Request for Quote (RFQ) 36C24823Q1690.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24823Q1690 07-27-2023

Raimundo Rivera (Raimundo.rivera@va.gov) 813-796-3458 08-14-2023

2PM EDT

36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy

Tampa FL 33637

X

621111

$16 Million

N/A

X

Department of Veterans Affairs (VA)

Bruce W. Carter Veterans Hospital (VAMC)

Miami VA Healthcare System (MVAHCS)

1201 NW 16th Street

Miami FL 33125

36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy

Tampa FL 33637

Department of Veterans Affairs (VA)

Financial Services Center

P.O. Box 149971

Austin TX 78714-9971

See CONTINUATION Page

The contractor shall provide On-site Radiation Oncology

Therapy Services by providing a 0.6 full-time equivalent (FTE)

Radiation Oncologist, a 0.2 Chief Therapeutic Medical

Physicist, and a 0.1 FTE Certified Dosimetrist in support of the Miami VA Healthcare System (MVAHCS).

Reference pages six (6) through 18 for the Schedule of

Services.

Reference pages 19-84 for the Performance Work Schedule.

Please direct all questions concerning the Request for

Quote (RFQ) and related documents to Raimundo Rivera at raimundo.rivera@va.gov, no later than 1:30PM EST 8-07-2023.

X

Yamil Gomez

36C24823Q1690

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (DEC 2022)

C.2 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...92

C.8 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

C.9 52.245-2 GOVERNMENT PROPERTY INSTALLATION OPERATION SERVICES

(APR 2012)

C.10 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.11 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.12 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

C.13 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.14 VAAR 852.219-70 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (JAN 2023) (DEVIATION)

C.15 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.16 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.17 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.18 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)

C.19 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.20 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.21 IT CONTRACT SECURITY

C.22 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

D.2 ORGANIZATIONAL CONFLICT OF INTEREST

D.3 IMMIGRATION CERTIFICATION

D.4 CONTRACTOR RULES OF BEHAVIOR

D.5 PAST PERFORMANCE QUESTIONNAIRE

D.6 MEDICAL STAFF BY-LAWS AND RULES - MVAHCS

D.7 COMMUNICATING TEST RESULTS TO PROVIDERS AND PATIENTS

D.8 COMPUTERIZED PATIENT RECORDKEEPING SYSTEM (CPRS)

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

E.2 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020) 152

E.9 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JAN 2023) (DEVIATION)

E.10 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

E.11 VAAR 852.233-70 PROTEST CONTENT/ALTERNATE DISPUTE RESOLUTION

(OCT 2018)

E.12 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE

RESOLUTION (OCT 2018)

E.13 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.14 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: __________________

Representative: ___________________

Title: ____________________________

Address: _________________________

Telephone/Facsimile: _______________

Email: ___________________________

SAM Unique Entity ID: _______________

b. GOVERNMENT: Contracting Officer 36C248 Raimundo Rivera

Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Tampa FL 33637

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other []

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

6. CAUTION: Late submission, modification, and withdrawals: See Provision 52.212-1.

Proposals are subject to all terms and conditions of this solicitation.

7. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation conference for contract orientation purposes as required by information letter (IL) 003A3-12-04. http://www.va.gov/oal/docs/library/ils/il12-04.pdf

8. SECURE FAX DOCUMENTS: All fax cover sheets shall include the following statement:

"This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above."

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform On-site

Radiation Oncology Physician, Therapeutic Medical Physics and Dosimetry Support Services to eligible beneficiaries of the Department of Veterans Affairs (VA), Bruce W. Carter VA Medical

Center (VAMC), Miami VA Healthcare System (hereinafter referred to as MVAHCS). The contractor’s physician(s)’ care shall cover the range of Radiation Oncology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards.

All Veterans Health Administration (VHA) Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through the National Radiation Oncology

Program (NROP). As such any Contractor providing on-site radiation oncology services must adhere to all the policies and procedures; practice standards, guidelines, patient care operations; patient safety; quality assurance and quality management of radiotherapy planning, equipment, and delivery; and continuous quality improvement initiatives promulgated by the

American College of Radiology, American Society for Radiation Oncology and American

Association for Physicist in Medicine.

Place of Performance: Services shall be provided on-site in the Radiation Oncology Service, Bruce W. Carter VAMC, 1201 NW 16th Street, Miami, FL 33125.

