36C26322R0091 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

36C26322R0091 Nov 1, 2022

Sara Hanson, Contract Specialist 320-654-7607 Dec 1, 2022

10 AM CST

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Attn: Sara Hanson 4801 Veterans Drive Saint Cloud MN 56303

X

621498

$22.5 Million

N/A

Black Hills VA Medical Center 113 Comanche Rd

Fort Meade, SD 57741

Network 23 Contracting Office Attn: Sara Hanson 4801 Veterans Drive Saint Cloud MN 56303

Financial Service Center PO Box 149971

Austin TX 78714

512-460-5540

See CONTINUATION Page

Community Based Outpatient Clinic services in Scottsbluff, NE

See Section B.2 for Schedule of Services page 7

See Section B.3 for Performance Work Statement page 12

See CONTINUATION Page

X 1

Travis Johnson Contracting Officer

36C26322R0091

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.1(a) CONTRACTOR ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT (PWS)

B.5 VHA SUPPLEMENTAL CONTRACT REQUIREMENTS FOR COMBATTING COVID-

SECTION C - CONTRACT CLAUSES

C.1 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 ADDENDA TO 52.217-8 EVALUATION OF OPTION TO EXTEND UNDER 52.217-8.

C.8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.9 CL-120 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.10 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.11 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.12 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.13 VAAR 852.219-76 SUBCONTRACTING PLANS MONITORING AND COMPLIANCE

(JUL 2018)

C.14 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)132

C.15 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.16 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.17 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.18 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) .. 154

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 VAAR 852.215-72 NOTICE OF INTENT TO RE-SOLICIT (OCT 2019)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E9. EVALUATION FACTORS:

E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION) ... 165

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

System for Award Management (SAM):

SAM Registration: Offeror must be registered in the System for Award Management (SAM). (SAM includes the functionality of the previous Central Contractor Registration (CCR) and Online Representations and Certifications Applications (ORCA)). No contract will be entered into with an unregistered contractor. Internet access allows registration by completing an electronic on-line registration application at https://sam.gov/content/home.

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: (Name & Address) Name:

Address:

Email:

Phone:

b. GOVERNMENT: Contracting Officer (90C) Travis Johnson 2501 W 22nd St Sioux Falls, SD 57105 Travis.Johnson2@va.gov 605-333-6822

c. Contractor and Government points of contact can be changed by written notification to the other party.

Notification will be placed in the Contract file and will not require a modification to the Contract.

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor should be mailed to the following address:

3. INVOICES: Invoices shall be submitted in arrears: MONTHLY (in arrears)

4. Billing/Accounting/Invoices

4.1 Payments shall be made monthly in arrears upon receipt of a properly prepared invoice. IAW FAR 52.212-4 (g), FAR 52.232-33, and VAAR 852.232-72.

4.2 In order to comply with the Improper Payment Elimination and Recovery Act of 2010 (IPERA), the VA has mandated electronic invoice submission to the Veterans Affairs Financial Services Center (VAFSC). VAFSC has partnered with Tungsten Corporation e-Invoicing network for submissions of all electronic invoices to VA. Tungsten Network electronic invoicing is free to all https://sam.gov/content/home mailto:Travis.Johnson2@va.gov

VA vendors. In order to submit electronic invoices, all VA vendors must register with Tungsten Network by submitting an email to VA.Registration@tungsten-network.com or calling 1-877- 752-0900 option 2 for Enrollment.

4.3 Invoices will be electronically submitted to the Tungsten website at Tungsten 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 will confirm your Tax Payer 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 to the VA-FSC should mirror your current submission of Invoice, with the following items required. Clarification of additional requirements should be confirmed with your Certifying Official (your CO or buyer). The VA- FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements. For additional information, please contact:

Tungsten Support

Phone: 1-877-489-6135

Website: https://www.tungsten-network.com/us/support/

Department of Veterans Affairs Financial Service Center

Phone: 1-877-353-9791 Email: vafscched@va.gov

4.4 Payments in full/no billing VA beneficiaries: The Contractor shall accept payment for services rendered under this contract as payment in full. VA beneficiaries shall not under any circumstances be charged nor their insurance companies charged for services rendered by the Contractor, even if VA does not pay for those services. This provision shall survive the termination or ending of the contract.

4.5 To the extent that the Veteran desires services which are not a VA benefit or covered under the terms of this contract, the Contractor must notify the Veteran that there will be a charge for such service and that the VA will not be responsible for payment.

5. Secure Fax - Please review VA Handbook 6500 that requires the following statement on all fax cover sheets be included: “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.”

