36C26323Q0379 A0001.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 3

A0001 Unchanged None

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

1303 5th St, Suite 300 Coralville IA 52241

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

1303 5th St, Suite 300 Coralville IA 52241

36C26323Q0379

03-01-2023 X x x

4/14/2023 4 pm CST

See CONTINUATION Page Unchanged x 1

The purpose of this amendment is to:

1. Extend the deadline for receipt of offers from 4/3/2023 to 4/14/2023, 4 PM CST.

2. Respond to vendor questions. See Q&A on page 2.

3. All other terms and conditions remain unchanged.

Joshua Imdacha Contracting Officer

3/30/2023

Q&A Vendor Questions VA Response

On average how many inpatients are rounded on a weekend day?

The unit holds up to 10 patients – it is quite variable if we are full. Then there are sometimes consults on the medical units, though it is rare to have more than 1/day – and it is dependent on the situation if a consult will need to be followed up on the next day.

On average how many phone calls can the psychiatrist expect during a night call per night?

That is very difficult to predict – I would say anywhere from 0 to 4 in my recollection of taking call here for 10 years.

On average how many ER consults and inpatient consults are seen by the psychiatrist during a night call?

Most commonly, we do not see any inpatient consults during the night on call. We have 24 hours to complete a consult and typically one entered sometime after noon or 2PM or so on a Saturday would be completed on Sunday, for instance, unless the provider has time to do it the same day – the goal is to do as soon as possible but not in the middle of the night. Occasionally, an ER patient may need to be seen during the night but if the plan is for admission, that would not be the case since we have 24 hours to see them and the MCP puts in the admission orders when they do the H&P.

Which hospital locations are covered during tele call?

Only the Des Moines campus VA is covered during telecall

How long is the current credentialing time (eQIP and Vetpro)?

Up to 2 months

For LIN 0002 (Telepsychiatry On-call Services (Weekend)) and LIN 0004 (Tele-Rounding Services (Weekend)), can one provider be assigned to cover both weekends, 0800 Saturday through 0800 Monday and rounding services, weekends, 0800-1600?

Yes

For the services required, can a nurse practitioner support our psychiatrist in seeing patients?

No

The current pricing is set up to allow bill/pay only if the Psychiatrist gets called, however they would still need to be “on-call” during nights and weekends whether or not they received a call. Will the VA consider adding line items for on-call/pager rates. This is typically how contracts are set up when call is required. This allows us to pay the provider for the time that they must be available and ready for a call as well as a different rate for when they are actually called and providing care

“One hour minimum for providing availability for the day/ period (1600-0830) if no call for services made. Days when a call for service is made, the first hour call services and minimum for availability are the same. “ The above language will be inserted/added to section 4.3.3.1 On Call Services in the PWS.

Q&A

Can you tell me if these services are currently being performed by a contractor?

They are not