Pricing Instructions: The offeror is instructed to edit the number of Sub-Line Items (SLIN) to correspond with the number of key personnel submitted for the line-item number (LIN). Affiliate

Offerors shall include the “title” of the personnel submitted. Other commercial health care

Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber Sub-LINs if adding or removing Key Personnel.

The Contractor shall propose a minimum of 0.6 (1248 hours) full time equivalent (FTE)

Radiation Oncology Physician (ROP), 0.2 FTE (496 hours) FTE Therapeutics Medical Physicist

(TMP), and 0.1 FTE (240 hours) FTE Certified Medical Dosimetrist (CMD) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance: BASE: November 5, 2023, to November 4, 2024

LIN

No.

SUB-

LIN

Description

Qty.

Unit

Unit Cost

Total

Annual Cost

None

Board Certified Radiation Oncology

Physician (ROP) Services (inclusive of on- call)

Hours

DO NOT

PRICE

KEY PERSONNEL

No.

Total Annual

Cost

Board Certified Therapeutic Medical

Physicist (TMP) Services

0002a

Physicist (TMP)

NAME: _____________________

TITLE/LEVEL OF EXPERIENCE:

$ /hr.

0001a

Physician (ROP)

NAME:

$ _____ /hr.

0001b

Physician (ROP)

NAME:

$_____ /hr.

LIN 0001 TOTAL ESTIMATE FOR BASE YEAR

0002b

Physicist (TMP)

NAME: ____________________

LIN 0002 TOTAL ESTIMATE FOR BASE YEAR

All LINs total estimate for Base Year: $____________________

Annual

Board Certified Medical Dosimetrist (CMD) Services

DO

NOT

0003a

Dosimetrist (CMD)

NAME: _______

0003b

Dosimetrist (CMD)

NAME: _______

LIN 0003 TOTAL ESTIMATE FOR BASE YEAR

OPTION YEAR ONE (1): November 5, 2024 to November 4, 2025

1001a

Physician (ROP)

NAME:

1001b

Physician (ROP)

NAME:

LIN 1001 TOTAL ESTIMATE FOR OPTION YEAR 1

LIN

No.

1002a

Physicist (TMP)

NAME: _____________________

1002b

Physicist (TMP)

NAME: ____________________

LIN 1002 TOTAL ESTIMATE FOR OPTION YEAR 1

No.

All LINs total estimate for Option Year One (1): $__________________

OPTION YEAR TWO (2): November 5, 2025 to November 4, 2026

1003a

Dosimetrist (CMD)

NAME: _______

1003b

Dosimetrist (CMD)

NAME: _______

LIN 1003 TOTAL ESTIMATE FOR OPTION YEAR 1

No.

2002a

Physicist (TMP)

NAME: _____________________

2001a

Physician (ROP)

NAME:

2001b

Physician (ROP)

NAME:

LIN 2001 TOTAL ESTIMATE FOR OPTION YEAR 2

2002b

Physicist (TMP)

NAME: ____________________

LIN 2002 TOTAL ESTIMATE FOR OPTION YEAR 2

All LINs total estimate for Option Year Two (2): $____________________

OPTION YEAR THREE (3): November 5, 2026 to November 4, 2027

LIN

No.

2003a

Dosimetrist (CMD)

NAME: _______

2003b

Dosimetrist (CMD)

NAME: _______

LIN 2003 TOTAL ESTIMATE FOR OPTION YEAR 2

3001a

Physician (ROP)

NAME:

3001b

Physician (ROP)

NAME:

LIN 3001 TOTAL ESTIMATE FOR OPTION YEAR 3

DO NOT

PRICE

DO NOT

3002a

Physicist (TMP)

NAME: _____________________

3002b

Physicist (TMP)

NAME: ____________________

LIN 3002 TOTAL ESTIMATE FOR OPTION YEAR 3

No.

3003a

Dosimetrist (CMD)

NAME: _______

All LINs total estimate for Option Year Three (3): $__________________

OPTION YEAR FOUR (4): November 5, 2027 to November 4, 2028

3003b

Dosimetrist (CMD)

NAME: _______

LIN 3003 TOTAL ESTIMATE FOR OPTION YEAR 3

No.

4001a

Physician (ROP)

NAME:

4001b

Physician (ROP)

NAME:

LIN 4001 TOTAL ESTIMATE FOR OPTION YEAR 4 Hours

LIN

No.

