36C25620Q0622 0002.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

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

15C. DATE SIGNED

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

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

06-18-2020

None

36C256 Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe BLVD Houston TX 77030 4298

36C256 Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe BLVD Houston TX 77030 4298 To all Offerors/Bidders

36C25620Q0622

X

Thursday July 2, 2020 at 4pm CST

Amendment 0002 is being issued to solicitation 36C25620Q0622 to provide for the following:

1. Provide Question and Answer (Q&A) portion. See pages 2-5

2. This concludes the Q&A portion of this for this solicitation.

3. Extend the close date/time for this solicitation to Thursday July 2, 2020 at 4pm CST.

“Amendment 0001/2 will need to be signed and returned with quote submission to be eligible for award” continued page 2

Corey L. Labbe Contracting Officer

VA-VHA-2020-FC38F64E

CONTINUATION PAGE

Can vendors provide proof of Malpractice insurance at time of award?

Malpractice insurance must be included with your quote

Can the government extend the proposal date by 1 week to allow vendors to adequately respond to the solicitation requirements?

At this time, an extension has been granted to Thursday July 2, 2020 at 4pm cst. The Government may revisit an extension prior to close date/time. However, interested vendor(s) should ensure quote is submitted by due date/time.

Can the government please explain how assignments to the associated CBOCs or VAMC will be made for each provider? How much advance notice will be provided?

The Clinic Director at each VA outpatient clinic and the MEDVAMC Mental Health Supervising Physician will supervise and determine the work assignments for the contract physician. Guidance will additionally come from the Executive of Ambulatory Care and Mental Health Executive The VA panels their MH patients. Each provider will be assigned to a panel of patients; therefore, work will be determined by the number of scheduled and unscheduled (walk-ins) visits a day. Appointments are scheduled out 300+ days based on the clinical requirement and acute care need. On average a provider will see 12-20 scheduled and unscheduled patients a day. Each day will have some buffer for administrative time along with a dedicated administrative time once a week during the weekday (depends on the facility) to assure all notes, referrals, telephone calls, secure messaging, are up to date and within compliance.

Contract providers will routinely see their next day, week, month schedule. It is highly required/recommended to review next day schedule with assigned nursing team (huddling) to assure clinical needs are met to provide the best patient experience.

Once assigned to a CBOC, how long will the assignment last?

Providers will not be rotating amongst locations, but rather will be assigned to a facility. If the contract provider is assigned to MEDVAMC, then 100% of the time will be spent there unless there are unusual circumstances requiring to be at another facility. Same applies if the provider is assigned to one of the CBOCs.

Will providers be assigned to more than one location?

Providers will not be rotating amongst locations, but rather will be assigned to a facility. If the contract provider is assigned to MEDVAMC, then 100% of the time will be spent there unless there are unusual circumstances requiring to be at another facility. Same applies if the provider is assigned to one of the CBOCs.

What is the estimated award date for this procurement, the solicitation states September 1, 2020; however from our experience the procurement process does not always move this fast?

An estimated date can’t be provided at this time.

Can the government clarify who is the “Key Personnel Administering the Contract,” they would like vendors to discuss? “Experience of Key Personnel Administering the Contract, their longevity at the company, and their availability throughout the life of the contract.” Is the government referring to the vendor’s corporate personnel that will manage the contract or the “designated psychiatrist” who will serve as the point of contact/ liaison?

The Government is referring to the vendor’s corporate personnel that will be managing the contract

Can vendors use past performance from a subcontractor?

Please see Attachment D. 6 “Past Performance Questionnaire”

Do the psychiatrist require any special training? For example, experience with PSTD or military sexual trauma?

General psychiatry experience with medication management is needed. However the Veteran population has a high number of patients experiencing PTSD, MST, or other MH diagnosis.

I am reviewing the Solicitation for Psychiatrist Services. Is the position for one Psychiatrist or more?

There is no set number of Psychiatrist, however Contractor shall furnish all personnel to provide services necessary to perform onsite Board-Certified/ Board-Eligible Psychiatry Services (5,928 hours per year/2.85 Full Time Equivalent (FTE)) to eligible beneficiaries of the Department of Veterans Affairs (VA), Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) and/or its CBOCs.

See section B.2 (page 6-13) and PWS Section 2.7 (page 22-23)

Will all providers need to be able to do Outpatient and Inpatient work? For example, what if a provider does Outpatient only, could we still present them? Can you confirm that this means that the providers could do strictly Outpatient only or Inpatient only? As long as I can provide enough providers to cover each need, the providers themselves would not need to be able to do both duties, correct?

This requirement is strictly for outpatient services.

Are there any special emergency privileges or expedited privileges available due to the current pandemic?

The entire facility is reopening outpatient services by various milestone. Providers are working at the clinic or teleworking based on need and approval.

Provider references – are contact names and contact information sufficient?

Attachment D. 5 “Past Performance Reference should be completely filled out

Is a suboxone certification a requirement or a benefit for a provider to have?

It is not a requirement but highly recommended. If time is taken out not being able to prescribe clinically appropriate medication for patient, then clinical care is not being provided timely.

Please advise if there is an incumbent contract for this requirement. If so, who is the current incumbent contractor and are all positions filled?

Current incumbent is AB Staffing Solutions, LLC. We have no current contracted psychiatrist on board.

Is this a new opportunity?

Yes

What is the average patient volume per day for each Psychiatrist?

10-16 patients a day to include scheduled, unscheduled, and emergency patients. There is dedicated administrative time carved out weekly to catch up to medical notes, medication management, referrals, conduct patient calls, meetings, and etc.

What does the current support staff consist of?

The support staff ratio varies at each clinic. Each clinic however consists of psychiatrist, psychologist, social workers, and administrative support (for scheduling). Each clinic also has a Clinic Director, Nurse Manager, and a head administrator.

Is the EMR able to speak to Dragon type software?

Dragon software is available through our IT services. However due to the current pandemic, IT services are being triaged to higher need areas and projects. It is quite possible obtaining dragon will take longer than expected, therefore it is advised contract providers be fluent in typing and particular time management to assure they complete their work timely. All work is expected to be completed within 40 hours a week unless unforeseen services or number of patients is higher than the norm.