75H71021Q00017 - Amendment 001.pdf

(x)

75H71021Q00017 x x

1 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 ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY 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.

x

Gallup NM 87301 1808 W. Aztec Avenue Acquisition Department Gallup Indian Medical Center

04/21/20210001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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: (a) By completing

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

04/19/2021

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of Amendment 001 is as follows:

1. To provide questions and answers.

2. To provide updated Attachment B - Performance Work Statement - Psychologist

Period of Performance: 05/17/2021 to 09/30/2021

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

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

JERICHO E. LEWIS

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

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

1. On the CLINs, are you requesting 520 hrs per quarter for 2 each which totals to 1040 hrs per quarter for Psychologist, 1040 hrs per quarter for Psychiatrists and 1040 hrs per quarter for LISWs. Does this mean there are 2 MD Psychiatrists staffed during weekdays daily?

All positions would be staffed weekdays daily with some call/shifts on weekends.

2. Is there an incumbent contractor? If so, what was the previous solicitation ID?

No

3. What will the Psychiatrist schedule be? Monday – Friday 8a- 5p?

Yes, with some weekend call

4. Is there any inpatient coverage required?

Inpatient consults on medicine patients. We do not have any inpatient psychiatry services.

5. Will the Psychiatrist see all ages?

Yes, we do have a child psychologist and limited child tele-psychiatry, but would need to be capable of seeing all ages.

6. Approximately how many patients per day will the Psychiatrist see? Of those, how many are new patients and how many are med checks?

6-8 patients/day depending on ratio that day of new patients to med checks/follow-ups.

7. How many other Psychiatrists on staff?

Currently we only have limited tele-psychiatry on site, with no on site psychiatrist.

8. What other support staff is available?

We have two substance use counselors, two LSCW’s, one child psychologist, a part-time mental health nurse practitioner and a couple behavioral health specialists.

9. Is there any call required?

Yes, to cover SI patients in the ED on weekends. This is from 8am to 8pm at this time and patient volume is typically 2-4 patients/day, but can vary greatly.

10. We have medical doctors and other healthcare experts in all the areas mentioned providing these services virtually via our live streaming and telehealth platforms. Is that something that might be a fit?

Refer to the PWS for details on required services.

11. Are resumes required for all positions, along with the proposal requirements below, for each candidate?

a. Contractor’s Licenses/Certifications

b. Contractor’s Valid Driver’s License

c. Interview with Contractor against Statement of Duties, Performance of Work Statement and Contractor Profile

Yes, resumes, licenses and certifications are required.

12. Are the Performance Work Statements for LCSW and Psychologist correct, as paragraph 8.0 for both PWS’s state “The Contractor shall provide Licensed Clinical Social Worker (LCSW) services for patients at GIMC” and lists the same Major Duties and Responsibilities?

Corrected/Updated Attachment B – Performance Work Statement – Psychologist posted in attachments.

13. Can an extension of proposal due date be considered to incorporate Q&A?

An extension will not be issued at this time.