Amendment - 36C26223R0131 0001.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

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

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

MSO-2023-COM-0026

36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 To all Offerors/Bidders

36C26223R0131 09-14-2023

X

X

This amendment is hereby issued to respond to questions on solicitation 36C26223R0131.

Please see response to questions on page two (2).

Tashodra Rogers Contracting Officer

RESPONSE TO QUESTIONS ON SOLICITATION 36C26223R0131

Family Medicine Physicians and Internal Medicine Physicians at VASDHS

1. Who is the incumbent contractor including the contract number for these services?

· This is a new requirement.

2. Can you confirm if the VA is requiring 3 FTE Internal Medicine Physicians AND 3 FTE Family Medicine Physicians to be on-site?

· Please refer to section B.2 SCHEDULE OF SERVICES & PRICE - The contractor shall propose a minimum of six (6) key personnel to be credentialed (3 Family Medicine Physicians and 3 Internal Medicine Physicians). This is to ensure (as stated in the Schedule) enough appropriately qualified physicians are credentialed and privileged to provide adequate backup to ensure the required level of services are provided.

3. Can you provide an example of how the work will be divided between the 5 locations listed in the PWS and which physicians will be required to be on-site for each specific site?

· Physicians will be assigned to one of the five locations as needed. The assignments at each location are normally between three to six months.

4. Is there an on-call requirement for these services?

· No. On-call service is not needed.

5. Can you share any information on the government’s broader strategic goals in this area of services?

· The goal is to provide continuity of care for Veteran patients with physician contingency staffing.

6. We have a question regarding the Worker’s Comp requirement for 36C26223R0131. Is it possible for this requirement to be waived for 1099 providing physicians?

· Section 2.7.1 is now removed from the solicitation – 36C26223R0131.

7. How many incumbent providers (Internal Med / Family Med) are on the current contract?

· This is a new requirement.

8. Which positions are vacant/not filled? At which location?

· This is a new requirement.

9. The RFP has 3076 hours in each category, for 3 FTE Family Practice & 3 FTE Internal Medicine providers each year (6152 hours combined/p yr.). However, this only translate to 1025.33 hours per provider per year and would not cover the necessary hours needed for full time (80 hours every 2 weeks). Is this a misprint, or will more hours be added to satisfy the coverage requirements?

· Please refer to section B.2 SCHEDULE OF SERVICES & PRICE. This is a 3 FTE requirement – 6 key personnel are required to be credentialed to ensure that the 3 FTE level can always be met in case a physician(s) is ever out and a replacement is needed (vacation, sick, short/no notice departure).

10. Are locums tenens acceptable?

· This is a Full Time Equivalent (FTE) requirement. Locums are not acceptable.

11. Are any of the providers required to travel to other locations? If so, is the travel time billable to the Government?

· The service will work with the Contractor regarding which location physician staff are needed. Travel time is not billable. They will be assigned to one of the sites for three to six months as needed.

12. How many patients are the providers scheduled/required to see each day or week?

· The providers will be covering a panel of up to 1,200 patients. The number of patients seen will vary. There isn’t a required number of patients to be seen.

13. Pricing instructions say to provide a minimum of Six (6) key personnel to be credentialed (3 Family Medicine Physicians and 3 Internal Medicine Physician) but, it also says that Contractor shall provide as a minimum, enough appropriately qualified physicians to be credentialed and privileged that meet or exceed twice the number of Full Time Equivalent Employee (FTEE) required to fulfill contract obligations. Does this mean that the Government is looking for a total of 12 candidates to be submitted with the response (6 Family Medicine and 3 Internal Medicine)?

· No. The requirement is for Six (6) key personnel to be credentialed (3 Family Medicine Physicians and 3 Internal Medicine Physicians).

14. Hours anticipated for each discipline per year is 3,076 hrs. (1,025.33 hrs. per physician), is this calculation correct since the number does not reach the minimum for a FTEE?

· The calculation is correct. Six key personnel are required to be credentialed to ensure that the three FTE level can always be met in case a physician(s) is ever out and a replacement is needed (vacation, sick, short/no notice departure).

15. For D.1 ATTACHMENT 1 – Reference Contract Worksheet, whether the contract was for Board Certified /Board Eligible Family Medicine Physician or Board Certified/Board Eligible Internal Medicine Physician services; or both. Will the Government accept relevant experience (such as Urology Physicians or other specialties) or will the Government accept references for Family Medicine and Internal Medicine only?

· Please refer to D.1 ATTACHMENT 1 – Reference Contract Worksheet for Offeror’s Response to Factor 1 – Experience. The offeror shall provide whether the contract was for Board Certified/Board Eligible Family Medicine Physician or Board Certified/Board Eligible Internal Medicine Physician services; or both.

16. The solicitation is asking for 6 candidates to be submitted to fill 3 positions. Will this be to select 3 from the six or to show depth or are they looking to actually credential all 6?

· Please refer to Section B.2 SCHEDULE OF SERVICE & PRICE. The Contractor shall propose a minimum of six (6) key personnel to be credentialed (3 Family Medicine Physicians and 3 Internal Medicine Physicians). This is to ensure (as stated in the Schedule) enough appropriately qualified physicians credentialed and privileged to provide adequate backup to ensure the required level of services are provided.