Answers to Med Questions_26000001453.xlsx

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Attached to
RFP for Medical Services at MI Veteran Homes Chesterfield
Solicitation number
RFP 512 260000001453 2
Issued by
Michigan

About this file

This document is a vendor question and answer log for the State of Michigan's Request for Proposal for Medical Services at the Michigan Veteran Homes Chesterfield facility. The RFP seeks a single awarded vendor to provide comprehensive medical services including physician services, nurse practitioner and extender services (physician assistants and nurse practitioners), and on-call direct patient care. The Medical Director must hold a DO or MD license and work a minimum of 30 hours monthly in a dual capacity as both director and practicing physician. On-site medical services are required Monday through Friday during day shift hours, with consistent scheduling across all providers. Physicians must be available for on-call direct patient care services on weekends and holidays. While geriatric care experience or skilled nursing facility experience is preferred, it is not a mandatory requirement for physician qualifications.

The vendor question and answer document addresses critical clarifications regarding scope, staffing, and service delivery models. Bidders are permitted to separate pricing within the Nurse Practitioner and Extender Services category into distinct line items for cost transparency and differentiation. On-call physician services must include direct patient care provision rather than consultative services only. The Medical Director may serve in a dual capacity performing both administrative and clinical duties simultaneously. The state confirmed this will result in a single award structure with no multiple awards anticipated. Additional details regarding expected physician work schedules, specific shift requirements, and variability across weekdays, weekends, and holidays were clarified to ensure bidders understood the operational requirements for staffing the 24/7 skilled nursing care services.

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Vendor Questions

Question #Document & SectionPage #Question
1Schedule A – Statement of Work (Physician Services)TBDCan the State confirm the expected number of physicians required to fulfill the scope of services? Additionally, should staffing levels align with the total annual hours identified for Physician Services in the pricing schedule?Bidder is required to provide a Med. Director with a DO or MD license to fulfill regulatory requirement. However bidder sees appropriate with physicians and extended services to fulfill 24/7 skilled nursing care should be provided in bid.
2Schedule B – Pricing (Nurse Practitioner and Extender Services)2Please clarify what is encompassed under “Extender Services.” Specifically, does this include roles such as Physician Assistants, Nurse Practitioners, or other clinical support staff?Yes, physician assistants and nurse practitioners are included.
3Schedule B – Pricing (Line Item 4)2Is it acceptable for bidders to separate pricing within the “Nurse Practitioner and Extender Services” category into distinct line items (e.g., Nurse Practitioners vs. other extender roles) for greater transparency and cost differentiation?Yes.
4Schedule A – Statement of Work (Staffing/Hours)TBDCan the State provide additional detail regarding expected physician work schedules, including standard hours, shifts, and any variability across weekdays, weekends, or holidays?Bidder must provide on-site medical services Monday-Friday at minimum; day shift is preferred for on-site services and should remain consistent will all providers. Weekends and holidays on call direct care services will be required to provided.
5Schedule B – Pricing (On-Call Physician Services)2Are on-call physician services intended to be consultative only, or are physicians expected to provide in-person or direct patient care services while on call?Direct patient care services while on call.
6Schedule A – Statement of Work (Medical Director Role)TBDCan the Medical Director also serve in a dual capacity as a practicing physician under this contract, or must these roles remain separate?Dual capacity; Med. Director is required to work minium 30 hours monthly per regulation.
7Schedule A – Statement of Work (Clinical Requirements)TBDAre physicians required to have specific experience or board certification in geriatric care, or otherwise demonstrate specialization in treating the facility’s patient population?Prefered but not required. Experience in geriatric or skilled nursing is preferred by not required.
8RFP Instructions / Contract Terms (Award Structure)TBDWill this solicitation result in a single award or multiple awards? If multiple awards are anticipated, how will work be allocated among awarded vendors?Single award.

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