contractor shall call or submit a list of all admitted Veterans who have been referred by the Detox Liaison, with each patient's name, Social Security number, DOB, treated substance(s), outcome of treatment, referral information from the Contractor to any subsequent program or facility, and program completion status. This shall be submitted to the Detox Liaison daily. The Contractor shall also inform the Detox Liaison of dropouts from detoxification within 24 hours of the event.

9.3 The Contractor shall inform the Detox Liaison of sentinel events, adverse medical or psychiatric events, medication errors, or other emergencies within 24 hours of the occurrence.

10. Termination of Services:

10.1 The VAPORHCS reserves the right to remove any or all VA patients from the Contractor’s facility at any time, when it is determined to be in the best interest of the VA or the patients.

11. Rate Determination and Payments:

11.1 The Contractor shall provide to the VAPORHCS services to enrolled Veteran patients in accordance with all terms, provisions, general conditions, and requirements as listed herein, and in accordance with the Price/Cost Schedule. Prices are inclusive of all services as may be necessary in the treatment of the patient.

11.2 Payments made by the Department of Veterans Affairs (VA) under this contract shall constitute the total cost of the Contractor’s care. No additional charges shall be billed to Medicare Part B, the beneficiary, or the beneficiary's family by the Contractor or any third-party furnishing services or supplies required for such care. The Contractor shall be prohibited from soliciting contributions, donations, or gifts from patients or their family members.

11.3 The Veterans Health Administration (VHA) is not legally obligated to pay state Medical Assistance Programs (Medicaid) rates, including Oregon Medicaid Assistance Program (OMAP) rates, for contracted substance use disorder (SUD) services. Payment rates for such services shall be determined in accordance with the terms and conditions specified in the respective contracts.

12. Absence:

12.1 Absence of the patient from the Contractor's Program for longer than 24 hours will not be reimbursable.

13. Contract Administration:

13.1 The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters related to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes that will affect price, quantity, terms, or quality of performance of this contract.

13.2 In the event the contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority, and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

14. Vendor Electronic Invoice Submission Methods:

14.1 Invoices will be electronically submitted to the Tungsten Automation website at https://www.tungstenautomation.com/. Tungsten Automation's direct vendor support number is 877-489-6135 for VA contracts. The VA-FSC pays all associated transaction fees for VA orders. During implementation (technical set-up), Tungsten Automation will confirm your Taxpayer ID Number with the VA-FSC. This process can take up to 5 business days to complete to ensure your invoice is automatically routed to your certifying official for approval and payment. To successfully submit an invoice to VA-FSC, please review “How to Create an Invoice” within the how-to guides. All invoices submitted through Tungsten Automation to the VA-FSC should mirror the current submission of the invoice. Clarification of additional requirements should be confirmed with your certifying official (your CO or buyer). Payments will only be made for actual services rendered. Payments shall be made monthly, in arrears. The VA-FSC requires specific information in compliance with the Prompt Pay Act and business requirements. The contractor shall be reimbursed upon receipt of a proper invoice. For additional information, please contact:

Tungsten Support Phone: 1-877-489-6135 Website: https://www.tungstenautomation.com/ Department of Veterans Affairs Financial Service Center https://www.fsc.va.gov/einvoice.asp

15. No Employee Status:

15.1 The Contractor shall be responsible for protecting the Contractor’s employee(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:

Workers’ compensation Professional liability insurance Health examinations Income tax withholding, and Social security payments.

16. Tort Liability:

16.1 The Federal Tort Claims Act does not cover the Contractor or the Contractor’s employees. If the Contractor or the Contractor’s employees are identified as providers in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from actions or omissions by the Contractor or the Contractor’s employees shall be the responsibility of the Contractor and/or their insurance carrier.

17. Performance Standards:

17.1 Measure: Quality of Care

Performance Requirement: Referral to the VA Substance Addiction Treatment Program at discharge.

Standard: VA-funded Veterans will be referred to ongoing substance use disorder treatment.

Acceptable Quality Level: GOAL: 90% of Veterans will be referred to VA Substance Use Disorder (SUD) Programs before discharge.

Surveillance Method: Contractor will report and document quarterly the percentage of VA-funded Veterans who were referred to ongoing Substance Abuse Treatment (SA Tx) at any VA.

Referral to continuing care in substance abuse treatment should always be attempted and documented. This is one measure of the quality of care.

Veterans will be referred to ongoing substance abuse treatment: Contractor will note documentation of a referral to any VA Substance Addiction Treatment Program. This measure applies only to Veterans who complete the detox program. The acceptable level of quality will be 90% of VA-referred Veterans who complete the detox program will be referred to ongoing substance abuse treatment in any VA Program.

17.2. Measure: Quality of Care/Safety

Performance Requirement: Safe completion of detox.

Standard: VA-funded Veterans will complete the detox process.

Acceptable Quality Level: GOAL: 80% of Veterans will complete the detox program.

Surveillance Method: Contractor will document quarterly the percentage of VA-funded Veterans who completed the detox program vs dropouts.

Detoxification is a challenging process; we wish to measure the completion rate as an indicator of the quality of care and patient safety. The contractor will monitor using a tracking document or conduct a chart review of VA-referred Veterans to identify the number who complete the detox treatment (numerator) divided by the number who are admitted for detox (denominator). We expect a completion rate of 80% but will meet with the Contractor if this figure needs revision.

17.3. Measure: Quality/Safety

Performance Requirement: Adverse medical or psychiatric events.

Standard: 100% of Adverse Events on VA-funded Veterans will be reported to VAPORHCS Detox Liaison within 24 hours.

Acceptable Quality Level: GOAL: 90% of adverse events reported within 24 hours.

Surveillance Method: Contractor will report adverse events daily to the Detox Liaison. Contractor will keep data and submit quarterly report on adverse medical or clinical events for VA-funded Vets.

17.4 Adverse events, such as medication errors, adverse medical reactions, and sentinel events, are a constant threat as well as a learning opportunity. The contractor will report the number and type of medication errors, adverse medical reactions, and sentinel events to the PVAMC Detox Liaison within 24 hours. In addition, the Contractor will provide a quarterly report summarizing the number and type of adverse events. The acceptable level of quality is 90% timely reporting for both the daily and quarterly measures.

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