4002a

Physicist (TMP)

NAME: _____________________

4002b

Physicist (TMP)

NAME: ____________________

LIN 4002 TOTAL ESTIMATE FOR OPTION YEAR 4

No.

All LINs total estimate for Option Year Four (4): $__________________

GRAND TOTAL (BASE PLUS (+) ALL OPTION YEARS): $____________________

4003a

Dosimetrist (CMD)

NAME: _______

4003b

Dosimetrist (CMD)

NAME: _______

LIN 4003 TOTAL ESTIMATE FOR OPTION YEAR 4

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL

SERVICES REQUIRED: The Department of Veterans Affairs (VA), Bruce

W. Carter VA Medical Center (VAMC) located in Miami Florida, requires contractual services to provide on-site Radiation Therapy Services to eligible beneficiaries of the Miami VA Healthcare System (MVAHCS). The

VA Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through NROP. As such any Contractor providing on-site radiation oncology services must adhere to Guidelines &

Technical Standards for Radiation Oncology promulgated by the American

College of Radiology, American Society for Radiation Oncology and

American Association for Physicist in Medicine: A contractor providing on-site radiation oncology services must provide evidence the radiation oncology practice meets or exceeds the established clinical practice guidelines and standards.

1.1. PLACE OF PERFORMANCE: Miami Veterans Affairs Healthcare

System (MVAHCS), Radiation Oncology Service, 1201 NW 16th

Street, Miami, FL 33125.

1.2. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority FAR Parts 12 – Acquisition of Commercial Items in conjunction with FAR Part 13.5 Simplified Acquisition Procedures.

1.3. Policy/Handbooks:

1.3.1. VHA Notice 2018-34 “Rescission of VHA Directive 2006-041 Veterans Health Care Service Standards”:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_

ID=7475

1.3.2. VHA Handbook 1100.17: National

Practitioner Data Bank Reports:

https://www.va.gov/vhapublications/ViewP ublication.asp?pub_ID=2135

1.3.3. VHA Handbook 1100.18 Reporting and

Responding to State Licensing Boards:

https://www.va.gov/vhapublications/ViewPublicatio n.asp?pub_ID=9174

1.3.4. VHA Handbook 1100.19 Credentialing

and Privileging:

https://www.va.gov/vhapublications/ViewP ublication.asp?pub_ID=2910

1.3.5. VHA Handbook 1400.01 Supervision of Physician, Dental, Optometry, Chiropractic, and Podiatry Residents:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_I D=8579

1.3.6. VHA Directive 1088 Communicating Test

Results to Providers and Patients:

https://www.va.gov/vhapublications/viewpublicat https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8579 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8579 http://www.va.gov/%C3%A2%E2%82%AC%E2%80%B9vhapublications/%C3%A2%E2%82%AC%E2%80%B9viewpublication.asp?pub_id=3148 ion.asp?pub_id=3148

1.3.7. VHA Directive 1192.01: Seasonal

Influenza Prevention Program:

https://www.va.gov/vhapublications/ViewP ublication.asp?pub_ID=5472

1.3.8. VHA Directive 1156 Accreditation of VHA Radiation

Oncology Services/Sections:

https://www.va.gov/vhapublications/ViewPublication.

asp?pub_ID=7450

1.3.9. VHA Directive 1220: Facility Procedure Complexity

Designation Requirements to Perform Invasive Procedures In Any Clinical Setting:

https://www.va.gov/vhapublications/ViewPublication.asp?pub

_ID=8365

1.3.10. VHA Directive 1414 Stereotactic Body

Radiotherapy:

https://www.va.gov/vhapublications/ViewP ublication.asp?pub_ID=8197

1.3.11. VA Directive 1663: Health Care

Resources Contracting – Buying:

https://www.va.gov/vapubs/viewPublication.

asp?Pub_ID=969&FType=2

1.3.12. VHA Directive 1907.01 VHA Health Information

Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.as p?pub_ID=9235

1.3.13. VHA Directive 1100.20 Credentialing of

Health Care Providers:

https://vaww.va.gov/vhapublications/ViewP ublication.asp?pub_ID=9444

1.3.14. US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements, to include (but not limited to) 10 CFR Parts 19, 20, 30, 33, 35, and 71: http://www.nrc.gov/reading-rm.html