Post Award Orientation: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

6. 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 http://www.va.gov/oig/contacts/hotline.asp 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.

B.1(a) CONTRACTOR ADMINISTRATION DATA

CONTRACTOR (Offerors are required to designate a person for prompt administration):

Name of Company:

Name:

Title:

Address:

Overnight/Express address if different from above:

Address:

City/State

ZIP

E-mail Address:

Phone No:

Toll Free No:

Fax No:

Tax ID No:

CAGE Code:

DUNS Number:

B.2 SCHEDULE OF SERVICES

In accordance with Title 38 United States Code (USC) 8153 and FAR 15, the Contractor shall provide continuous delivery of Contractor Operation Primary Care Services, including Primary Care inclusive of space for tele-health services in accordance with the terms, conditions, and provisions stated herein, and to furnish services to eligible veteran beneficiaries enrolled with the VA Black Hills Health Care System at the prices specified in the PRICE SCHEDULE AND SERVICES. A contract resulting from this solicitation will be awarded for one year, with the Government having the option to extend the contract for nine (9) additional one-year periods.

This solicitation covers the provision of Primary Care services. The clinic is to be located within the city limits of Scottsbluff, NE. The contractor shall establish one location to provide the required services specified under this contract. Primary care must be provided at the same site as the primary clinic.

Veterans to be serviced under this contract reside primarily in Scottsbluff, Box Butte, Morrill, Banner, and Sioux counties, but are not restricted to those counties.

Primary Care services will be provided to patients enrolled to the clinic by the VA Black Hills Health Care System. Payment for services will be based on a capitated rate per member per month(PMPM).

Estimated enrollment numbers are stated for the purposed of pricing and evaluating proposals. Contract performance shall be based upon orders issued against this contract. The guaranteed minimum contract amount is $500,000.00.

CBOC ORDERING PROCEDURES: This is a Firm Fixed Price (FFP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). The Task Orders shall specify the quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19.

Contract Minimum $500,000.00 Contract Maximum $25,000,000.00

*Per Member Per Month (PMPM) includes cost of unassigned patient visits, the Contractor shall not bill separately or propose an additional Line Item Number (LIN) or bill separately for these costs. All quantities are estimated, the government will pay for services performed as certified by the Contracting Officer’s Representative (COR).

Base Year: October 1, 2023, or date of award through September 30, 2024

LIN Description Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

0001 Primary Care Services at capitation rates per member per month (PMPM)

Per Member Per Month (PMPM)

Estimated Base Year Total $__________

Option Year One: October 1, 2024, or date of award through September 30, 2025

LIN Description Estimated Quantity Unit of Issue Unit Price

Total Estimated Cost

1001 Primary Care Services at capitation rates per member per month (PMPM)

Per Member Per Month (PMPM)

Estimated Option Year One Total $__________

Option Year Two: October 1, 2025, or date of award through September 30, 2026

Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

2001 Primary Care Services at capitation rates per member per month (PMPM)

1300 Per Member Per Month (PMPM)

Estimated Option Year Two Total $__________

Option Year Three: October 1, 2026, or date of award through September 30, 2027

Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

3001 Primary Care Services at capitation rates per member per month (PMPM)

Per Member Per Month (PMPM) $ _______ $_________

Estimated Option Year Three Total $__________

Option Year Four: October 1, 2027, or date of award through September 30, 2028

Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

4001 Primary Care Services at capitation rates per member per month (PMPM)

1300 Per Member Per Month (PMPM)

Estimated Option Year Four Total $__________

Option Year Five: October 1, 2028, or date of award through September 30, 2029

Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

5001 Primary Care Services at capitation rates per member per month (PMPM)

Per Member Per Month (PMPM) $ _______ $__________

Estimated Option Year Five Total $__________

Option Year Six: October 1, 2029, or date of award through September 30, 2030

LIN Description Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

6001 Primary Care Services at capitation rates per member per month (PMPM)

Per Member Per Month (PMPM) $ _______ $_________

Estimated Option Year Six Total $__________

Option Year Seven: October 1, 2030, or date of award through September 30, 2031

Estimated Quantity Unit of Issue Unit Price

Total Estimated Cost

7001 Primary Care Services at capitation rates per member per month (PMPM)

1300 Per Member Per Month (PMPM)

Estimated Option Year Seven Total $__________

Option Year Eight: October 1, 2031, or date of award through September 30, 2032

Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

8001 Primary Care Services at capitation rates per member per month (PMPM)

1300 Per Member Per Month (PMPM)

Estimated Option Year Eight Total $__________

Option Year Nine: October 1, 2032, or date of award through September 30, 2033

Estimated Quantity

Unit of Issue Unit Price Total Estimated Cost

9001 Primary Care Services at capitation rates per member per month (PMPM)

Per Member Per Month (PMPM) $ _______ $_________

Estimated Option Year Nine Total $__________

Estimated Base and All Option Years Total $__________

ORDERING PROCEDURES: VA has the sole authority to assign Veterans treated by the Contractor into the Primary Care Management Model (PCMM) software program used to track primary care clinic Veteran rosters. Specific billable processes for issuing task orders under the resultant contract include:

