RFI HT001524RRFIATAMMC Gov. Responses.pdf

The government received a number of responses to the RFI HT001524RFIATAMMC. Although the government indicated in the RFI that it did not intend to provide answers/responses to questions and feedback, the government provides the following information to address some key topics raised in the RFI feedback:

1. The PWS reflects the government’s requirement for Ambulatory Care Center’s operating as extensions of ATAMMC, and thus part of the Military Health System’s direct care system.

Because the ACCs are part of the direct care system, the contractor providing the ACCs and all associated services must comply with standards/requirements associated with operating MTF-extension clinics—as described throughout the performance work statement (PWS). The government does not intend to reframe its requirement to remove the MTF/direct care system standards/requirements.

2. The contractor is responsible for acquiring/providing the ACC facilities and delivering community-based health care services at a minimum of two strategically located ACC facilities (see PWS para 1.3). The government does not have existing buildings for the contractor to use.

The incumbent contractor leases the current ACC buildings from a third party, and the government is not party to the lease.

3. The government intends to award one contract for the delivery of all health care services (and all facilities necessary to support such services) described in the PWS.

4. The government will not provide a staffing plan; the RFP requires each offeror to describe the staffing model and approach it will use to meet PWS requirements, satisfy applicable access standards, and deliver high quality care to beneficiaries. However, in the pricing matrix (RFP Attachment A), the government has provided the estimated annual hours required for all specialty providers/support staff based on current ACC workload.

5. The government is providing 3 years of historical workload (CY2020-2022) (see Exhibit AA-2).

6. The government has clarified the GME requirement (see PWS paras 1.3.1.7 and 5.13.2.1.5), which is part of Primary Care.

7. The government will not provide monetary credit for the use of contractor space (in the ACC facilities) by government personnel.

8. The contractor must include its facility-related transition-in costs (see PWS para 1.7.1.3) in its

PMPM rate (CLIN X001), amortized accordingly over the contract period of performance. The contractor will invoice for administrative / personnel transition costs (see PWS para 1.7.1.2) during the phase in period under the Transition CLIN. In amortizing its facility-related transition costs across the contract period of performance, the contractor should consider that it will deliver (and thus invoice) for health care services only for the post-transition period of the base year (e.g., approximately 3 months, depending on the contractor’s transition plan).

9. The ACCs principally exist to deliver primary care services to enrolled/assigned beneficiaries.

Urgent Care services are distinct from Primary Care services; however, the contractor may choose to provide urgent care services in the ACC facilities where it is providing primary care and other services (see PWS para 1.15.4 and 5.13.2.3.4). Under the current contract, the incumbent contractor provides both primary care services and urgent care services in its Fairfax and Dumfries facilities. Beneficiaries will be enrolled/assigned only to ACC primary care providers and not to urgent care providers or facilities

10. The government has added an Orthopedic Services CLIN.

11. The government amended the PWS to clarify that Providers (rather than coders) are responsible for closing out patient encounters in MHS GENESIS (see PWS para 5.13.2.1.5.4).

12. The government has increased the maximum transition-in period from 6 to 9 months (see PWS para 1.7.1).

13. The solicitation includes a stand-alone cost CLIN for MRI equipment. The contractor should capture MRI staffing costs in its PMPM rate (for enrolled/assigned beneficiaries – see PWS para

5.13.2.5.1 and Exhibit D) and its non-enrollee cost per person (Radiology) rate (see PWS para

5.13.2.5.2 and Exhibit D).

14. The government has updated the Per Member Per Month (PMPM) Clause to clarify that the PMPM CLIN encompasses only care (primary care, urgent care, laboratory, radiology) for the ACC enrolled/assigned population. The solicitation includes separate CLINs for care provided to non-enrollees (urgent care/primary care, laboratory, radiology), pharmacy, and specialty care services.

15. The contractor must make all Electronic Health Record updates in MHS GENESIS (PWS para 4.13, 5.13.2.1.5.4, 6.5.5.1).

16. There are approximately 400-500 full-time and/or part-time employees in the current ACCs.

17. The contractor is responsible for operating/managing ACC Appointing (call center) (see PWS para 5.13.2.1.5.6).

18. The government has updated the PWS’ emergency response language (see PWS para 5.15).

19. Contractors are free to propose how best to support the 26 week scheduling template requirements (see PWS para 5.13.2.1.5.6.3).

20. The government updated the Case Manager requirements (PWS para 5.13.2.1.5.8).

21. The BH Case Manager requirements (PWS para 5.13.2.19.2) are separate from the Case

Management requirements described in PWS para 5.13.2.1.5.8.

22. The government removed the surgical support staff requirement from the PWS.

23. The government updated the PWS’ MGMA production standards (see Exhibit AA-4).

24. The government created separate CLINs for On Call and In-house OB services.

25. The BH Support Staff CLIN encompasses all BH Support Staff requirements, no additional CLINS are provided for BH staff.