1.3.15. Privacy Act of 1974 (5 U.S.C.

552a) as amended:

http://www.justice.gov/oip/foia_up dates/Vol_XVII_4/page2.htm

1.4. DEFINITIONS/ACRONYMS:

1.4.1. 3-D: Three (3) Dimensional

1.4.2. 3DCRT: 3-Dimensional Conformal Radio-Therapy

1.4.3. AAPM: American Association of Physics in Medicine

1.4.4. ACGME: Accreditation Council for Graduate Medical Education

1.4.5. ABR: American Board of Radiology

1.4.6. ASTRO: American Society of Radiation Oncology (www.astro.org)

1.4.7. ACO: Administrative Contracting Officer

1.4.8. ALARA: As Low as Reasonably Achievable (least & lowest radiation exposure possible)

1.4.9. AOA: American Osteopathic Association

1.4.10. ARRT(T): American Registry of Radiologic Technologists (T) in

Radiation Therapy

1.4.11. ASTRO/APEx: American Society for Radiation

http://www.va.gov/%C3%A2%E2%82%AC%E2%80%B9vhapublications/%C3%A2%E2%82%AC%E2%80%B9viewpublication.asp?pub_id=3148 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8197 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8197 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvaww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9444&data=04%7C01%7C%7C5a2fc81d5c9e4c31696308d9ca3b3c47%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637763178024295633%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=g4iIWP0fMWV1ITn9%2F0vT4lpul7nFJAe%2FDMHlz4MTfT8%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvaww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9444&data=04%7C01%7C%7C5a2fc81d5c9e4c31696308d9ca3b3c47%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637763178024295633%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=g4iIWP0fMWV1ITn9%2F0vT4lpul7nFJAe%2FDMHlz4MTfT8%3D&reserved=0 http://www.nrc.gov/reading-rm.html http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

Oncology/Accreditation Program for Excellence ® (https://www.astro.org/Daily-Practice/Accreditation)

1.4.12. BAA: Business Associate Agreement

1.4.13. CAMPEP: Commission on Accreditation of Medical

Physics Educational Programs (http://www.campep.org/default.asp)

1.4.14. CDC: Centers for Disease Control and Prevention

1.4.15. CEU: Certified Education Unit

1.4.16. CMD: Certified Medical Dosimetrist

1.4.17. CME: Continuing Medical Education

1.4.18. CMS: Centers for Medicare and Medicaid Services

1.4.19. CO: Contracting Officer

1.4.20. COR: Contracting Officer’s Representative

1.4.21. COS: Chief of Staff

1.4.22. COVID-19: Coronavirus Disease 2019

1.4.23. CPARS: Contractor Performance Assessment Reporting System

1.4.24. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.4.25. CS: Contract Specialist

1.4.26. EHR: Electronic Health Record – electronic health record system used by the VA

1.4.27. FSMB: Federation of State Medical Boards

1.4.28. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.4.29. HHS: Department of Health and Human Services

1.4.30. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.4.31. HIPAA: Health Insurance Portability and Accountability Act

1.4.32. IGRT: Image Guided Radiation Therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

1.4.33. IMRT: Intensity Modulated Radiation Therapy is the process of delivering highly conformal radiotherapy to the tumor while sparing the surrounding normal tissues by varying radiation intensity across treatment portals.

1.4.34. IROC: Imaging and Radiation Oncology Core

1.4.35. ISO: Information Security Officer

1.4.36. MU: Monitor Unit is a measure of machine output of a linear accelerator in radiation therapy.

1.4.37. NHPP: National Health Physics Program- NHPP provides

regulatory oversight for the Nuclear Regulatory Commission master materials license issued to VHA to include permitting for use of http://www.astro.org/Daily-Practice/Accreditation) http://www.astro.org/Daily-Practice/Accreditation) http://www.campep.org/default.asp materials, on-site inspections, and investigations of allegations, medical events, and incidents. In addition, we provide oversight for machine sources of ionizing radiation used for radiation therapy. Finally, we provide assistance and technical information for uses of ionizing radiation for healthcare diagnosis and treatment and non-human biomedical research.

