36C26326R0001.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

36C26326R0001 05-28-2026

Daniel Vagts 651-293-3040 06-18-2026

10AM CST

36C263

Department of Veterans Affairs

Network 23 Contracting Office

Daniel Vagts

316 Robert Street N. STE. 506

St Paul MN 55101

X

621111

16 Million

N/A

Department of Veterans Affairs

Sioux Falls VA Health Care System

2501 W 22nd Street

Sioux Falls SD 57105

Network 23 Contracting Office

Daniel Vagts

316 Robert Street N. STE. 506

St. Paul MN 55415

Y

Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

Radiology Physician Services for the Sioux Falls VA Health

Care System.

See Section B.3 Schedule of Services (pg.7)

See Section B.4 Performance Work Statement (pg.12)

VA intends to award a contract with a five-year ordering period.

See CONTINUATION Page

X ONE

Daniel Vagts VA-VHA-SAOC-2019-161D3612

Contract Officer

36C26326R0001

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SUBCONTRACTING PLAN-MONITORING AND COMPLIANCE (JUN 2011)

B.3 SCHEDULE OF SERVICES

B.4 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEVIATION OCT 2025)

C.2 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (JAN 2011)

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(NOV 2021)

C.4 52.216-18 ORDERING (AUG 2020)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)

C.9 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.10 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.11 52.240-93 BASIC SAFEGAURDING OF COVERED CONTRACTOR INFORMATION SYSTEMS

(DEVIATION) (NOV 2025)

C.12 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.13 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.14 VAAR 852.204-71 INFORMATION AND INFORMATION SYSTEMS SECURITY (FEB 2023)

C.15 VAAR 852.211-76 LIQUIDATED DAMAGES - REIMBURSEMENT FOR DATA BREACH COSTS

(FEB 2023)

C.16 VAAR 852.219-70 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (JAN 2023) (DEVIATION)

C.17 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.18 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (OCT 2019)

C.19 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)

C.20 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

SERVICES (OCT 2025 DEVIATION)

E.2 PROPOSAL SUBMITTAL INSTRUCTIONS

E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (NOV 2025 DEVIATION) ...88

E.5 52.216-1 TYPE OF CONTRACT. (DEVIATION NOV 2025)

E.6 52.233-2 SERVICE OF PROTEST. (DEVIATION NOV 2025)

E.7 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

E.8 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018)

E.9 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.10 VAAR 852.239-75 INFORMATION AND COMMUNICATION TECHNOLOGY ACCESSIBILITY

NOTICE (FEB 2023)

E.11 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (NOV 2021)

E.12 52.212-2 EVALUATION—COMMERCIAL ITEMS (NOV 2021) Deviation OCT 2025

E.13 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (OCT 2025)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer

Contracting Officer is Daniel Vagts at daniel.vagts@va.gov

Department of Veterans Affairs

NCO 23 – St. Paul

316 Robert Street N.

St. Paul MN 55101

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

See Billing Instructions, PWS 6.2. Billing:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

mailto:daniel.vagts@va.gov

AMENDMENT NO DATE

6. TYPE OF CONTRACT: Resultant contracts shall be a Fixed Price, Indefinite Delivery Indefinite Quantity

(FP-IDIQ) contract effective for the period stated in the Schedule of Services.

7. TERM OF CONTRACT: The contract period is effective August 1, 2026 through July 31, 2027 with four (4) available ordering periods.

8. POINT OF CONTACT: The Contractor shall provide a point of contact (POC) who shall be responsible for the performance of the work under this contract. The POC shall have full authority to act for the

Contractor on all matters relating to the daily operation of this contract. The POC may be a contract health care provider performing under this contract. An alternate may be designated, but the

Contractor shall identify, in writing, those times when the alternate shall act as the POC. The Contractor shall identify the POC and alternate in writing to the Contracting Officer’s Representative (COR) and

Contracting Officer (CO). The Contractor shall give written notification to the COR and CO of the time when the alternate will act as the POC. The POC shall be available by telephone Monday through Friday, 8:00 AM through 4:30 PM, excluding Federal holidays.