determining Veteran eligibility, enrollment eligibility, and at least one (1) qualifying encounter by the Contractor’s primary care provider (PCP) within the previous 12 months.

The Contractor will be provided a list of all enrolled patients at the beginning of the contract and will be able to bill for these patients immediately. In order to remain enrolled in the clinic, patients must have a qualifying visit within 12 months of their last visit. Qualifying encounters are further defined in PWS Section 6.2.1. (Billable Roster). Please review in detail to ensure compliance for issuance of subsequent task orders and payment processing.

Any services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the Contracting Officer or Administrative Contracting Officer. Orders may be issued by facsimile or by electronic commerce methods.

B.3 PERFORMANCE WORK STATEMENT (PWS)

GENERAL:

1.1. SERVICES REQUIRED: The VA Black Hills Health Care System (VA BHHCS) requires the following services to be provided in a private hospital, office or clinic environment to Veterans, primarily residing in Scottsbluff, NE.

1.1.1. Primary Care CBOC offers both medical and mental health care (physically on-site and by telehealth) and offer support services such as pharmacy, laboratory, and x-ray.

Primary Care CBOCs are required to provide both primary care and mental health services. Mental Health services will be provided by VA staff via telehealth.

1.2. PLACE OF PERFORMANCE: The proposed clinic site must be located in Scottsbluff, Nebraska area within a five-mile radius of the 69361 USPS zip code.

1.3. AUTHORITY: In accordance with Title 38 United States Code (USC) 8153 and FAR 15 and FAR 12 to be furnished by the Contractor on behalf of VA Black Hills Health Care System.

1.4. POLICY AND REGULATIONS: The Contractor is required to meet VHA performance and quality criteria and standards including, but not limited to, access, customer satisfaction, prevention index, chronic disease index, and clinical guidelines. Performance and quality standards may change during the contract. New or revised quality/performance criteria or standards will be provided to the Contractor before implementation date and throughout the life of the contract through unilateral or bi-lateral modifications, as applicable. Copies of current VA and VHA publications can be located at http://www.va.gov/vhapublications/ or at http://www.va.gov/vapubs/. Compliance with mandated performance is required as a condition of this contract. The Contractor shall comply with all relevant VA policies and procedures, including those related to quality, access, patient safety and performance, including, but not limited to the policies listed on the Contracted Clinic Policy Document located at https://www.patientcare.va.gov/primarycare/Resources.asp.

1.5. DEFINITIONS/ACRONYMS:

1.5.1. ABMS: American Board of Medical Specialties

1.5.2. ACLS: Advanced Cardiac Life Support

1.5.3. ACGME: Accreditation Council for Graduate Medical Education

1.5.4. ACPE: American Council on Pharmaceutical Education

1.5.5. ACO: Administrative Contracting Officer

1.5.6. ADE: Adverse Drug Events

1.5.7. AED: Automatic External Defibrillator

1.5.8. AIS: Automated Information Security

1.5.9. ANA: American Nurses Association

1.5.10. AOA: American Osteopathic Association

1.5.11. ARRT: American Registry of Radiologic Technology

1.5.12. ASC: Ambulatory Surgery Clinic

1.5.13. ASRT: American Society of Radiologic Technologists

1.5.14. Assigned: A Veteran is “assigned” to an outpatient clinic via Primary Care Management

Model (i.e., CBOC) where the patient receives their primary care after the patient’s eligibility is determined through registration and enrollment.

http://www.va.gov/vhapublications/ http://www.va.gov/vapubs/ https://www.patientcare.va.gov/primarycare/Resources.asp

1.5.15. Asynchronous Care: Care provided outside of bookable time and includes but is not limited to the following activities: refilling prescriptions, reviewing outside records, huddles and case management, team meetings, processing view alerts, secure messaging and training.

