P03 Justification sole source_Redacted.pdf

VA DIRECTIVE 1663

HEALTH CARE RESOURCES (HCR) CERTIFICATION APPROVAL MEMO

P04 HCR Approval Memo Revision 02/01/22

Procurement Summary

The original CBOC was established in 2004 in order to improve Veteran access to primary and mental health care and to meet the increasing demand for outpatient services in the Central Southern market for VISN16. Existing contract VA256-22-D-0026 is expiring Oct 31, 2022, which currently provides the needed services and has proven to be beneficial to the Veteran constituents of Houma, LA, and Terrebonne Parish.

VALOR Healthcare is the Incumbent Contractor and has been providing services since the opening of this CBOC in 2004. They have worked very closely with the SLVHCS�s staff, patients, and resources within the SLVHCS. They have also gained significant knowledge of the current CBOC operations. This continued relationship is crucial until the new long-term contract is put into place. VALOR has an intimate knowledge of the patients, VA requirements, and SLVHCS Infrastructure. Competition for this short term and a possible new contractor would require at least a minimum of ninety (90) to one-hundred twenty (120) days start up time to include backgrounds and credentialing/privileging and also a learning curve while gaining familiarity with the SLVHCS computerized patient record system (CPRS) and our Veterans. This is time that is not available except with the award of the new long term 5-year IDIQ contract.

Contract 36C25622D0023, which was awarded to Valor Healthcare under solicitation 36C25618R0078 was awarded under full and open competition on 12/03/2021 and protested with U.S. Government Accountability Office (GAO) on 12/15/2021. Under legal guidance, the contract was terminated, and corrective action is being taken by Contracting Officer � NCO16.

[X] Security Checklist Appendix A with recommended security language (VA Handbook 6500.6) and Position Designation System and Automated Tool (PDAT) as required. Signed

[X] PWS. Must use the MSO template, if available

[X] QASP. Must use the MSO template, if available

[X] Market Research Report (VHA PM)

[X] Independent Government Cost Estimate (IGCE).

Must use the MSO template � signed by the Program Office

[X] Contracting Officers Representative (COR) certification as required in Section 2 (VHA PM)

[X] Copy of the Community Based Outpatient Clinic (CBOC) approval from VHA Support Service Center Capital Assets (VSSC). Reference this link for more information: http://planning.vssc.med.va.gov/cboc/

[ ] Security Checklist Appendix A with recommended security language (VA Handbook 6500.6) and PDAT as required. Signed

[ ] Performance Work Statement (PWS). Must use the MSO template, if available

[ ] Quality Assurance Surveillance Plan (QASP).

Must use MSO template, if available

[ ] Market Research Report (VHA PM) with recommended source list, evaluation criteria and evaluation team

[ ] IGCE. Must use MSO template � signed by the Program Office

[ ] COR certification as required in Section 2 (VHA

PM)

P04 HCR Approval Memo Revision 02/01/22

Without this new short-term contract, the SLVHCS would have to completely shut down this CBOC which would cause our Veterans to have to seek their healthcare elsewhere. This could also negatively affect our Veterans continuity of care and would also have economic repercussions on the Government as the cost of their outside healthcare would be significantly higher than providing �in-house�. With services at a VA established CBOC, the VA has quality monitoring in place to measure the exceptional care that our Veterans receive and deserve. This same quality monitoring is not afforded to the VA when care is provided outside in the community which could deem fatal for our Veterans in certain cases.

The new long-term contract was awarded December 3, 2021, with an effective start date 120 days after, to allow for the completion of buildouts. The current contract expires October 31, 2022; so therefore, a new short term is needed to cover the continuation of services and will have the FAR 52.217-8 option included.

P04 HCR Approval Memo Revision 02/01/22

[ ] Waiver from OCC national contracts (VHA10Daction@va.gov)

Provide justification and attach required waiver approval from OCC

[X] POP approval, if less than a base year + four options

Refer to Procurement Summary above on page 2 for justification of new short term of 3 months.

[ ] Approve payment for concurrent on-call services, if proposed

[ ] Cannot recruit or recruitment not appropriate

[ ] Approve part-time VA employment (dual appointment) to provide services under the contract, if proposed

[ ] Approve per procedure at the VA facility, if proposed

[ ] Approve FTE/hourly rate contracts performed at the contractor facility, if proposed

[ X ] Approve other pricing methodology (i.e. Mixed, work Relative Value Unit (wRVU)

Pricing is Capitated rate- Price per member per month (PMPM)

[ ] Other