ID07120064_JOTFOC_REDACTED.pdf

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VA/FSC Plexis Claims Manager Software, Support and Maintenance Federal contract opportunity
Solicitation number
ID07120064
Issued by
GSA Federal Acquisition Service

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VA/FSC Plexis Claims Manager Software Support and Maintenance

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JUSTIFICATION FOR OTHER THAN FULL AND OPEN

COMPETITION

1) Identification of the Agency, Contracting Activity, and Document being approved:

Procurement Office: General Services Administration – Federal Acquisition Services/Acquisition Office Division Agency: Department of Veterans Affairs (VA) Financial Services Center (FSC) Contract Number: ID07120064

Description of Requirement (Specified Brand Name(s): VA/FSC Plexis Claims Manager Software, Support and Maintenance Estimated Dollar Value (brand name items only): This action adds brand name Software Licenses for 30 additional clients (per pending Mod 3) $129,715.09; New overall total of brand name software for a total of 90 clients is $707,860.08.

2) Description of action being approved:

___X__ 6.302-1 Only one responsible source and no other supplies or services will satisfy agency requirements.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c)(1) or 41 U.S.C. 253(c)(1).

_____ 6.302-2 Unusual and compelling urgency.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c)(2) or 41 U.S.C. 253(c)(2).

_____ 6.302-3 Industrial mobilization; engineering, developmental, or research capability; or expert services.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c)(3) or 41 U.S.C. 253(c)(3).

_____ 6.302-4 International agreement.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c)(4) or 41 U.S.C. 253(c)(4).

_____ 6.302-5 Authorized or required by statute.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c)(5) or 41 U.S.C. 253(c)(5).

_____ 6.302-6 National security.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c)(6) or 41 U.S.C. 253(c)(6).

_____ 6.302-7 Public interest.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c)(7) or 41 U.S.C. 253(c)(7).

3) Description of Supplies or Services Required:

The VA-FSC is a franchise fund site operated under the Government Management Reform Act, P.L.

103-356. Consequently, the VA-FSC receives no federally appropriated funding and is required to market VA-FSC services to customers. The VA-FSC provides financial services to within the VA as well as other http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t09t12+1310+1++%2810%29%20%20AND%20%28%2810%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%282304%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t41t42+120+0++%2841%29%20%20AND%20%28%2841%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%28253%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t09t12+1310+1++%2810%29%20%20AND%20%28%2810%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%282304%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t41t42+120+0++%2841%29%20%20AND%20%28%2841%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%28253%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t09t12+1310+1++%2810%29%20%20AND%20%28%2810%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%282304%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t41t42+120+0++%2841%29%20%20AND%20%28%2841%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%28253%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t09t12+1310+1++%2810%29%20%20AND%20%28%2810%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%282304%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t41t42+120+0++%2841%29%20%20AND%20%28%2841%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%28253%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t09t12+1310+1++%2810%29%20%20AND%20%28%2810%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%282304%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t41t42+120+0++%2841%29%20%20AND%20%28%2841%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%28253%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t09t12+1310+1++%2810%29%20%20AND%20%28%2810%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%282304%29%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t41t42+120+0++%2841%29%20%20AND%20%28%2841%29%20ADJ%20USC%29%3ACITE%20AND%20%28USC%20w%2F10%20%28253%29%29%3ACITE%20%20%20%20%20%20%20%20%20 government agencies (OGAs). One of the VA-FSC services is to process healthcare claims utilizing the VA-FSC Healthcare Claims Processing System (HCPS).

At the time of the original award of this task, the VA-FSC required monthly support and maintenance for 60 client licenses of the Plexis Claims Manager (PCM) software, support and maintenance. The VA now has a requirement for 30 additional client licenses for this same software. This justification is to support the additional license increase which increases the brand name.

4) Identification of Authority and Supporting Rationale:

This acquisition is conducted under the authority of FAR 6.302-1 and 10 U.S.C. 2304.

5) Demonstration that the Acquisition Requires the Use of the Authority Cited:

As a franchise fund organization within the VA Franchise Fund, the VA-FSC must sustain its operations through charges to federal customers on a fee for service basis. In order to support the

VA-FSC’s customer the Veterans Health Administration (VHA), the VA-FSC must immediately increase the number of healthcare claims processing licenses in the VA-FSC HCPS. The VA-FSC already has the Plexis Claims Manager Software for 60 clients which was documented in the original award JOTFOC signed on August 28, 2012 and they are looking to add monthly support and maintenance for 30 additional client licenses of the PCM software, support, and maintenance for the four option years.

The VA-FSC HCPS is solely based on the Plexis Claims Manager software. Support and maintenance from another healthcare claims processing software vendor will not work within the VA-

FSC HCPS. The maintenance agreement prohibits anyone other than Plexis staff to modify Plexis

Claims Manager software.

6) Description of Efforts to Solicit as Many Offers as Practicable or Exception:

In accordance with FAR 6.302-1 no other source can fulfill the Government’s requirement. Plexis

Healthcare Systems Inc. is the only vendor to provide these requirements.

7) Determination by the Contracting Officer that the Anticipated Cost to the Government will be Fair and Reasonable and Represents the Best Value:

Pricing will be compared to the Independent Government Estimate which is based on client input, prior history to include current contract invoices, and published prices for Plexis Healthcare Systems.

8) Description of market research conducted:

See paragraph 6 above.

9) Other facts supporting other than full and open competition:

The VA-FSC already has the Plexis Claims Manager Software and they are looking to add these required services until the replacement system has been awarded, installed, and configured.

10) List of sources that expressed an interest in the acquisition:

See paragraph 6 above.

11) Statement of Actions to overcome barriers of competition:

A new HCPS system was awarded but until the new system is installed and configured, the VA needs the Plexis Claims Manager software in place to handle VA customer needs. This requirement can only be procured at this time from Plexis Healthcare Systems, Inc. VA-FSC or GSA will continue to review other companies in the future to see if they can meet the requirements.

The Contracting Officer certifies by signature below that the information contained in this justification is accurate and complete to the best of his/her knowledge and belief.

Frances Jimenez Date Contracting Officer

I am responsible for the technical requirement, and I certify by signature below that the supporting data which forms the basis for the justification is complete and accurate.

Carol England Date Program Manager

Concurrence:

Loretta Nared Date Supervisory Contract Specialist

Legal Counsel Date

Shaloy Castle-Higgins Date Competition Advocate

File details come from the government source that posted it. Updated .