1.5.16. BAA: Business Associate Agreement

1.5.17. BI-RADS: Breast Imaging-Reporting and Data System; a quality assurance tool designed to standardize mammography reporting

1.5.18. BLS: Basic Life Support

1.5.19. BOS: Bureau of Osteopathic Specialists

1.5.20. CAHEA: Committee on Allied Health Education and Accreditation

1.5.21. CAP: College of American Pathologists

1.5.22. CARF: Commission on Accreditation of Rehabilitation Facilities

1.5.23. CBO: VA Central Billing Office.

1.5.24. CDC: Centers for Disease Control and Prevention

1.5.25. CEU: Certified Education Unit

1.5.26. CLIA: Clinical Laboratory Improvement Amendments

1.5.27. CME: Continuing Medical Education

1.5.28. CMS: Center for Medicare and Medicaid Services

1.5.29. CO: Contracting Officer

1.5.30. COPD: Chronic Obstructive Pulmonary Disease

1.5.31. COR: Contracting Officer’s Representative

1.5.32. COS: Chief of Staff

1.5.33. CPA: Collaborative Practice Agreement

1.5.34. CPRS: Computerized Patient Record System

1.5.35. CPS: Clinical Pharmacy Specialist

1.5.36. CPT: Current Procedural Terminology

1.5.37. CRNP: Certified Registered Nurse Practitioners

1.5.38. CSWE: The Council on Social Work Education. The CSWE website is http://www.cswe.org/

1.5.39. CPARS: Contractor Performance Assessment Reporting System

1.5.40. CVT: Clinical Video Telehealth

1.5.41. DICOM: Digital Image and Communication in Medicine

1.5.42. DIGMA: Drop in Group Medical Appointment

1.5.43. DRG: Diagnostic Related Group

1.5.44. DSS: Decision Support System

1.5.45. ECC Extended Care Center

1.5.46. Enrollment: The process of establishing eligibility for VA’s “Medical Benefits Package.”

Most Veterans are required to “enroll” into the VA Health Care System to be eligible for VA health care and to be assigned to an outpatient clinic like a CBOC, however some can still receive care without enrolling. Applicants are only required to “enroll” once for VA health care unless they are determined ineligible for care at time of application or they have disenrolled.

1.5.47. EPRP: External Peer Review Program

1.5.48. FDA: Food and Drug Administration

1.5.49. FSMB: Federation of State Medical Boards

http://www.cswe.org/

1.5.50. HCC: Health Care Center an HCC is a VA-owned, VA-leased, contract, or shared clinic operated at least 5 days per week that provides primary care, mental health care, on-site specialty services, and performs ambulatory surgery and/or invasive procedures which may require moderate sedation or general anesthesia.

1.5.51. HHS: Department of Health and Human Services

1.5.52. HCFA: HealthCare Financing Administration

1.5.53. HICPAC: Healthcare Infection Control Practices Advisory Committee- a Federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.5.54. HT: Home Telehealth

1.5.55. ICAVL: Intersocietal Commission for the Accreditation of Vascular Laboratories

1.5.56. ICD 10: International Classification of Diseases 10th edition

1.5.57. iMED: Software used by VA for informed consent

1.5.58. INR: International Normalized Ratio

1.5.59. ISO: Information Security Officer

1.5.60. LIP: Licensed Independent Practitioner

1.5.61. MCCR: Medical Care Cost Recovery

1.5.62. Mental Health Services: Per VHA Handbook 1160.01 is meant to include services for the evaluation, diagnosis, treatment, and rehabilitation of both substance use disorders and other mental disorders.

General mental health services include:

(a) Diagnostic and treatment planning evaluations for the full range of mental health problems;

(b) Treatment services using evidence-based pharmacotherapy, or primary evidence-based psychotherapy for patients with mental health conditions and substance use disorders;

(c) Patient education;

(d) Family education when it is associated with benefits to the Veterans;

(e) Referrals as needed to inpatient and residential care programs; and

(f) Consultation about special emphasis problems including Post Traumatic Stress Disorder (PTSD) and Military Sexual Trauma (MST).

Specialty mental health services include:

(a) Consultation and treatment services for the full range of mental health conditions;

(b) Evidence-based psychotherapy;

(c) Mental Health Intensive Case Management (MHICM);

(d) Psychosocial Rehabilitation Services, including: PRRCs, family psycho-education, family education, skills training, peer support, and Compensated Work Therapy (CWT) and supported employment;

(e) PTSD teams or specialists;

(f) MST special clinics;

(g) Homeless programs; and

(h) Specialty substance abuse treatment services.