9. SECURE FAX: VA Handbook 6500 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, distribute on, 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.”

10. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Procurement Policy Memorandum (PPM) 2019-01.

B.2 SUBCONTRACTING PLAN-MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes FAR 852.219-70, Small Business Subcontracting Plan Minimum Requirement.

Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing the contractor's compliance with the plan, including reviewing the contractor's accomplishments in achieving the subcontracting goals in the plan. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting plan.

B.3 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform on-site Radiology Physician Services and off-site (teleradiology) Radiology Physician Services to eligible beneficiaries of the Department of Veterans Affairs Medical Sioux Falls VA Health Care System (hereinafter referred to as VAHCS). The contractor’s physician(s)’ care shall cover the range of Radiology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the American College of Radiology Guidelines http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice- Guidelines-by-Modality

Place of Performance: On-site services shall be performed at VAHCS Sioux Falls 2501 W 22nd Street, Sioux Falls, SD 57105. Off-site services shall be performed at the Contractor’s facility.

Pricing Instructions:

The Contractor shall propose Board-Certified Radiologists for interpretation services to include but not limited to; interpretations of general radiology, fluoroscopic procedures, neuroradiology, musculoskeletal imaging, general nuclear medicine and Single-Photon-Emission Computed Tomgraphy

(SPECT), Computed Tomography (CT), Computed Tomography Angiography (CTA), Magnetic Resonance

Imagining (MRI), Magnetic Resonance Angiography (MRA), Ultrasound, and bone densitometery (DEXA).

Each radiologist must be credentialed by the Sioux Falls VAHCS and available to ensure operational hours and workload is covered for meeting the contract requirements.

Commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted.

The Contractor shall propose seven (7) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Contractor shall provide a minimum of one (1) full-time (1.0 FTE) Radiologist, Board Certified in

Radiology, to provide interpretations and radiology procedure services Monday-Friday 8:00am-

5:00pm On-Site (excluding federal holidays), 40 hours per week, for an estimated 2080 hours per year, at the Sioux Falls VA Health Care System. A designated unpaid one hour break period will occur from 12:00pm to 1:00pm during each scheduled workday.

Contractor shall provide a minimum of one (1) Radiologist, Board Certified in Radiology, to provide On-Site radiology services and to act as Acting Chief of Radiology. In this role, the Acting

Chief of Radiology will assist the On-Site Radiologist(s) with interpretations and radiology procedures as necessary, 8 hours per week, for estimated 416 hours (0.2 FTE) per year, at the

Sioux Falls VA Health Care System. The schedule will be determined according to workload in conjunction with the Imaging Service Line at the Sioux Falls VA Health Care System.

Contractor shall provide off-site (teleradiology) interpretation coverage by Board-Certified

Radiologist(s) and Nuclear Medicine Physician(s) for interpretation services to include, but no limited to; interpretations of general radiology, fluoroscopic procedures, neuroradiology, musculoskeletal imaging, general nuclear medicine and Single-Photon-Emission Computed

Tomography (SPECT), Computed Tomography (CT), Computed Tomography Angiography (CTA), http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality

Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Ultrasound, and bone densitometry (DEXA). Nuclear Medicine coverage to be provided by a Board-Certified

Nuclear Medicine Physician. Coverage shall be 24 hours a day, seven days a week, and Federal

Holidays. The pricing for the off-site (teleradiology) interpretation coverage will be based on the current Medicare CTP Code with modifier 26 (Professional Component) Facility current calendar year rate for South Dakota plus the proposed percentage price increase as documented in

Attachment 6. D.6. CPT Code Table. Attachment 6. D.6. CPT Code Table provides CPT Codes for common procedures with estimated quantities. The estimated quantity does not obligate the government to those amounts. Throughout contract administration, all codes reasonably considered to be included under the requirements specialty areas shall be considered in scope, additional CPT codes can be added to the schedule, if necessary.

