HT940222R0002_Amendment 0004.pdf

(x)

HT940222R0002

x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or telegram 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 telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

HT9402

AURORA CO 80011-9066

16401 E CENTRETECH PARKWAY

DEFENSE HEALTH AGENCY-AURORA

DEFENSE HEALTH AGENCY

HT9402

AURORA CO 80011

16401 E CENTRETECH PARKWAY

DEFENSE HEALTH AGENCY-AURORA

DEFENSE HEALTH AGENCY

08/08/20220004

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

06/22/2022

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 date, 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.)

Please see Continuation Page for details regarding this amendment. As a result of this amendment, the proposal submission due date has been extended to August 15, 2022, 5:00pm MT.

Continued ...

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)

Kristin Moore

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

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 .

kristin.m.moore13.civ@health.mil

303-676-3905

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0004

Change Item 1002AB to read as follows(amount shown is the obligated amount):

1002AB National Hospital Quality Measures data file for 1 EA submission to CMS (PWS Section 5 paragraph

5.3.2.1.4)

FFP

(Option Line Item)

Change Item 2002AB to read as follows(amount shown is the obligated amount):

2002AB National Hospital Quality Measures data file for 1 EA submission to CMS (PWS Section 5 paragraph

5.3.2.1.4)

FFP

(Option Line Item)

Change Item 3002AB to read as follows(amount shown is the obligated amount):

3002AB National Hospital Quality Measures data file for 1 EA submission to CMS (PWS Section 5 paragraph

5.3.2.1.4)

FFP

(Option Line Item)

Change Item 4002AB to read as follows(amount shown is the obligated amount):

4002AB National Hospital Quality Measures data file for 1 EA submission to CMS (PWS Section 5 paragraph

5.3.2.1.4)

FFP

(Option Line Item)

Change Item 5002AB to read as follows(amount shown is the obligated amount):

5002AB National Hospital Quality Measures data file for 1 EA submission to CMS (PWS Section 5 paragraph

5.3.2.1.4)

Continued ...

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HT940222R0002/0004

FFP

(Option Line Item)

Change Item 6002AB to read as follows(amount shown is the obligated amount):

6002AB National Hospital Quality Measures data file for 0.5 EA submission to CMS (PWS Section 5, Paragraph

5.3.2.1.4)

FFP

(Option Line Item)

Continuation Page

The purpose of amendment 0004 is as follows:

1. Amend Section B, SLIN X002AB, to add the appropriate PWS reference.

2. Amend the definition at Section C, 2.1.9 to further clarify “start of service delivery”.

3. Amend Section C, paragraphs 5.3.5.1 and 5.3.5.5.2 to reflect updated Leapfrog package name.

4. Amend Section C, paragraph 5.5.2.11 to correct CDRL reference from M070 to M080.

5. Amend Section H, to add 9.0 Variations in Quantity language.

6. The following changes have been made to the CDRLs:

a) The title of CDRL A040 has been changed to “Leapfrog Value-Based Purchasing Program Data & Reports package for Health Plans”. This change is reflected throughout the solicitation.

b) Amend the following CDRLs to clarify initial submission is tied to start of service delivery, and not contract award:

a. A020 through A080

b. M020 through M080

c. Q030, Q040, Q080 through Q100

d. R020, R060 through R100

c) In addition to the aforementioned changes in b), the due date in CDRLs M050 through M070 has been changed from 15 calendar days after end of reporting period to 30 calendar days after end of reporting period.

d) In addition to the aforementioned changes in b), CDRLs A040 and A060 Content Details have been updated to reference correct Leapfrog report as included via amendment 0003.

e) Update first submission in Q060 and Q070 to:

Frequency: One time Reporting Period Start Date: Start of service delivery Due Date: 15 days after start of service delivery

The proposal submission due date has been extended to August 15, 2022, 5:00pm MT.