1.5.63. MQSA: Mammography Quality Standards Act

1.5.64. MSN: Master of Science in Nursing

1.5.65. NCCPA: National Commission on Certification of Physician Assistants

1.5.66. NLN: National League for Nursing

1.5.67. NSQIP/CICSP: National Surgical Quality Improvement Program/Continuing

Improvement in Cardiac Surgical Program

1.5.68. OTC: Over the Counter

1.5.69. PA: Physician Assistant

1.5.70. PACS: Picture Archiving and Communications System

1.5.71. PACT: Patient Aligned Care Team Background and Introduction: VA has implemented a

PCMH model at all VA Primary Care sites which is referred to as PACT. This initiative supports VHA’s Universal Health Care Services Plan to redesign VHA healthcare delivery through increasing access, coordination, communication, and continuity of care.

PACT provides accessible, coordinated, comprehensive, patient-centered care, in team based environment including the active involvement of other clinical and non-clinical staff. PACT allows patients to have a more active role in their health care and is associated with increased quality improvement, patient satisfaction, and a decrease in hospital costs due to fewer hospital visits and readmissions.

1.5.72. Parent Facility: The VAMC responsible for performance monitoring and payment for contracted Outpatient Site of Care services. The Parent Facility for the Scottsbluff CBOC is the Black Hills Health Care System.

1.5.73. PCMH: Patient-Centered Medical Home

1.5.74. PCMM: Primary Care Management Module- a software program used to track Primary

Care Clinic Veteran rosters.

1.5.75. PCP: Primary Care Provider

1.5.76. Phar.D.: Doctor of Pharmacy

1.5.77. POC: Point of Care Testing

1.5.78. Primary Care Visit: An episode of care furnished in a clinic that provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. Primary care includes, but is not limited to, diagnosis and management of acute and chronic biopsychosocial conditions, health promotion, disease prevention, overall care management, and patient and caregiver education. The VHA site classification defines primary care as those encounters that occur within the primary care class of encounters.

1.5.79. PCMHI: Primary Care-Mental Health Integration

1.5.80. PWS: Performance Work Statement

1.5.81. QAPI: Quality Assessment and Performance Improvement

1.5.82. QASP: Quality Assurance Surveillance Plan

1.5.83. RME: Reusable Medical Equipment

1.5.84. SOP (Clinical): Scope of Practice

1.5.85. Self-Referral: Referring patients to Contractor’s facility for follow-up care. Self-referral for outpatient services at the Contractor’s facility is prohibited.

1.5.86. SFT: Store and Forward Telehealth

1.5.87. SMA: Shared Medical Appointments

1.5.88. SPD: Sterile Processing Division

1.5.89. SPE: Senior Procurement Executive

1.5.90. Specialty Care Visit: A specialty care outpatient visit is an episode of care furnished in a clinic that does not provide primary care and is only provided through a referral.” These services are generally divided into two (2) sub-categories: medicine specialties and surgery specialties. The VHA site classification defines specialty care as those encounters that occur within the geriatric medicine; allergy; cardiology; dermatology; emergency;

employee health; endocrinology; gastroenterology; general medicine; hematology or oncology; infectious disease; nephrology; neurology; outreach; pulmonary or respiratory disease; rheumatology; amputation follow-up; amputation; anesthesia; cardio-thoracic;

ear, nose, and throat (ENT); eye; general surgery; gynecology (GYN); neurosurgery;

orthopedics; plastic surgery; urology; or vascular clinic stops.

1.5.91. STORM: Stratification Tool for Opiod Risk Management

1.5.92. Support Staff: Staff present in the clinic area assisting providers in the actual delivery of care to patients. It consists of RNs, LPNs, Medical Assistants, Health Technicians, and Medical Clerks in the clinic.

1.5.93. Synchronous Care: Bookable, real-time care provided in person or virtually (VA Video Connect, CVT, telephone) with a Veteran and involves clinical decision-making in a two way conversation.

