DRAFT Attachment M - VIT Coverage (Robustness).xlsx

XLSX spreadsheet 453 KB Posted

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DRAFT SOLICITATION- VHA Integrated Critical Staffing Program (ICSP)
Solicitation number
36C10X23Q0083_7
Issued by

About this file

This document contains a draft solicitation for the Department of Veterans Affairs' Integrated Critical Staffing Program. The solicitation seeks to establish multiple Indefinite Delivery Indefinite Quantity contracts to provide clinical and non-clinical staffing services across six occupational categories to VA medical centers nationwide. The period of performance is a five year base period with three one-year option periods. Services will include various physician specialties, nursing, allied health, clinical support, and non-clinical occupations. The total ceiling value of all awards is estimated at $50 billion over the life of the contracts. The solicitation targets awards to verified service-disabled veteran-owned small businesses. The response due date is TBD and awards are expected to be made within six months of the closing date.

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VIT Geographic Coverage

INSTRUCTIONS: 1. Enter Name and UEI, and select (drop-down) Socio-economic status for VITAL and all proposed partners. 2. Place "x" under respective column to reflect geographic coverage of entity. 3. Under Letter of Commitment? column, enter 'yes' if you have a signed, exclusive teaming agreements or letter of commitment from that partner.
<Offeror Name>STATE/ TERRITORY (note: VISN encompasses identified states. Some portions of states identified may, however, fall within neighboring VISN.)MaineVermontNew HampshireMassachusettsConnecticutRhode IslandNew YorkNew JerseyPennsylvaniaDelawareMarylandWest VirginiaVirginiaNorth CarolinaWashington DCAlabamaGeorgiaSouth CarolinaFloridaPuerto RicoUS Virgin IslandsKentuckyTennesseeMichiganIndianaOhioWisconsinIllinoisKansasMissouriArkansasLouisianaMississippiTexasOklahomaColoradoUtahWyomingMontanaWashingtonOregonIdahoAlaskaCalifornia (Northern)Nevada
VISN 1VISN 2VISN 4VISN 5VISN 6VISN 7VISN 8VISN 9VISN 10VISN 12VISN 15VISN 16VISN 17VISN 19VISN 20VISN 21
Example-- XYZ Staffing, LLCAS1WMN0657A7SBA-certified SDVOSB (VITEP)YesXXXXX
Offeror/ Partner NameSAM UEISocio-EconomicLetter of Commitment?
1<Offeror Name>Select One
2<Partner Name>
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VIT LCAT Coverage

Occupational CategoryInstructions: 1. Place an "x" within the columns to the right for all LCATs provided by the VITAL and identified partners. 2. Partner information below (first three columns) is auto populated from Geographic Coverage worksheet.
Clinical Occupational Series (OC1)
Non-Clinical Occupational Series (OC2)
Program Support Service Categories (OC3)
<Offeror Name>Labor Category (LCAT)PsychologistClinical PSychologyCounseling PSychologyGenetics CounselorLicensed Professional Mental Health Counselor (LPMHCs)Social WorkersPhysician Services ( PS) 👇🏻PS: Emergency Medicine (Includes: Trauma I, II, III, IV & V)PS: Internal Medicine (Cardiovascular Diseases; Gastro; Pulmonary DiseasesPS: OncologyPS: NephrologyPS: HospitalistPS: Invasive Internal MedicinePS: Critical CarePS: RheumatologyPS: EndocrinologistPS: Infectious DiseasePS: AllergistPS: OB/GynecologistPS: Women’s Health Primary Care ProvidersPS: Reproductive EndocrinologistsPS: AnesthesiologistPS: Cardiology (Includes: General; Invasive and Non-invasive; Surgery and No Surgery)PS: DermatologistPS: HematologistPS: OphthalmologistPS: OptometristPS: Orthopedic (General and Surgery)PS: Physical Medicine and Rehabilitation Services (PM&R) (Includes Physiatry)PS: Otolaryngologist (Ear/Nose/Throat - ENT)PS: Pathology (Includes: CytopathologistPS: Dermatopathologist; Hematologist; Neuropathologist; Pathologist)PS: PSychiatrist (Includes: General; ; Adult and Geriatric)PS: PSychologistPS: PodiatristPS: Radiology (Includes: Diagnostic; MRI/Mammogram; Interventional and Oncology)PS: Surgery-Other (General; Colon and Rectal; Plastic; Thoracic/Vascular; Neurosurgery; Cardiothoracic)PS: Nuclear MedicineRegisterd Nurses (RN) 👇🏻RN: Med SurgRN: GeriatricRN: PSychiatricRN: NurseryRN: OB/GynecologistRN: Women’s Health Advanced Practice Nurse Practitioners
Series180180180180180185602603602602602602602602602602602602602602602602602602602602602602602602602602602602602602602602610611610610610610610
Social Science, PSychology & Welfare (0100-0199)Medical, Hospital, Dental and Public Health (0600 – 0699)
Clinical Occupational Series (OC1)
Example-- XYZ Staffing, LLCAS1WMN0657A7SBA-certified SDVOSB (VITEP)yesxxxxxxx
Offeror/ Partner NameSAM UEISocio-EconomicLetter of Commitment?
1<Offeror Name>0Select One0
2<Partner Name>000
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