Offerors must enter on Attachment 6. D.6. CPT Code Table the proposed percentage of

Medicare rate in the yellow highlighted box in the upper left titled “Input the proposed percentage price increase to the current Medicare CPT Code with modifier 26 (Professional

Component) calendar rate for South Dakota.” The proposed percentage of Medicare rate shall be the same percentage rate for the entire column in that specified ordering period. The

Percent of Medicare entry is extremely important since the contract award shall be at that rate.

Offerors must attach the corresponding Attachment 6.

D.6. CPT Code Table showing the percentage rate of Medicare. The total extended price figure from each ordering period tab on the Excel spreadsheet shall be input in the corresponding

Schedule under the Estimated Total Price column for line item three. All spreadsheets must be submitted in Microsoft Excel and without protected/locked portions or other methods which prevent or do not facilitate expeditious pricing validation. PDF files and similarly constructed files are not acceptable.

Throughout the life of the contract VA shall pay the current Medicare calendar Facility rate with modifier 26 (Professional Component) for South Dakota, plus the proposed percentage price increase. Prices quoted are all inclusive of any incidental costs and/or fees.

One FTE is defined by VA as a person working 40 hours per week or a minimum of 80 hours every two (2) weeks and does not include holidays.

Key Personnel:

Contractor Key Personnel shall be listed in D.7. Attachment 7 - Key Personnel, to include name and title/position. All Key Personnel changes shall be completed through a contract modification.

In accordance with FAR 16.504(a)(1), the guaranteed minimum and maximum dollar amounts are listed in the table below. These amounts cover all ordering periods of the contract. The maximum dollar amount listed shall not be exceeded. IDIQ established MIN and MAX dollar amounts for all ordering periods:

Minimum $250,000.00

Maximum $12,000,000.00

Ordering Procedures:

The contract will be a five-year ordering period by which offerors can propose distinct pricing in accordance with the Schedule of Services for each specified year of the five-year ordering period. The five-year ordering period is effective from August 1, 2026 through July 31, 2027. The five specified years in the five-year ordering period are as follows:

Ordering Period 1: August 1, 2026 to July 31, 2027

Ordering Period 2: August 1, 2027 to July 31, 2028

Ordering Period 3: August 1, 2028 to July 31, 2029

Ordering Period 4: August 1, 2029 to July 31, 2030

Ordering Period 5: August 1, 2030 to July 31, 2031

A task order shall be placed only by a Network Contracting Office 23 (NCO 23) Contracting Officer. A task order will be issued for each year in the ordering period by written notice to the Contractor using

Standard Form 1449. No additional services are authorized without prior approval through the

Contracting Officer.

Period of Performance:

The five-year ordering period is effective from August 1, 2026 through July 31, 2027.

Ordering Period 1: August 1, 2026 to July 31, 2027

Item

Number Description Estimated

Quantity

Unit of

Measure Unit Price

Estimated

Total Price

1.0 FTE On-Site Board Certified Radiology

Physician Services

2,080 HR $ $

0.20 FTE On-Site Board Certified

Radiologist Administrative Services

(Acting Chief of Radiology)

416 HR $ $

Off-Site (teleradiology) Board-Certified

Radiologist(s) and Nuclear Medicine

Physician(s) Services (Per Procedure

CPT– See Attachment 6)

1 LT See

Attachment 6

ESTIMATED TOTAL FOR ORDERING PERIOD 1 $

Ordering Period 2: August 1, 2027 to July 31, 2028

Ordering Period 3: August 1, 2028 to July 31, 2029

Number Description Estimated

Quantity

Unit of

Measure Unit Price

Estimated

Total Price

0.20 FTE On-Site Board Certified

Off-Site (teleradiology) Board-Certified

Radiologist(s) and Nuclear Medicine

Physician(s) Services (Per Procedure

CPT– See Attachment 6)