(http://www.patientcare.va.gov/NHPP.asp)

1.4.38. NROP: National Radiation Oncology Program

1.4.39. NRSC: National Radiation Safety Committee

1.4.40. POP: Period of Performance

1.4.41. PPD: Purified Protein Derivative

1.4.42. PWS: Performance Work Statement

1.4.43. QASP: Quality Assurance Surveillance Plan

1.4.44. QMP: Quality Management Program

1.4.45. ROP: Radiation Oncology Physician

1.4.46. SPE: Senior Procurement Executive

1.4.47. SRS: Stereotactic Radio Surgery: a minimally invasive form of surgical intervention which makes use of a three-dimensional coordinated system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

1.4.48. SBRT: Stereotactic Body Radiotherapy

1.4.49. TJC: The Joint Commission

1.4.50. TLD: Thermoluminescent Dosimeter- a device that measures radiation dose

1.4.51. TMP: Therapeutic Medical Physicist

1.4.52. TRT: Therapeutic Radiologic Technologist (Interchangeable Names: Radiologic Therapy Technologist, Radiation Therapist)

1.4.53. VA: Department of Veterans Affairs

1.4.54. VAMC: Veterans Affairs Medical Center

1.4.55. VetPro: a federal web-based credentialing program for healthcare providers.

1.4.56. VHA: Veterans Health Administration

2. QUALIFICATIONS:

2.1. License: Contract physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contract physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.2. Board Certification: All contract physician(s) shall be board certified.

All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current http://www.patientcare.va.gov/NHPP.asp certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.2.1. Radiation Oncology Physicians (ROPs): The Contractor shall provide American Board of Radiology (ABR) certified physicians in the area of Radiation Oncology and contract physicians shall maintain certification throughout the period of performance. In the event that Contractor’s Radiation Oncology Physician(s) is/are not directly employed by the treating facility, documentation must be provided to ensure adequate certification. All continuing education courses required for maintaining certification shall be kept up to date at all times. Documentation verifying current certification shall be provided quarterly and as requested.

2.2.2. Board Certified Therapeutic Medical Physicists (TMPs): The Contractor’s TMPs must be Board Certified in Medical Physics or Therapeutic Medical Physics by the ABR and maintain licensure with the Board of Licensure for Professional Medical Physicists, if applicable. Certification must be maintained throughout the contract period of performance (POP). In the event that Contractor’s medical physicist(s) is/are not directly employed by the treating facility, documentation must be provided to ensure adequate certification.

2.2.3. Certified Medical Dosimetrists (CMDs): The contractor’s CMDs must be certified by the Medical Dosimetrist Certification Board. In the event that the Contractor’s CMD(s) is/are not directly employed by the treating facility, documentation must be provided to ensure adequate certification. All continuing education courses required for maintaining certification shall be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the COR on an annual basis.

2.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 and VHA Directive 1100.20 referenced above. The Contractor is responsible to ensure that proposed physician(s) possess the requisite credentials enabling the granting of privileges. No services shall be provided by any contract physician(s) prior to obtaining approval by the MVAHCS Professional Standards Board, Medical Executive Board and Medical Center Director.

2.3.1. If a Contractor’s ROP(s), TMP(s), CMD(s) and/or other

Contractor Personnel are not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.3.2. Credentialing of Health Care Professionals other than physicians:

In accordance with VHA Directive 1100.20, all health care professional who claim licensure, certification, or registration, as applicable to the position (this applies to all who are appointed or utilized on a full-time, part- time, intermittent, consultant , without compensation, on-station fee-basis, on-station contract, or on-station sharing agreement basis) and who are not currently credentialed in accordance with VHA Handbook 1100.19, must be credentialed in accordance with this directive. NOTE: The credentialing requirements are found in Attachment A of this Directive.

2.4. Qualifications:

2.4.1. Board Certified Radiation Oncology Physician (ROP): Must be certified in Radiation Oncology by the American Board of Radiology (ARB) with at least four (4) years of continuous work experience within the last five (5) years to ensure the physician’s experience is current and relevant. The Radiation Oncologist must also have the following minimum years of experience and knowledge on the following procedures, equipment, and software:

2.4.1.1 Two (2) years of experience - Documentation

detailing patient consult, follow- up, re-evaluation, on-treatment visits per ACR/APEx standards including but not limited to ordering appropriate radiological imaging with or without contrast, lab test, when necessary appropriate medication to manage radiation induced side effects.

Documentation detailing continuous participation in Tumor Boards, daily morning report and weekly physician peer review.

