36C26126R0014 0006.pdf

5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODECODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

0006 05-13-2026 MSO-2026-COM-0013

Department of Veterans Affairs Network Contracting Office (NCO) 21

Department of Veterans Affairs Network Contracting Office (NCO) 21

To all Offerors/Bidders

36C26126R0014

X

X X

X 1

THE PURPOSE OF THIS MODIFICATION IS TO:

SEE ATTACHED CONTINUATION PAGE

MARICELA BERRONES-GAUGER

CONTRACTING OFFICER

The following questions were not correctly addressed in AMENDMENT 003.

1. Amendment 0003 specifies touchdown spaces will be available for VA-provided staff, including a Licensed Social Worker and a Registered Dietitian. However, Section

2.3 of the PWS states the Social Worker and Dietician shall be provided by the Contractor. Please clarify this discrepancy as it presents an ambiguous requirement that will have a material impact on Offeror’s staffing and pricing for this FFP contract.

Should the Offeror price and staff the Dietician and Social Worker or will those roles be provided by VA?

Registered Dietitian and Social Work services are provided by the VA via consultation, referral, and/or telehealth support models. The contractor is not required to provide dedicated on-site FTE staffing for these positions unless otherwise proposed by the offeror.

2. The government included a QASP Measure “Percent of Teams with Core Teamlet Staffing Ratio 3 or More” and set a standard that 100% of Contractor’s primary care teams shall have a core teamlet staffing ratio of 3 or more. The 100% standard will be impossible for Offerors to meet over the life of the contract given routine staff turnover, the reality of Contractor staff being hired by VA and delays due to Government’s background checks and primary source verifications for credentialing. In addition to the impossible standard the VA has included FAR 52.212-4(a) which grants the right to seek a price reduction for nonconforming services.

The QASP performance standard establishes the Government’s desired operational staffing objective for continuity of care and PACT team functionality.

Performance assessments will consider the totality of circumstances, including reasonable staffing transitions, recruitment efforts, credentialing timelines, and temporary vacancies that do not materially impact patient care operations or access standards. The Government will evaluate contractor performance in accordance with the QASP and applicable contract provisions