RFP 36C26225R0004 - Amendment 0003 - CBOC Services - El Centro - VASDHS.pdf

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)

1 7

0003 12-23-2024

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

36C26225R0004

11-22-2024

X

X x

X 1

This amendment is issued to:

1. Amend the solicitation.

2. Answer questions received in response to the solicitation.

See pages 2 through 7 for details.

Proposal due date has been extended to January 14th at 11:00am. All other Terms and Conditions shall remain unchanged.

Alice McGruder Contracting Officer

1. The solicitation is amended as follows:

a. Section B.2 SCHEDULE OF SERVICES AND PRICE is replaced in its entirety with the attached Updated section B.2. SCHEDULE OF SERVICES AND PRICE.

Base Year – 05/01/2025 – 04/30/2026

Line Item Services Unit Price per Unit

Primary Care Services at capitation rates per member per month

(PMPM)

PMPM

Option Period One (1) – 05/01/2026 – 04/30/2027

Line Item Services Unit Price per Unit

Primary Care Services at capitation rates per member per month (PMPM)

Option Period Two (2) – 05/01/2027 – 04/30/2028

Primary Care Services at

Option Period Three (3) – 05/01/2028 – 04/30/2029

Primary Care Services at

Option Period Four (4) – 05/01/2029 – 04/30/2030

Primary Care Services at

Option Period Five (5) – 05/01/2030 – 04/30/2031

Primary Care Services at capitation rates per member per month (PMPM)

Option Period Six (6) – 05/01/2031 – 04/30/2032

Primary Care Services at

Option Period Seven (7) – 05/01/2032 – 04/30/2033

Primary Care Services at

Option Period Eight (8) – 05/01/2033 – 04/30/2034

Primary Care Services at

Option Period Nine (9) – 05/01/2034 – 04/30/2035

9001 Primary Care Services at

b. Section D.19 PRICE WORKSHEET is replaced in its entirety with the attached updated section D.19 SCHEDULE OF SERVICES AND PRICE.

Line Item Services Unit Estimated

Quantity Price Per

Unit

Total Estimated Cost Per Year (Estimated Quantity X Price Per

Unit X 12 months) 0001 Primary Care Services at capitation rates per member per month

(PMPM)

PMPM 1,829

Total Base Year

1001 Primary Care Services at capitation rates per member per month

(PMPM)

PMPM 1,838

Total Option Period One

(1)

2001 Primary Care Services member per month

PMPM 1,847

Total Option Period Two

(2)

3001 Primary Care Services member per month

(PMPM)

PMPM 1,856

Total Option Period Three

(3)

4001 Primary Care Services member per month

(PMPM)

PMPM 1,865

Total Option Period Four

(4)

5001 Primary Care Services member per month

PMPM 1,874

Period Five

(5)

6001 Primary Care Services member per month

(PMPM)

PMPM 1,883

Period Six (6)

7001 Primary Care Services member per month

(PMPM)

PMPM 1,892

Total Option Period Seven

(7)

8001 Primary Care Services member per month

(PMPM)

PMPM 1,901

Total Option Period Eight

(8)

9001 Primary Care Services member per month

(PMPM)

PMPM 1,910

Total Option Period Nine

(9)

TOTAL

ESTIMATED

FOR BASE

YEAR AND

NINE (9)

ONE-YEAR

OPTION

PERIODS

c. Section B.3 PERFORMANCE WORK STATEMENT, Paragraph 19. BILLING AND INVOICING PROCEDURES, Mental Health LIN, is deleted in its entirety.

The billable roster for the MH LIN (if there is a MH LIN) will include all patients provided at least one primary care-mental health integration (PCMHI) and/or general/specialty MH service by the contractor’s professional MH staff within the previous 12 months under a 500 series stop coded clinic with a separate CPT coded encounter.

The ONLY time the contractor may bill against the MH LIN is when PCMHI, and/or general/specialty MH services are provided by the contractor’s professional MH staff under the 500 series (MH) stop coded clinics with separate CPT coded encounters. MH screening and services provided as part of primary care in a 300 series stop coded clinic are NOT billed against the MH LIN.

“Professional MH Staff” eligible to provide services that will result in billing against the MH LIN are psychologist, psychiatrist, licensed social worker practicing at the independent level, MH nurse practitioner (NP), mental health physician assistant (PA), licensed professional mental health counselor (LPMHC) and marriage and family therapist.

2. Additional Questions and Answers.

Question 1: VA’s historic data available for PC-MHI services for El Centro reflects that only 1.74% of veterans at the site are currently engaged in PC-MHI, significantly less than the 10% VA is recommending contractors use for pricing. Would VA amend the solicitation and contract to use a single primary care price inclusive of PCMHI ?

Answer: Yes. See amendment identified above removing language from the solicitation PWS and the attached updated section B.2 SCHEDULE OF SERVICES and PRICE and attached updated section D.19 PRICE WORKSHEET that now reflects only the PMPM line item. However, the VA does anticipate that the number of patients at the El Centro CBOC requiring PCMHI will increase because of the available on-site PCMHI staff (currently this is provided via tele-mental health).

Question 2: Can you please clarify if vendors are allowed to submit more than one location? If so, do the page restrictions apply to each location submitted? Lastly, will you require a complete and separate proposal for a second location, or can vendors submit one proposal with multiple locations?

Answer: If an offeror wants to offer more than one location for the proposed CBOC, then they would submit two separate and complete proposals, both meeting all the Terms and Conditions and requirements of this solicitation.