2.4.1.2 One (1) year of experience - Documentation

detailing patient consult notes, follow-up notes, and on-treatment visits (OTV) experience in a healthcare system that is ACR/APEx certified.

2.4.1.3 One (1) year of experience - Varian Linear

Accelerators: TrueBeam with Rapid Arc (or equivalent).

2.4.1.4 One (1) year of experience - Image Guided

Radiation Therapy (IGRT) including Cone Beam CT (following standards of TRG-142), Align RT, RadCalc, radformation.

2.4.1.5 One (1) year of experience - Eclipse treatment

planning system, order a physician treatment planning directive to include initial treatment prescription(s); and ARIA record & verify system, including the following treatment modalities: SRS, SRT, SBRT, and IMRT.

2.4.1.6 One (1) year of experience - Verifying QA results

through portal dosimetry, SRS Mapcheck, and

ArcCheck (or equivalent).

2.4.1.7 One (1) year of experience - Toshiba (canon) CT

simulator (or equivalent) using IV contrast.

2.4.2. Board Certified Therapeutic Medical Physicist (TMP)–MS Level: Must have at least five (5) years of documented post-board experience after board certification and at least three (3) years of continuous work experience within the last five (5) years to ensure the TMP’s experience is current and relevant. Senior TMP must also have the following minimum years of experience, expertise, and knowledge on the following procedures, equipment and software:

2.4.2.1. Five (5) years of experience – Documentation

detailing experience in performing daily, monthly and annual QA procedures.

2.4.2.2. Three (3) years of experience – Documentation

detailing Therapeutic Medical Physics in a healthcare system that is ACR/APEx accredited.

2.4.2.3. Three (3) years of experience - Varian Linear

Accelerators: TrueBeam following standards of TG-

2.4.2.4. Three (3) years of experience -Image Guided

Radiation Therapy (IGRT) including Cone Beam CT, respiratory gating, Align RT (following standards of

TG-142).

2.4.2.5. Three (3) year of experience - Eclipse treatment

planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53)

2.4.2.6. Three (3) years of experience - QA: Portal

Dosimetry (or equivalent), RadCalc, Radformation, and SRS QA Phantom.

2.4.2.7. Three (3) years of experience – Toshiba (Canon) CT

Simulator (or equivalent) and following standards of

TG-66

2.4.2.8. Three (3) year of experience – Skin collimation.

2.4.2.9. Successfully perform one (1) acceptance testing

(i.e., work with vendor to ensure proper working condition during installation) on a linear accelerator.

2.4.3. Certified Medical Dosimetrist (CMD): Must be certified in medical dosimetry by the Medical Dosimetrist Certification

Board (MDCB) with at least two (2) years of continuous work experience within the last three (3) years to ensure the CMD’s experience is current and relevant. CMD must also have the following minimum years of experience, expertise and knowledge on the following procedures, equipment and software:

2.4.3.1. Two (2) years of experience - Documentation detailing experience in performing QA procedures.

2.4.3.2. One (1) year of experience - Documentation

detailing CMD experience in a healthcare system that is APEx accredited.

2.4.3.3. One (1) year of experience - Varian Linear

Accelerators: TrueBeam with Rapid Arc (or equivalent).

2.4.3.4. One (1) years of experience - Image Guided

Radiation Therapy (IGRT) including Cone Beam CT

(following standards of TG-142), Align RT, RadCalc, and Radformation.

2.4.3.5. One (1) year of experience - Eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: SRS, SRT, SBRT, and IMRT (following standards of TG-53)

2.4.3.6. One (1) year of experience – Portal dosimetry, SRS

Mapcheck and ArcCheck (or equivalent)

2.4.3.7. One (1) year of experience - Toshiba (Canon) CT

Simulator (or equivalent)

2.4.4. Technical Proficiency: Contract ROP(s), TMP(s), CMD(s) and other contract provider (s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently.

Contractor shall provide documents upon request of the Contracting Officer (CO)/Contracting Officer's Representative (COR) to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor’s physician(s), TMP(s) and other contract personnel shall have knowledge of professional care theories, principles, practices, and procedures to serve radiation oncology patient population. Contractor’s physician(s), TMP(s) and other contract personnel shall demonstrate knowledge of growth and development, and pathophysiology of disease processes specific radiation oncology patient population. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract physician(s) and TMP(s).