1.5.94. TJC: The Joint Commission

1.5.95. TIU: Text Integration Utility

1.5.96. TCT: Telehealth Clinical Technicians

1.5.97. VA: Veterans Affairs

1.5.98. VABHHCS: VA Black Hills Health Care System

1.5.99. VA EHR: VA Electronic Health Record

1.5.100. VAMC: Veterans Affairs Medical Center

1.5.101. VetPro: A Federal web-based credentialing program for healthcare providers.

1.5.102. VHA: Veterans Health Administration

1.5.103. VVC: VA Video Connect

1.5.104. WHEN: Weekend- Holiday- Every Night

2. STAFFING AND QUALIFICATIONS:

2.1. MINIMUM PATIENT ALIGNED CARE TEAM (PACT) STAFFING REQUIREMENTS:

PACTs comprise the patients, the patients’ personal support persons, teamlets (Primary Care Providers (PCPs), Registered Nurse Care Managers (RNCMs), Clinical Associates, Administrative Associates), and discipline specific team members (Clinical Pharmacy Specialists (CPSs), Licensed Clinical Social Workers (LCSWs), Registered Dietician/Nutritionists, and Primary Care-Mental Health Integration (PCMHI) staff). The Contractor shall provide PACT staffing in numbers and qualifications capable of fulfilling the standards outlined in the resultant contract. The Contractor shall provide a sufficient number of primary care providers so that each primary care provider has a caseload ratio to meet VA standards. Current standards are 1200 active patients per full time physician and 900 active patients per full time midlevel provider.

Actual panel sizes can be determined by the VA in accordance with VHA Directive 1406 Patient Centered Management Module (PCMM) for Primary Care. The staffing standard for support staff shall be in ratios to Primary Care Providers of at least three full time equivalent (FTE) support staff (1.0 FTE RNCM, 1.0 FTE Clinical Associate, 1.0 FTE Administrative Associate) for each FTE Primary Care Provider. The Clinical Pharmacy Specialist (CPS) shall be provided the same support staffing given to other providers on the team when they are working in the capacity of a mid-level provider. The Contractor shall provide personnel in numbers and qualifications capable of fulfilling the standards outlined in the resultant contract. The Contractor must establish and implement contingency plans for ensuring patients receive continuity of and access to appropriate primary care during periods of inadequate resources, extended staff absences, staff turnover, understaffing, and nature-related events (e.g., extreme weather conditions, natural disasters). If the number of patients reaches 90% of maximum panel size assigned by the facility the Contractor shall communicate to the VA the Contractor’s future staffing plan to ensure staffing ratio standards remain in accordance with PCMM staffing standards. Total Estimated Patients enrolled/assigned to site:1,294.

2.2. PHYSICIAN DIRECTOR (MANDATORY FOR SITE): FTE Ratio Performance Standard:

0.05 FTE per PACT Responsible Party: Shall be provided by Contractor. Qualifications:

Contractor’s Physicians (including subcontractors) providing physician director services under the resultant contract shall demonstrate evidence of education, training, and experience in Internal Medicine or Family Practice. Contactor’s Physicians performing under this contract shall be board certified (or board eligible) by the ABMS in Internal Medicine and/or Family Practice or the BOS in Internal Medicine and/or Family Practice. If proposed staff do not meet VA credentialing requirements, the Contractor shall propose substitute acceptable personnel within five (5) calendar days. May also be credentialed and privileged as a PCP (if so, authorization for prescriptive authority is required). Physicians shall be licensed in the state in which the Outpatient Site of Care (i.e., CBOC) is located; otherwise qualifications as per VA Handbook 5005, Appendix G2.

Position Responsibilities: Serves as medical director to oversee and be responsible for the provision of covered services to enrolled and unassigned patients presenting for care at the site.

2.3. PRIMARY CARE TEAMLET STAFFING (MANDATORY FOR SITE): All primary care teamlet staffing shall be provided by Contractor.

2.3.1. TEAMLET MEMBER 1: Primary Care Provider (PCP): FTE Ratio Performance

Standard: Current standards are 1,200 active patients per full time physician and 900 active patients per full time midlevel provider. Contractor shall propose quantity of FTE to meet Standard FTE ratio to panel size. Contractor to propose mix of PCP from the options below. The Contractor shall propose a mix of PCP from the options below.

Contractor is required to provide at least 1 FTE physician.

OPTION 1: Physician (i.e. MD, DO): Qualifications: Physicians shall demonstrate evidence of education, training, and experience in Internal Medicine or Family Practice.

Physicians performing under this contract shall be board certified (or board eligible) by the ABMS in Internal Medicine and/or Family Practice or the BOS in Internal Medicine and/or Family Practice. Authorization for prescriptive authority is required. If proposed staff do not meet VA credentialing requirements, the Contractor shall propose substitute acceptable personnel within five (5) calendar days. Physicians shall be licensed in the state in which the Outpatient Site of Care (i.e., CBOC) is located; otherwise qualifications as per VA Handbook 5005, Appendix G2.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care, providing health care commensurate to the PCP’s licensure and clinical privileges or scope of practice, ensuring the patient’s care plan contains medical recommendations for clinically indicated care, offering clinically indicated health care services to patients assigned to the PACT, and providing or arranging for care to which patients consent, providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members, reviewing available clinical and performance data with the team, and focusing on continuous improvement of critical team processes, ensuring the patient has same-day access for face-to-face, telehealth, and telephone care visits during regular clinic hours, and collaborating with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the patient’s needs.