1 LT See

Attachment 6

ESTIMATED TOTAL FOR ORDERING PERIOD 2 $

Item

Number Description Estimated

Quantity

Unit of

Measure Unit Price

Estimated

Total Price

0.20 FTE On-Site Board Certified

Off-Site (teleradiology) Board-Certified

Radiologist(s) and Nuclear Medicine

Physician(s) Services (Per Procedure

CPT– See Attachment 6)

1 LT See

Attachment 6

ESTIMATED TOTAL FOR ORDERING PERIOD 3 $

Ordering Period 4: August 1, 2029 to July 31, 2030

Ordering Period 5: August 1, 2030 to July 31, 2031

Estimated Total for the entire five-year ordering period: $_ ___________________

Number Description Estimated

Quantity

Unit of

Measure Unit Price

Estimated

Total Price

0.20 FTE On-Site Board Certified

Off-Site (teleradiology) Board-Certified

Radiologist(s) and Nuclear Medicine

Physician(s) Services (Per Procedure

CPT– See Attachment 6)

1 LT See

Attachment 6

ESTIMATED TOTAL FOR ORDERING PERIOD 4 $

Item

Number Description Estimated

Quantity

Unit of

Measure Unit Price

Estimated

Total Price

0.20 FTE On-Site Board Certified

Off-Site (teleradiology) Board-Certified

Radiologist(s) and Nuclear Medicine

Physician(s) Services (Per Procedure CPT

– See Attachment 6)

1 LT See

Attachment 6

ESTIMATED TOTAL FOR ORDERING PERIOD 5 $

B.4 PERFORMANCE WORK STATEMENT

Performance Work Statement for Onsite and Offsite (teleradiology) Radiology Physician Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified Radiology Physician Services on-site and off-site (teleradiology) interpretation services to include but not limited to;

interpretations of general radiology. Fluoroscopic procedures, neuroradiology, musculoskeletal imaging, general nuclear medicine and SPECT/CT, Computed tomography, computed tomography angiography, magnetic resonance imaging, magnetic resonance angiography, ultrasound, and bone densitometry in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Sioux Falls VA Health Care System. The VA Radiology Services follow the standards & guidelines set forth by American College of Radiology (ACR). A contractor providing on-site and off-site radiologist services shall provide services that meet or exceed the American College of Radiology Guidelines https://www.acr.org/-/media/ACR/Files/Practice-Parameters/IRClin-Prac-Mgmt.pdf.pdf and/or the American Board of Nuclear Medicine Scope of Practice” https://www.abnm.org/wp-content/uploads/Components_Professional_Competence.pdf.

1.2. Place of Performance: Contractor shall furnish 1.0 FTE Board Certified Radiologist and 0.2 FTE

Acting Chief of Radiology services at the Sioux Falls VA Health Care System 2501 W. 22nd Street, Sioux Falls, SD 57105; other modalities at contractor’s facilities. There is a total of two reading rooms that can be utilized by the contractor at the Sioux Falls VA Health Care System.

Neuroradiology, Musculoskeletal Radiology (MSK) and Nuclear Medicine can be read off-site or in the additional reading room when on-site Radiologist is not specialized in those modalities.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. FAR 12 in combination with Part 15.

1.4. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.4. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.5. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.6. VHA Directive 1100.21: Privileging

1.4.7. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care

Personnel

1.4.8. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to

Perform Invasive Procedures in Any Clinical Setting

1.4.9. VHA Directive 1605.01: Privacy and Release of Information

1.4.10. VHA Directive 1907.01: VHA Health Information Management and Health Records https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0 https://www.abnm.org/wp-content/uploads/Components_Professional_Competence.pdf https://www.abnm.org/wp-content/uploads/Components_Professional_Competence.pdf https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm

1.4.11. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.12. Privacy Act of 1974 (5 U.S.C. 552a) as amended:

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.13. VHA Directive 1105.05 Magnetic Resonance (MR) Safety, VHA Directive 1105.04

Fluoroscopy Safety, VHA Directive 1105.02 Nuclear Medicine Services, VHA Directive 1105

Management of Radioactive Materials, VHA Directive 1129 Radiation protection for

Machine Sources of Ionizing Radiation.