Contractor personnel shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations referenced herein that govern medical staff behavior.

2.5. Continuing CME /CEU Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC.

Contractors registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. CME hours shall be reported to the credential’s office for tracking. These documents are required for initial and renewal privileging. Failure to provide shall result in loss of privileges.

2.6. Training (Physicians, Medical Physicist, and Medical

Dosimetrist), EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed as required by the VA.

Other training may become required. The MVAHCS will communicate any changes to the training requirement to the contractor.

Training (The following training is mandatory per VHACO for

Contracted Physicians)

Frequency (once a year, etc)

Annual Hours

VA Privacy and Information Security Awareness and Rules of Behavior

Annual 1

VHA Privacy and HIPAA Focused

Training

Annual 1

Prevention/Management of

Disruptive Behavior/Violence

Prevention Level 1

Annual 0.5

Prevention of Workplace harassment/No Fear Act

Annual 2

Service Orientation & CPRS training

Initial training only 1.5

Radiation Safety Annual 0.82

2.6.1. In performance of official duties, Contractor Personnel have regular access to printed and electronic files containing sensitive data, which shall be protected under the provisions of the Privacy Act of 1974 (5 U.S.C. 552a), and other applicable laws, Federal Regulations, Veterans Affairs statutes, policies and regulations.

Contractor’s Personnel are responsible for one (1) protecting that data from unauthorized release or from loss, alteration, or unauthorized deletion and two (2) following all applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in a computer access agreement which Contractor’s Personnel shall sign.

2.6.2. Contractor’s Personnel shall complete required security training and sign a VA Computer Access Agreement prior to having access to the VA computer system. Security Training shall be accomplished annually. Contractor’s Personnel shall select training modules for Privacy and Information Security Training.

Upon completion of the training, training certificates shall be emailed to Jose.Ortiz4@va.gov and Raimundo.rivera@va.gov.

2.6.3. In addition, if providing medical services, Contractor’s Personnel shall attend CPRS training prior to providing any patient care services. Contractor’s Personnel shall document patient care in order to comply with all VA and Joint Commission or equivalent standards. Other radiation treatment information shall be recorded in the Varian ARIA system as appropriate by the local standards.

2.6.4. Other Mandatory VA training as required: Contractor’s Personnel will be briefed on all required training by the Radiation Therapy mailto:Jose.Ortiz4@va.gov mailto:Raimundo.rivera@va.gov.

Service Chief or service AO upon reporting to the MVAHCS

Radiation Therapy Service.

2.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.7.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall

provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.7.3. VARICELLA: Contractors shall provide proof of immunity for all

Contractor physicians {This is applicable to all health care workers}.

2.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.7.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.7.6. COVID-19: Contractors shall comply with VHA

Supplemental Contract Requirements for Combatting COVID-19 {This is applicable to all health care workers}. – See Section D attachment.

2.7.7. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE

TO BLOODBORNE

PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician(s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.7.8. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.8. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal

2.9. DEA: Contractor shall provide copy of current DEA certificate.

2.10. Conflict of Interest: The Contractor and all contract physician(s) and other contract provider (s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest - and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.11. Citizenship related Requirements:

2.11.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.11.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.11.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.11.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.11.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFQ using the subject attachment in Section D of the solicitation document.

2.12. Annual Office of Inspector General (OIG) Statement: In

accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.12.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract physician(s) is not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.12.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed http://oig.hhs.gov/exclusions/index.asp and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.13. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19 and VHA Directive 1100.20.

Clinical/Professional direction of all clinical personnel covered by this contract will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.14. Non-Personal Healthcare Services: The parties agree that the

Contractor and all contract physician(s) and other contract provider (s) shall not be considered VA employees for any purpose.

2.15. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.16. Prohibition Against Self-Referral: Contractor’s Radiation

Oncology Physician(s) are prohibited from referring VA patients to

Contractor’s or their own practice(s).

2.17. Inherent Government Functions: Contractor and Contract

physician(s) and other contract provider (s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non- selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.18. No Employee Status: The Contractor shall be responsible for protecting Contract physician(s) and other contract provider (s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.18.1. Workers’ compensation

2.18.2. Professional liability insurance

2.18.3. Health examinations

2.18.4. Income tax withholding, and

2.18.5. Social security payments.

2.19. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s) and other contract provider (s).