OPTION 2: Certified Registered Nurse Practitioner (CRNP): Qualifications: CRNPs (including subcontractors) must have an MSN from a NLN accredited nursing program and have ANA Certification as a Nurse Practitioner in either Adult Health or Family Practice. Authorization for prescriptive authority is required. Three (3) years of clinical nursing experience is required. A minimum of one (1) year clinical experience as a CRNP is required (three (3) years preferred). Experience in outpatient care in a Family Medicine or Internal Medicine environment is preferred. CRNP shall have current, full, active, and unrestricted license and registration as a graduate professional nurse in the state in which the Outpatient Site of Care (i.e., CBOC) is located; otherwise qualifications as per VA Handbook 5005, Appendix G6.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care, providing health care commensurate to the PCP’s licensure and clinical privileges or scope of practice, ensuring the patient’s care plan contains medical recommendations for clinically indicated care, offering clinically indicated health care services to patients assigned to the PACT, and providing or arranging for care to which patients consent, providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members, reviewing available clinical and performance data with the team, and focusing on continuous improvement of critical team processes, ensuring the patient has same-day access for face-to-face, telehealth, and telephone care visits during regular clinic hours, and collaborating with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the patient’s needs.

OPTION 3: Physician Assistant (PA): Qualifications: PAs (including subcontractors) must meet one (1) of the three (3) following educational criteria: 1) A bachelor’s degree from a PA training program which is certified by the CAHEA; or 2) Graduation from a PA training program of at least twelve (12) months duration, which is certified by the CAHEA and a bachelor’s degree in a health care occupation or health related science; or

3) graduation from a PA training program of at least twelve (12) months duration which is certified by the CAHEA and a period of progressively responsible health care experience such as independent duty medical corpsman, licensed practical nurse, registered nurse, medical technologist, or medical technician. The duration of approved academic training and health care experience must total at least five (5) years.

Authorization for prescriptive authority is required. The PA shall have current, full, active, and unrestricted license and registration in the state in which the Outpatient Site of Care (i.e., CBOC) is located; otherwise qualifications as per VA Handbook 5005 Appendix G8.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care, providing health care commensurate to the PCP’s licensure and clinical privileges or scope of practice, ensuring the patient’s care plan contains medical recommendations for clinically indicated care, offering clinically indicated health care services to patients assigned to the PACT, and providing or arranging for care to which patients consent, providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members, reviewing available clinical and performance data with the team, and focusing on continuous improvement of critical team processes, ensuring the patient has same-day access for face-to-face, telehealth, and telephone care visits during regular clinic hours, and collaborating with PACT staff to develop personal health plans that incorporate care management and care coordination appropriate to the patient’s needs.

2.3.2. TEAMLET MEMBER 2: Registered Nurse (RN) Care Manager: FTE Ratio Performance Standard: Current standard is 1.0 FTE RNCM per 1.0 FTE PCP Qualifications: Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one (1) of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Current, full, active, and unrestricted registration as a graduate professional nurse in the state in which the Outpatient Site of Care (i.e., CBOC) is located; otherwise qualifications as per VA Handbook 5005, Appendix G6.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care at the site, providing all aspects of professional nursing services consistent with licensure, certification, nursing professional standards of practice, and the clinician’s Functional Statement with elements of practice, enhancing patient safety and quality of care by collaborating with PACT staff to develop, oversee, and manage care management plans and care coordination for patients assigned to PACTs, participating in modes of communication and care delivery including, but not limited to, secure messaging, telephone care, view alerts management, shared medical appointments, clinical video telehealth visits, face-to-face visits, etc., as part of care management, identifying patient needs for involvement of discipline-specific team members and discussing nursing recommendations with the PCP, engaging relevant PACT staff to support nursing care, according to locally established informal and formal communication processes, including entering consultation requests to discipline-specific PACT members, if required for formal communications, assuming full accountability for the appropriateness of assignments made by the RNCM to clinical associates or administrative associates related to care management, care coordination, nursing services, and outcomes of care, entering orders in the VA EHR for tests per approved standardized

RN care management protocols or PCP orders, ensuring the RNCM has same-day access for face-to-face and telephone care visits, using nursing expertise, evidence-based guidelines, standardized nursing protocols, and professionally accepted practice standards to promote patient engagement, self-care and wellness, and provide care to patients and determine care management requirements for individual patients or cohorts of patients.

