Justification and Approval_JA.pdf

Attachment 1: Request for Sole Source Justification Format >SAT

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A)

For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID: 36C256-25-AP-1449

1. Contracting Activity: Department of Veterans Affairs, Network Contracting Office (NCO) 16 and Michael E. DeBakey VA Medical Center (MEDVAMC) 2002 Holcombe Boulevard, Houston TX 77030-4298. The 1358 funding and payment process will be utilized.

2. Nature and/or Description of the Action Being Processed: This is a justification and approval for Other Than Full and Open Competition to establish a follow-on Community Nursing Home IDIQ short-term contract to service veteran patients of the Michael E.

DeBakey VA Medical Center (MEDV AMC) that currently reside in the Brookshire, Tx catchment area of Waller County. The follow-on contract will be a firm fixed price, IDIQ with economic price adjustment with a three-month ordering period. Funding being applied will be at the discretion of the government.

3. Description of Supplies/Services Required to Meet the Agency's Needs:

This procurement is for Community Nursing Home (CNH) Services in accordance with FAR

13.5 Simplified Procedures for Certain Commercial Items. The IDC contract will have three

(3) one (1) month ordering periods beginning J�5 through March 31, 2025. The anticipated cost over the three-month period is --

Brookshire Residence and Rehabilitation Center, LLC dba Harmony Care Group is currently transitions from a Community Nursing Home to a Veterans Care Agreements (VCA).

Veteran Care Agreements (VCAs) are nationally standardized contracting mechanisms, released in July 2022. A Veteran Care Agreement is a eight step process and can take from a few days up to a month to process. Brookshire Residence and Rehabilitation Center is currently 50 percent complete and their anticipated conversion date will on or about mid March 2025.

PL 88-450, PL 106-117 and 38 USC 1720 create the expectation that qualified veterans will receive Community Nursing Home (CNH) services in their community. The MEDVAMC provides care to veterans whose primary residence is a nursing home; the Veterans Health Administration (VHA) has a policy that nursing home care may be provided in licensed nursing facilities at the Department of Veterans Affairs (VA) expense.

The VA Community Nursing Home (CNH) Program is designed to assist Veterans and their families in making the transition from an episode of hospital care, nursing home care, or domiciliary care to the community. The primary goal of the CNH Program is to maintain or restore the Veteran to the highest level of health and well-being attainable.

VHAPG Part 806.3 OFOC

Revision: 03 Effective Date: 04/15/24

Acquisition ID#: 36C256-25-AP-1449