1.5. Acronyms/Definitions: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.5.1. ACGME: Accreditation Council for Graduate Medical Education

1.5.2. ACLS: Advanced Cardiac Life Support

1.5.3. BLS: Basic Life Support

1.5.4. CDC: Centers for Disease Control and Prevention

1.5.5. CEU: Certified Education Unit

1.5.6. Clinical Privileging: Clinical Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific, and within available resources.

1.5.7. CME: Continuing Medical Education

1.5.8. CMS: Centers for Medicare and Medicaid Services

1.5.9. CO: Contracting Officer: The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.10. COR: Contracting Officer’s Representative: A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.11. COS: Chief of Staff

1.5.12. CPARS: Contractor Performance Assessment Reporting System

1.5.13. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.5.14. DEA: Drug Enforcement Agency

1.5.15. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.16. FSMB: Federation of State Medical Boards

1.5.17. FTE: Full Time Equivalent VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.18. HHS: Department of Health and Human Services

1.5.19. HIPAA: Health Insurance Portability and Accountability Act

1.5.20. ISO: Information Security Officer

1.5.21. Key Personnel: The individuals specified in this contract who are essential to work performance.

1.5.22. NPI: National Provider Identifier. NPI is a standard, unique 10-digit numeric identifier required by HIPPA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers)

1.5.23. POP: Period of Performance

1.5.24. PPD: Purified Protein Derivative

1.5.25. PWS: Performance Work Statement

1.5.26. QA/QI: Quality Assurance/Quality Improvement

1.5.27. QASP: Quality Assurance Surveillance Plan

1.5.28. QM/PI: Quality Management/Performance Improvement

1.5.29. VETPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates completion of a uniform, accurate, and complete credentials file.

1.5.30. VHA: Veterans’ Health Administration

1.5.31. VISN: Veterans Integrated Services Network

1.5.32. VISTA: Veterans Information Systems Technology Architecture

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The Contractor’s physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property.

All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

Contracted Teleradiology health care professionals (providers) must be compliant with state licensure requirements identical to that of VA staff, which currently require the provider to continuously hold at least one active and unrestricted license in any state, the absence of restrictions on any other license held, and all inactive licenses relinquished in good standing.

2.1.2. Board Certification: All contractor’s physician(s) shall be Board Certified per the American

Board of Radiology (http://www.theabr.org/) and/or the American Board of Nuclear

Medicine. Providers must be current on requirements of the American Board of

Radiology Maintenance of Certification Program. All continuing education courses required for maintaining certification must be kept up to date at all times.

Documentation verifying current certification shall be provided by the Contractor to the

VA COR on an annual basis for each year of contract performance.

2.1.3. This contract service must include a Nuclear Regulatory Commission (NRC) licensed physician. The individual must be an authorized user of materials 35.100, 35.200, and

35.300. Authorized Users must meet requirements for ABNM or ABR board eligibility.

Newly graduated Radiology residents are not automatically qualified (unless ABNM board certified) and would need to receive external training before applying to be an authorized user.

2.1.4. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive 1100.21 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s physician(s) prior to obtaining approval by the Facility Medical

Executive Board and Medical Center Director.

2.1.4.1. If a Contractor’s physician(s) and/or other contract provider(s) are not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.5. Technical Proficiency: Contractor’s physician(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.

Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contractor’s physician(s) and contractor’s physician(s) shall be responsible for abiding by the Facility's Medical Staff

By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

http://www.theabr.org/

Contractor must establish and maintain compliance with all requirements for full access to the electronic health record, PACS, and Voice Recognition systems.

2.1.6. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements:

Contractor shall provide the COR copies of current CMEs as required or requested by the facility. Contractor’s physician(s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current.

Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contractor’s physician(s) .

2.1.7. Training (ACLS, BLS, EHR, Rad/NM, and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s physician(s) as required by the VA, other training may become required. VA will communicate any changes to the training requirement to the contractor

Training (The following training is mandatory per VHACO for Contracted Physicians)

Frequency (once a year, etc)

Annual Hours

ACLS/BLS Every 2 years 2

SUX Infection Control and Blood Borne Pathogens

Once a year 1

VA Privacy and Information Security Awareness and Rules of Behavior

Once a year 2

VHA MRI Safety Training Level 1 Training (all who enter MRI suites)

Once a year 1

Mandatory Training for Transient Clinical Staff (non-trainee) TMS 20152

Once a year 1

Annual Radiation Safety Training with fluoroscopy refresher training TMS 4505066 (on-site physicians only)

Once a year 1

MRI Level 2 Training (Service Chief only) TMS 1345408

Once a year 1

2.1.8. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC.): Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.8.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis

Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.1.8.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.8.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE

PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician(s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan;

maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.8.7. The facility shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC

Guideline for Infection Control in health care personnel ( as published in American

Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.9. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical facilities). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

Centers for Medicare and Medicaid Services (CMS) National Plan and Provider

Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.10. Conflict of Interest: The Contractor and all contractor’s physician(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the

Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.11. Citizenship related Requirements:

2.1.11.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended;

its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of

Veterans Affairs patient referrals;

2.1.11.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the

United States. Additionally, the Contractor is required to comply with all “E-

Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.11.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs

Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.11.4. This certification concerns a matter within the jurisdiction of an agency of the

United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.11.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.12. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the

Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services

(HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.12.1. Therefore, Contractor shall review the HHS OIG List of Excluded

Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty

(CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.12.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of

Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the Medical Center

Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s physician(s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the

Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the

Contractor, its agents, or employees.

http://oig.hhs.gov/exclusions/index.asp

2.5. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s)

2.6. Inherent Government Functions: Contractor and Contractor’s physician(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for

Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s physician(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor’s physician(s).

When a Contractor or contractor’s physician(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contractor’s physician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier. Contractor must confirm that they are covered by professional liability insurance that would cover the health care services they provide to VA.

2.9. Key Personnel:

2.9.1. The VA Full-Time Equivalency (1 FTEE) for the services required is 80 hours every two weeks and does not include holidays.

2.9.2. The minimum number of Board-Certified Radiology physicians required to be on site daily is one (1) as defined in paragraph Hours of Operation in this section.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) immediately of the schedule change.

2.9.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the

Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within _(30)__ calendar day(s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least _(30)__ calendar days prior to making any permanent substitutions.

2.9.4.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within _(30)__ calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.9.4.2. For temporary substitutions where the key person shall not be reporting to work for

_three (3)__ consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.9.4.3. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility.

Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated

Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any

Contractor’s physician(s), s/he may request, without cause, immediate replacement of said Contractor’s physician(s). The CO and COR shall deal with issues raised concerning

Contractor’s physician(s) conduct. The final arbiter on questions of acceptability is the

CO.

2.9.4.4. Contingency Plan: Because continuity of care is an essential part of the Facility’s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor’s physician(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. VA HOURS OF OPERATION/SCHEDULING:

3.1. VA Business Hours: 8:00am to 5:00pm Monday through Friday, 40 hours per week, 2080 hours per year, excluding Federal Holiday.

3.1.1. Patients must be seen by a contractor’s physician(s) on-site at the facility in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult/order completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2. Contractor’s physician(s) shall be available and present in clinic during normal facility clinic hours which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are 8:00am to 5:00pm

Monday through Friday, 40 hours per week, 2080 hours per year, excluding Federal

Holiday.

3.1.3. A designated unpaid one-hour break period will occur from 12:00pm to 1:00pm during each scheduled workday.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

• New Year’s Day

• President’s Day