The RN collaborates for the improvement of patient care outcomes in the Patient Aligned Care Team. Promotes systems to improve access and continuity of care, uses advanced clinical knowledge and critical thinking skills to mentor staff in planning, implementing and evaluating interventions that improve patient outcomes, designs and provides age and population specific health promotion and risk reduction strategies, translates evidence-based research into practice to ensure that patients benefit from the latest innovations in nursing science, manages patients in transition between levels of care, serves as an expert resource to implement and teach skills, including motivational interviewing to promote patient self-management toward patient-driven holistic care plan for life.

2.3.3. TEAMLET MEMBER 3: CLINICAL ASSOCIATE FTE Ratio Performance Standard: Current standard is 1.0 FTE clinical associate per 1.0 FTE PCP. The Contractor shall propose the mix of Clinical Associates from the options below.

OPTION 1: Licensed Practical Nurse (LPN): Qualifications: Current, full, active, and unrestricted license in the state in which the Outpatient Site of Care (i.e., CBOC) is located; otherwise qualifications as per VA Handbook 5005 Appendix G13.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care at the site, providing evaluation and care consistent with licensure, certification, and functional statement with elements of practice, to patients assigned PACTs, collaborating with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient panels, managing clinic workflow, ensuring patients are placed in examination rooms in a timely manner, and providing direction to patients as they move through the clinic environment. Duties include but are not limited to the ability to perform a variety of specialized clinical support skills, ability to perform basic patient care service, have knowledge of medical terminology, demonstrate skills in interpersonal communication, demonstrate knowledge of aseptic technique and infection control and knowledge of patient confidentiality, policies and procedures. Shall assist all health care providers in performing patient care services and duties pertaining to the effective and efficient delivery of patient centered care in all clinical areas. This staff member will receive training as back-up for telehealth services.

OPTION 2: Licensed Vocational Nurse (LVN):Qualifications: Current, full, active, and unrestricted license in the state in which the Outpatient Site of Care (i.e., CBOC) is located; otherwise qualifications as per VA Handbook 5005 Appendix G13.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care at the site, providing evaluation and care consistent with licensure, certification, and functional statement with elements of practice, to patients assigned PACTs, collaborating with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient panels, managing clinic workflow, ensuring patients are placed in examination rooms in a timely manner, and providing direction to patients as they move through the clinic environment. Duties include but are not limited to the ability to perform a variety of specialized clinical support skills, ability to perform basic patient care service, have knowledge of medical terminology, demonstrate skills in interpersonal communication, demonstrate knowledge of aseptic technique and infection control and knowledge of patient confidentiality, policies and procedures. Shall assist all health care providers in performing patient care services and duties pertaining to the effective and efficient delivery of patient centered care in all clinical areas. This member will receive training as back-up for telehealth services.

OPTION 3: Medical Assistant (MA):Qualifications: Completion of an approved medical assistant training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES), or by any accrediting agency recognized by the United States Department of Education or a current and active Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) from the American Association of Medical Assistants (AAMA) or the American Medical Technologists (AMT). Other credentials such as completion of a medical services training program of the Armed Forces of the United States may be accepted based on Chief of Staff determination.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care at the site, providing evaluation and care consistent with licensure, certification, and functional statement with elements of practice, to patients assigned PACTs, collaborating with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient panels, managing clinic workflow, ensuring patients are placed in examination rooms in a timely manner, and providing direction to patients as they move through the clinic environment. Duties include but are not limited to the ability to perform a variety of specialized clinical support skills, ability to perform basic patient care service, have knowledge of medical terminology, demonstrate skills in interpersonal communication, demonstrate knowledge of aseptic technique and infection control and knowledge of patient confidentiality, policies and procedures. Shall assist all health care providers in performing patient care services and duties pertaining to the effective and efficient delivery of patient centered care in all clinical areas. This staff member will receive training as back-up for telehealth services.

OPTION 4: Health Care Technician (HCT) (as part of PACT teamlet, not primary telehealth technician): Qualifications: Completion of an approved medical assistant training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES), or by any accrediting agency recognized by the United States Department of Education or a current and active Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) from the American Association of Medical Assistants (AAMA) or the American Medical Technologists (AMT). Other credentials such as completion of a medical services training program of the Armed Forces of the United States may be accepted based on Chief of Staff determination.

Position Responsibilities: Responsible for the provision of covered services to enrolled and unassigned patients presenting for care at the site, providing evaluation and care consistent with licensure, certification, and functional statement with elements of practice, to patients assigned PACTs, collaborating with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient panels, managing clinic workflow, ensuring patients are placed in examination rooms in a timely…